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目的监测2004~2008年新疆克拉玛依市女性性服务者(FSWs)性传播疾病(STD)和人类免疫缺陷病毒(HIV)感染流行趋势,为制定艾滋病(AIDS)防治措施提供依据,并为在女性性服务者中进行行为干预并评价干预效果提供数据。方法对女性性服务者实施哨点监测,采用重复、横断面调查方法进行行为学和血清学调查。结果5年共监测女性性服务者1 856人,检出5例HIV感染者,平均感染率为0.27%;检出24例梅毒感染者,平均感染率为1.29%。过去一个月内的女性性服务者与嫖客发生性关系时安全套使用率呈逐年上升趋势(χ2=94 38,P<0.01);但与固定性伴发生性关系时安全套使用率普遍较低,且各年度间无明显变化(χ2=1 46,P>0.01)。结论克拉玛依市女性性服务者HIV和梅毒感染总体处于低流行水平,女性性服务者在性病/艾滋病传播中起着重要的桥梁作用,因此,必须持之以恒地进行干预,以有效控制艾滋病在该人群的流行与蔓延。
Objective To monitor the prevalence of sexually transmitted diseases (STDs) and human immunodeficiency virus (HIV) infection among female sex workers (FSWs) in Karamay, Xinjiang from 2004 to 2008, provide the basis for the development of AIDS prevention and control measures, Service providers to conduct behavioral interventions and evaluate the effectiveness of interventions to provide data. Methods The female sex workers were sentinelly monitored and behavioral and serological investigations were conducted using repeated and cross-sectional surveys. Results A total of 1 856 female sex workers were monitored in 5 years. The average infection rate was 0.27% in 5 cases of HIV infection. The average infection rate was 1.29% in 24 cases of syphilis infection. In the past month, the rate of condom use among female sex workers and clients increased year by year (χ2 = 94.38, P <0.01). However, the condom use rate was generally lower with sexual partners There was no significant change between years (χ2 = 146, P> 0.01). CONCLUSIONS: HIV and syphilis infections among female sex workers in Karamay are generally at a low prevalence. Female sex workers play an important bridging role in the transmission of sexually transmitted diseases / AIDS. Therefore, interventions must be consistently carried out to effectively control HIV / AIDS in this population Popularity and spread.