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目的了解暗娼人群性传播疾病(STD)/艾滋病(AIDS)防治知识水平、行为特征和STD/AIDS感染状况,为在该人群中开展针对性的干预工作提供依据。方法在知情同意后对杭州市区257名暗娼进行面对面问卷调查,对267名暗娼采集血样进行艾滋病病毒(HIV)抗体、梅毒抗体、乙型病毒性肝炎(乙肝)表面抗原(HBsAg)、丙型病毒性肝炎(丙肝)病毒(HCV)抗体检测。所有资料经EpiData2.0软件录入,用SPSS10.0软件进行统计分析。结果257名暗娼以未婚低龄为主,20～30岁占86.4%,文化程度普遍偏低。仅13.2%的暗娼完全知晓艾滋病传播途径和预防方法;在最近1周平均接待10位客人,仅25.8%的暗娼在最近1个月每次与客人发生性行为均使用了安全套,36.1%的暗娼自述在最近1年出现过性病相关症状,且其中79.3%自己买药治疗。267名接受采血的暗娼中未发现HIV抗体阳性者,梅毒抗体阳性率为2.6%,HBsAg阳性率为5.6%,丙肝抗体阳性率为0.8%。结论针对暗娼人群加强宣传教育、推广安全套使用以及规范性病诊疗转介服务是预防和控制性病/艾滋病在这一人群中流行和蔓延的重要措施。
Objective To understand the STD/AIDS prevention knowledge level, behavioral characteristics, and STD/AIDS infection status among sex workers and provide evidence for targeted interventions in this population. Methods A face-to-face questionnaire was conducted on 257 sex workers in Hangzhou after informed consent. HIV antibody, syphilis antibody, hepatitis B surface antigen (HBsAg), and C were collected from 267 sex workers. Viral hepatitis (hepatitis C) virus (HCV) antibody detection. All data were recorded by EpiData 2.0 software and statistical analysis was performed using SPSS10.0 software. The results showed that 257 deaf people were dominated by young unmarried children, accounted for 86.4% in 20-30 years old, and the education level was generally low. Only 13.2% of the sex workers are fully aware of the route of transmission and prevention of HIV; in the average reception of 10 guests in the last week, only 25.8% of sex workers used condoms every time in the past month for sexual intercourse with guests, and 36.1% of sex workers. The self-reported symptoms of sexually transmitted diseases have occurred in the last year, and 79.3% of them have purchased medicines themselves. No HIV antibody-positive persons were found in the 267 blood-stained clams. The positive rate of syphilis antibody was 2.6%, the positive rate of HBsAg was 5.6%, and the positive rate of hepatitis C antibody was 0.8%. Conclusion The promotion of publicity and education for condoms, the promotion of condom use, and the referral of referral services for STD diagnosis and treatment are important measures to prevent and control the spread and spread of STD/AIDS in this population.