女性桑拿按摩从业人员性病感染情况调查分析

目的：为了解女性桑拿按摩从业人员性病感染情况，对广州市4家桑拿按摩室125名女性从业人员进行性病检查。结果：性病56例，检出率44．8％（56／125），其中单纯一种性病感染44例，占78．57％，多重性病感染12例，占21．43％。各种性病检出率分别为：支原体性宫颈炎36％（45／125），衣原体性宫颈炎16％（20／125），淋病6．4％（8／125），梅毒3．2％（4／125），尖锐湿疣1．5％（2／125），生殖器疱疹0．8％（1／125），提示女性桑拿按摩从业人员性病感染情况严重，是性病的高危人群，应定期对该人群进行主动监测。     

2004-2005年肇庆市桑拿按摩女性服务人群性病及相关高危因素调查分析

目的:掌握肇庆市桑拿娱乐场所服务人群的性病与艾滋病的感染水平、性病防治相关健康知识和健康行为状况,为遏制性病和艾滋病的传播提供科学依据。方法:对桑拿按摩女性服务从业人员进行性病筛查和性病与艾滋病防治相关知识和行为问卷调查。结果:在651名女性服务从业人员中发现性病168例,性病感染率为25.81%,其中有1例HIV阳性;服务从业人员对性病与艾滋病防治知识的知晓率和健康行为形成率偏低。结论:对桑拿按摩女性服务从业人员必须加强健康宣教,大力推广使用安全套等行为干预措施。     

女性桑拿按摩从业人员与性病门诊就诊者性病病原体检测结果分析

目的:了解女性桑拿按摩从业人员与性病门诊就诊者性病病原体的感染情况。方法:在2001年1月-2005年12月对女性桑拿按摩从业人员617人进行性病病原体检测,并与同期到我中心性病专科门诊的女性就诊者作检测对照。结果:女性桑拿按摩从业人员和性病专科门诊女性就诊者的性病病原体感染率分别为78.28%和66.08%,两组比较差异有统计学意义(P<0.05)。其中解脲支原体(Uu)阳性率分别为50.73%和33.92%,衣原体阳性(CT)率分别为7.94%和12.75%,梅毒阳性率分别为5.19%和11.37%,两组比较差异均有统计学意义;人型支原体(Mh)阳性率分别为3.08%和2.35%,淋球菌(NG)阳性率分别为0.81%和0.78%,两组比较差异均无统计学意义(P>0.05)。结论:女性桑拿按摩从业人员性病病原体检出率较高,其中以解脲支原体、CT、梅毒为主。应加强该类人员的性病监测以及健康教育干预工作。     

女性桑拿按摩从业人员性病/艾滋病感染情况与相关知识调查

目的：了解女性桑拿按摩从业人员性传播疾病／艾滋病(STDs/AIDs)相关知识和感染情况，为开展STDs／AIDs预防干预研究提供依据。方法：采取匿名问卷对774名调查对象进行问卷调查，了解其人口学特征和对STDs／AIDs的认识、态度、信念、行为(KABP)，并通过临床及实验室检查检测STDs/AIDs的感染情况。结果：目标人群在最近3月内从事过商业性行为的占74.2％(537／724)，商业性行为中避孕套使用率为80．6％，与固定性伴侣(夫妻、恋人)性交避孕套使用率为57％；对STDs／AIDs传播途径的正确知晓率为34.3％～56．8％；绝大多数人认为自己没有患STDs／AIDs的危险；约1／3人缺乏正确的求医行为，421名受检者STDs／HIV感染率为24．47％。结论：女性桑拿按摩从业人员中普遍存在STDs／AIDS高危行为，STDs／AIDS知识知晓率低，严重缺乏自我防护意识，STDs／HIV感染率高，必须尽快采取综合干预措施。     

大运河畔某乡镇个体服务行业人员111名性病调查

对我市大运河畔堤岸上某乡镇的个体旅馆、饮食业111名从业人员进行性病检查,共查出淋病27例(24.32％)。女性57人中淋病患者23例(40.35％),男性54人中淋病患者4例(7.40％),女性     

