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目的了解温州市鹿城区娱乐场所女性性服务者HIV、HCV、HBsAg、梅毒感染状况及影响因素,为实施有效干预,预防控制相关疾病在该类人群中传播提供依据。方法采用分层随机抽样法抽取不同类别高危场所,再采用整群抽样(≤25人)或方便样本法(>25人)抽取调查对象,由经过培训的调查员对调查对象进行匿名问卷调查及抽血检测HIV、HCV、HBsAg、梅毒。结果 412名调查对象以20~29岁年龄段为主,占67.96%,初中及以下文化程度者占63.84%,未婚者占61.65%,外省户籍占89.08%,艾滋病相关知识知晓率为70.87%。最近1个月与客人发生性行为时安全套使用率较低,每次都用的占48.30%,从来不用的占12.14%,曾做过艾滋病检测的占53.71%。18.20%的人曾患过性病,1.46%的人有吸毒史。未检出HIV抗体阳性,HCV、HBsAg、梅毒抗体阳性率分别为0.24%、6.31%和2.43%。低档和中高档场所梅毒阳性率分别为5.15%、1.59%,最近一年曾患过性病和未患过性病的梅毒阳性率分别为8.51%、1.64%,梅毒阳性率在不同档次场所和是否曾患过性病间差异有统计学意义(χ2=3.985,P=0.045;χ2=8.290,P=0.004)。结论温州市鹿城区娱乐场所女性性服务者艾滋病知识掌握不全面,安全套使用率较低,HIV感染率总体处于较低水平,低档次场所和曾患过性病的女性性服务者梅毒感染率较高。仍需进一步加强对此类人群特别是低档次人群的健康教育和行为干预工作。
Objective To understand the status of HIV, HCV, HBsAg and syphilis infection among female sex workers in entertainment venues in Lucheng District of Wenzhou City and to provide evidences for effective intervention and prevention of diseases related to control transmission in such populations. Methods The stratified random sampling method was used to extract different types of high-risk places, then the samples were collected by cluster sampling (≤25 persons) or convenience sample method (> 25 persons). The trained investigators conducted anonymous questionnaire survey and Blood tests for HIV, HCV, HBsAg, syphilis. Results 412 subjects were aged 20-29, accounting for 67.96%, 63.84% with junior high school education and below, 61.65% unmarried, 89.08% from other provinces, and 70.87% from AIDS-related knowledge. In the last month, the incidence of condom use was lower with the guests, accounting for 48.30% each time, 12.14% never being used and 53.71% having ever done AIDS testing. 18.20% of people have had STD, 1.46% of people have history of drug abuse. The positive rates of HIV, HCV, HBsAg and syphilis were 0.24%, 6.31% and 2.43% respectively. The positive rates of syphilis in low and middle and high places were 5.15% and 1.59% respectively. The positive rate of syphilis in the recent year was 8.51% and 1.64% respectively. The positive rates of syphilis in different grades and places There was a statistically significant difference between STDs (χ2 = 3.985, P = 0.045; χ2 = 8.290, P = 0.004). Conclusion Female sexual service providers in entertainment venues in Lucheng District of Wenzhou City have a poor knowledge of HIV / AIDS and low condom use rates, and the overall HIV prevalence is at a low level. Syphilis infection rates are high in low-grade places and female sex workers who have had STDs . Still need to further strengthen the health education and behavior intervention for such people, especially the low-end population.