丰台区2006-2009年暗娼人群行为学和血清学分析

目的了解北京市暗娼人群艾滋病相关行为变化及艾滋病、梅毒感染流行趋势,为艾滋病综合防治和科学干预提供科学依据。方法于2006-2009年对810名社区暗娼及1 247名哨点监测暗娼人群进行血清学和行为学问卷调查。结果 2006-2009年社区暗娼人群HIV抗体检出率均为0,暗娼人群分别为0.4%(1/267)、0.4%(2/252)、0(0/236)、0(0/292);梅毒RPR(rapid plasma region test,RPR)阳性率社区暗娼人群分别为3.0%(5/167)、2.1%(4/192)、1.5%(3/195)、1.0%(2/198),暗娼分别为8.6%(23/267)、10.4%(47/452)、6.4%(15/236)、3.8%(11/292);最近一次安全套使用率社区暗娼人群分别为94.0%(186/198)、88.5%(179/202)、92.3%(192/208)、94.7%(191/202),暗娼人群分别为79.0%(211/267)、88.0%(398/452)、88.5%(209/236)、91.7%(268/292)。结论 2006-2009年丰台区暗娼人群安全套使用率逐年提高,HIV感染率总体处于较低水平;但艾滋病知识及检测知晓率有待进一步提高,低档次小场所的暗娼应成为预防干预工作的重点。

Behavioral and serological surveillance among female sex workers in Fengtai district, Beijing from 2006 to 2009

Objective To explore behavioral changes related to human immunodeficieny virus/acquired immunodeficiency syndrome(HIV/AIDS) and trends of HIV/syphilis epidemic among female sex workers(FSWs) in Fengtai district,and to provide information for integrated HIV behavioral intervention.Methods Continuous HIV antibody test and syphilis rapid plasma region test were conducted among FSWs in Fengtai district of Beijing from 2006 to 2009.At the same time,the FSWs workers were interviewed face-to-face with an anonymous questionnaire.Results The prevalence rate of HIV infection was 0 in the FSWs in community and 0.4%,0.4%,0,and 0 in the FSWs in other places from 2006 to 2009,respectively.The prevalence rate of syphilis was 3.0%,2.1%,1.5%,and 1.0% in the FSWs in community and 8.6%,10.4%,6.4%,and 3.8% in the FSWs in other places from 2006 to 2009,respectively.The rate of using condom in the last commercial sex among the FSWs in community was 94.0%,88.5%,92.3%,and 94.7% and 79.0%,88.0%,88.5%,and 91.7% in the FSWs in other places from 2006-2009,respectively.Conclusion Rate of condom use among the FSWs in Fengtai district tend to increase and HIV prevalence rate is generally low.However,HIV knowledge and testing awareness need to be enhanced.The FSWs in small public places is the key population for effective intervention.