黑龙江省暗娼人群艾滋病知识、行为状况调查

目的 了解黑龙江省暗娼人群艾滋病知识知晓情况及其行为状况,为暗娼人群制定有针对性的预防与控制艾滋病的措施提供科学依据.方法 统一调查方法,由经过严格培训的调查员到全省13个地级市55个县的暗娼聚集地点进行现场问卷调查.结果 在5 055名被调查的女性暗娼中,艾滋病知识8道问题,除1道问题正确率为72.05%外,其余问题正确率均在80.00%以上;商业性行为中安全套坚持使用率为37.55%,坚持使用的原因主要是害怕感染艾滋病,占39.04%;与固定性伴安全套坚持使用率为18.13%;最近一年出现性病相关症状的占31.89%,出现症状后的处理方式主要是到性病专科医院就诊,占37.72%;暗娼吸毒率为0.16%.关联分析显示,每次都用安全套的暗娼艾滋病知识8道问题的知晓率最高.多因素Logistic回归分析结果显示:酒店、宾馆等高级场所暗娼坚持使用安全套频率较高,首次商业性行为年龄较大,最近一周接客人数较多和每次工作价格较高的暗娼更愿意坚持使用安全套,而每月工作天数较多的暗娼更不愿意坚持使用安全套.结论 2008年黑龙江省暗娼人群中艾滋病知识知晓情况总体比较好,随着艾滋病知识知晓率的提高,坚持使用安全套的频率有升高的趋势.今后应加强对按摩房、足疗馆、小旅店等低级场所暗娼人群的宣传教育,重点加强对艾滋病非传播途径知识、就诊方式、安全套使用重要性等方面的宣传.

The survey of AIDS knowledge behaviors and condom use among female sex workers in Heilongjiang Province

Objective To understand the knowledge,behavior and condom use among female sex workers,to develop AIDS prevention and control measures among female sex workers.Methods Methods of investigation were uniformed.Questionnaires were completed by the highly trained investigators.Samples were collected from the female sex workers gathering place in 55 counties.Results The correct answer rate of AIDS knowledge was more than 80.00% except one that was 72.05% among 5 055 female sex workers.The rate of insisting condom use was 37.55% among female sex workers,the reason of using condom was mainly ＂fear of AIDS＂,accounted for 39.04%.The rate of condom use was 18.13% among female sex workers who have sex behaviour with regular partners.The rate of venereal disease related symptoms was 31.89%,the main treatment approach for patients with venereal disease was＂to the venereal diseases specialist hospital＂,accounting for 37.72%.The rate of taking drug was 0.16% among female sex workers.Correlation analysis showed that the correct answer rate of AIDS knowledge was the highest among insisting condom users in 8 AIDS-related issues.Multifactorial Logistic regression analysis showed that hotels,guesthouses and other advanced places had high frequency of condom use among female sex workers.They were reluctant to insist on using condoms when had worked larger number of days per month,but the older were willing to use condoms at the first time of commercial sex.The same results also occurred in the ones that had higher price each work and picked up more clients in recent week.Conclusions The rate of AIDS knowledge awareness among female sex workers was generally high in 2008 in Heilongjiang Province.Frequency of condom use was positively correlated with the rate of AIDS knowledge awareness.Health education should be strengthened to female sex workers within massage room,foot museum,small hotels and so on.It should be enhanced to the propaganda on knowledge of non-transmission routes of AIDS,treatment methods and the importance of using condom.