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[目的]了解越南跨境流动暗娼HIV感染及其影响因素,为跨境流动暗娼干预工作提供科学依据。[方法]采用项目设计并经预实验修正后的问卷,由经培训懂双语的外展人员进行现场调查,内容包括人口学特征、艾滋病知识、高危性行为、吸毒行为等高危影响因素。[结果]被调查的暗娼人员HIV抗体阳性检出率为7.5%,过去一月只有3%的暗娼每次性行为使用安全套,最近一次与固定性伴发生性行为时安全套使用率为8.69%。HIV感染影响因素中,年龄越大、文化程度越低,HIV阳性检出率越高。[结论]跨境暗娼推广安全套使用取到了一定的效果,但暗娼人员不能坚持每次使用安全套,与固定性伴发生性行为时安全套使用率低,HIV阳性检出率高,加强跨境流动暗娼干预工作,减少HIV在跨境人群间传播意义重大。
[Objective] To understand HIV infection among cross-border sex workers and its influencing factors in Vietnam, and provide a scientific basis for the intervention of cross-border migrant sex workers. [Methods] The project was designed and pre-experimentally modified questionnaires were used to conduct on-the-spot investigation by trained and bilingual outreach personnel. The survey included demographic characteristics, HIV / AIDS knowledge, high-risk behaviors and high risk factors such as drug abuse behaviors. [Results] The positive rate of HIV antibody among FSWs surveyed was 7.5%. Only 3% of FSWs used condom in every sexual activity in January last month, and the rate of condom use was 8.69% in the most recent sexual intercourse with FSS. Influential factors of HIV infection, the older, the lower the level of education, the higher the positive rate of HIV infection. [Conclusion] Cross-border sex workers promoted the use of condoms to a certain extent, but FSM staff could not insist on using condoms at each time. Condom use rate was lower with sexual partners and HIV positive rate was higher. Cross-border migrant workers Intervention to reduce HIV transmission among cross-border groups is of great significance.