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目的:了解新疆南部地区汉族和维吾尔族低层暗娼人群的艾滋病/性病(HIV/STI)的感染状况,为在该人群中开展有针对性的干预工作提供依据。方法:调查员、在暗娼人群知情同意后对进行面对面问卷调查、采血并检测。结果:共调查513名低层暗娼,其中,汉族283名,平均年龄(34.83±8.39)岁;维吾尔族230名,平均年龄(28.08±5.96)岁。与汉族暗娼人群相比,维吾尔族暗娼人群文化程度较低,初中及以下占95.2%,每次性交易收费较低,平均(64.24±34.07)元。最近1个月坚持每次使用安全套的人数较少,占27.8%。513名低层暗娼HIV感染率为3.5%,梅毒感染率13.9%,HSV-2感染率为17%。结论:新疆南部地区低层暗娼HIV/STI感染率较高、安全套使用率低、影响因素多且复杂,需加强分类指导开展有针对性的干预活动,以减少艾滋病、性病的传播与蔓延。
Objective: To understand the prevalence of HIV / STI among Han and Uygur low-sex female workers in southern Xinjiang and to provide basis for targeted intervention in this population. Methods: The investigators conducted face-to-face questionnaires, blood tests and tests after the informed consent of the FSWs. Results: A total of 513 low-level sex workers were investigated. Among them, 283 were Han Chinese, with an average age of 34.83 ± 8.39 years; 230 Uyghur people with an average age of 28.08 ± 5.96 years. Compared with the Chinese FSW population, the Uygur FSW population has a relatively low educational level with 95.2% of junior high school students and below, with a lower fee per transaction, averaging (64.24 ± 34.07) yuan. The number of condom users who used condoms was less in each of the last month, accounting for 27.8%. The prevalence of HIV infection among 513 low-frequency sex workers was 3.5%, syphilis infection rate was 13.9%, and HSV-2 infection rate was 17%. Conclusion: HIV / STI infection rates among low-level sex virgins in southern Xinjiang are high, and the rate of condom use is low. There are many and complicated influencing factors. Sexual counseling and interventions should be strengthened to reduce the spread and spread of AIDS and STDs.