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目的了解甘肃省兰州市城关区娱乐场所提供商业性性服务(暗娼)人群性传播疾病感染情况,通过分析影响因素,为制定暗娼人群综合干预措施提供科学依据。方法对城关区高、中、低档娱乐场所702名暗娼进行一对一问卷调查,同时进行性传播疾病感染情况检测。结果 702名暗娼艾滋病相关知识知晓率57.98%;最近一次性服务安全套使用比例为84.33%,最近一个月性服务每次使用安全套的比例占76.64%,有时使用占22.22%,从未使用占1.14%;性传播疾病阳性率为22.22%,其中梅毒感染率5.98%,生殖道沙眼衣原体感染率12.11%,淋球菌感染率4.13%。结论兰州市城关区不同场所暗娼人群性病/艾滋病防治知识知晓率、性行为特征、性病患病率、防病意识等方面存在差异,暗娼仍是艾滋病干预的重点人群,特别是站街等低档场所暗娼人群更易受到性病、艾滋病的威胁。
Objective To understand the status of sexually transmitted infections (STDs) among sexually transmitted diseases (STWs) in entertainment facilities in Chengguan District of Lanzhou City, Gansu Province. By analyzing the influencing factors, it provides a scientific basis for formulating comprehensive interventions for FSWs. Methods A total of 702 female sex workers in high, middle and low-grade entertainment venues in Chengguan District were surveyed one by one. At the same time, sexually transmitted infections were detected. Results The awareness rate of AIDS related knowledge among 702 female sex workers was 57.98%. The proportion of condom use in the most recent sexual service was 84.33%. The proportion of condom use in each of the most recent sexual services accounted for 76.64%, sometimes 22.22%, never used 1.14% ; The positive rate of sexually transmitted diseases was 22.22%, including syphilis infection rate 5.98%, genital tract Chlamydia trachomatis infection rate 12.11%, Neisseria gonorrhoeae infection rate 4.13%. Conclusions There are differences in awareness of STD / AIDS prevention and control knowledge, sexual behavior, STD prevalence and disease prevention awareness among FSWs in different places in Chengguan District of Lanzhou City. CSWs are still the key population of HIV / AIDS intervention, especially in low-grade places Female sex workers are more vulnerable to STDs and AIDS.