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2010-2012年云南省弥勒市暗娼人群艾滋病哨点监测结果分析
引用本文:马吉辉,金以超,陈卫武,赵永云,白鹏飞. 2010-2012年云南省弥勒市暗娼人群艾滋病哨点监测结果分析[J]. 疾病监测, 2013, 28(8): 624-627. DOI: 10.3784/j.issn.1003-9961.2013.8.006
作者姓名:马吉辉  金以超  陈卫武  赵永云  白鹏飞
作者单位:1. 弥勒市疾病预防控制中心,云南弥勒,652399
2. 昆明医科大学
摘    要:目的 了解云南省弥勒市暗娼艾滋病性病流行状况及相关危险因素,为评估艾滋病性病防治工作及制定暗娼人群干预策略提供依据。 方法 于2010-2012年6 7月,对弥勒市所有娱乐场所的暗娼开展问卷调查,现场收集监测对象的相关行为信息,并采集血液标本进行艾滋病病毒(HIV)和梅毒抗体检测。 结果 在调查的600人中,宾馆/酒店/夜总会暗娼(A类)占33.7%,卡拉OK厅/美容美发厅(B类)占51.7%,出租房/街头(C类)占14.7%。A、B和C三类暗娼最近1周的嫖客平均数分别为12.01、14.67和28.88个,最近1个月与嫖客总是使用安全套的比例依次为87.62%、84.19%和56.82%。另外,A、B和C三类暗娼中HIV和梅毒的感染率也均呈现依次升高的趋势, HIV感染率分别为1.49、2.26%和9.09%,梅毒感染率分别为0.50%、0.32%和6.82%,最近1年性病感染率依次为6.93%、4.52%和19.32%。 结论 弥勒市低档暗娼的嫖客数多,安全套使用率较低, HIV/STD感染率较高,存在疫情上升风险,需不断开展干预和综合防治工作。

关 键 词:艾滋病病毒   梅毒   哨点监测   安全套   暗娼
收稿时间:2013-03-18

Sentinel surveillance AIDS among female sex workers in Mile, Yunnan,2010-2012
Abstract:Objective To understand the prevalence of AIDS and other sexual transmitted diseases among female sex workers (FSWs) and related risk factors in Mile, Yunnan province, provide scientific evidence for the evaluation of AIDS prevention and control and development of intervention strategies. Methods Questionnaire survey was conducted among FSWs in Mile during June-July from 2010 to 2012 to collect their behavior information. Blood samples were taken from them to detect HIV and syphilis antibodies. Results Among 600 FSWs surveyed, those worked in hotel/nightclub accounted for 33.7%, in singing hall/beauty salon accounted for 51.7% and street FSWs accounted for 14.7%. The average client numbers of them in the past week were 12.01, 14.67 and 28.88 respectively, and the condom use rates of them during the past month were 87.62%, 84.19% and 56.82% respectively. The infection rate of HIV and the prevalence of syphilis in three group FSWs were 1.49%, 2.26%, and 9.09%, 0.50%, 0.32% and 6.82% respectively. The prevalence of other STDs during the past year were 6.93%, 4.52% and 19.32% respectively. Conclusion The low grade FSWs had more commercial sex than others in Mile, but they less likely to use condoms and had higher HIV infection rate and STD prevalence, indicating the necessity to conduct intervention and prevention constantly among them.
Keywords:human immunodeficiency virus  syphilis  sentinel surveillance  condom  female sex worker
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