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目的:了解暗娼人群艾滋病高危行为特征和性病艾滋病感染状况,为开展有针对性的行为干预和宣教工作提供依据。方法:对暗娼人群在知情同意后进行面对面的问卷调查并采血作HIV和梅毒抗体的检测。结果:共调查了558名暗娼,艾滋病基本知识总答对率为84.70%,与2009年相比有了明显的提高。第一次发生商业性行为年龄小于或等于20岁占55.65%。性伴侣数多,平均每天性伴侣1~2个,最近一次发生商业性行为安全套使用率为78.32%,不用安全套的主要原因是性伴侣不愿用,占57.14%。HIV抗体均为阴性,梅毒抗体阳性率3.41%。结论:虽然暗娼人群对艾滋病防治知识有一定认识,安全套使用率较高,但对暗娼人群持续开展艾滋病防治综合干预仍然是阻断HIV向一般人群传播的关键。采取多种形式推广使用安全套、倡导安全性行为是控制艾滋病流行和蔓延的重要措施。
OBJECTIVE: To understand the high-risk behavior of AIDS among sex workers and the status of STD / AIDS infection in order to provide basis for carrying out targeted behavioral intervention and missionary work. Methods: The FSWs conducted face-to-face questionnaires and blood tests for the detection of HIV and syphilis antibodies with informed consent. Results: A total of 558 female sex workers were investigated. The total response rate of basic HIV / AIDS was 84.70%, which was significantly higher than that of 2009. The first occurrence of commercial sex is less than or equal to 20 years of age accounted for 55.65%. The number of sexual partners, the average daily partner 1 to 2, the recent occurrence of commercial use of condoms was 78.32%, no condom the main reason is that sexual partners do not want to use, accounting for 57.14%. HIV antibodies were negative, syphilis antibody positive rate of 3.41%. Conclusion: Although FSWs have a certain knowledge of HIV / AIDS prevention and control and a high condom use rate, the continuous HIV / AIDS prevention and treatment intervention among FSWs remains the key to blocking the spread of HIV to the general population. To promote the use of condoms in various forms and advocate safe sex are important measures to control the spread of AIDS.