茂名市区高危人群性病调查结果

我院去年组织对全市部分从事卡拉OK、歌舞厅、桑拿等从业人员进行体检,对查出的性病患者给予复查、治疗,调查结果:受检单位37家,共检查661人,其中男性17人,占2.57％,女性644人,占97.43％。外来人员650人,占98.34％。工种以卡拉OK、桑拿为主,占83.66％。年龄构成:男性22～30岁,平均年龄25岁,女性17～36岁,平均年龄23.5岁。     

莆田市公共场所性病的调查报告

莆田市公共场所性病的调查报告林永珍，沈宇航，陈洪歌，蔡开贵福建莆田市卫生防疫站（邮政编码３５１１００）我市于１９９２、１９９３年分别对全市４个县区的９个集镇的歌舞厅（含卡拉ＯＫ）、美容厅、发廊、宾馆、旅社等处性病高危人群的从业人员１７７５人进行性病监...     

两种人群阴道分泌物病原体感染情况分析

目的对性病门诊就诊的女性患者和女性性工作者共1 065例进行阴道分泌物检查,分析两种人群阴道病原体感染情况。方法对2010年到2012年到本单位性病门诊就诊的女性患者和外展服务的女性性工作者共1 065例进行阴道分泌物涂片,同时检测念珠菌、滴虫、线索细胞,并对检测结果进行性统计分析。结果性病门诊就诊497例女性阴道分泌物检出念珠菌40例(8.0%),检出滴虫22例(4.4%),检出线索细胞52例(10.5%),病原体检出总数114例(22.9%);女性性工作者568例阴道分泌物检出念珠菌43例(7.6%),检出滴虫63例(11.1%),检出线索细胞102例(17.9%),病原体检出总数196例(34.5%)。两种人群之间念珠菌检出没有差异,滴虫和线索细胞的检出率有显著性差异,并且两种人群阴道感染率差异有统计学意义。结论女性性工作者阴道感染的总人数比性病门诊女性就诊者多,应特别加强对这类高危人群的健康教育,建立科学的卫生观念,减少感染的机会和性病的传播。     

公共场所从业人员艾滋病自愿咨询检测及安全套使用相关信息分析

目的调查上海某社区公共场所从业人员对艾滋病自愿咨询检测的知晓情况及安全套使用相关信息,为预防,干预性病艾滋病制定措施。方法选取有高危因素的299家公共场所在职人员636人进行问卷调查。结果85.5％被调查者的文化程度为初中,81．8％为女性。21．1％自述与客人发生商业性行为,其中42．4％最近三次商业性行为均使用安全套。34.0％的被调查者听说过某些医疗部门提供免费艾滋病自愿咨询检测。但是只有4.2％的被调查者接受过艾滋病免费检测。结论公共场所从业人员是开展预防艾滋病健康教育的重点人群之一,需要开展长期有针对的艾滋病健康宣教干预,切实提高公共场所从业人员对艾滋病的认知水平及高危行为改变。     

广东省江门市1286例女性性工作者性传播疾病调查分析

目的:调查广东省江门市女性性工作者人群中4种性传播疾病的发病情况,为本市制定预防控制对策提供一定的科学依据.方法:2009年7月至2011年3月,开展酒店、桑拿、发廊、站桩点等场所的外展活动,使用中国性病控制中心编制的国家科技重大专项课题FSW基线调查问卷对FSWs进行问卷调查,并同时做血清学梅毒、艾滋病检测及宫颈分泌物淋病、生殖道沙眼衣原体检测.结果:1 286例FSWs中4种性病总阳性231例,阳性率17.96%;特异性梅毒血清学(ELISA法)阳性率9.25%;非特异性梅毒血清学(TRUST)阳性率5.52%;艾滋病血清学(ELISA法)初筛阳性5例,WB法确证阳性4例,阳性率0.31%;淋球菌阳性率1.94%;生殖道沙眼衣原体阳性率6.45%.结论:近年来,FSWs已成为江门市的性病高危人群,应定期对其监测并积极进行干预、治疗.     

167例女性吸毒者性行为和三种性传播疾病感染调查分析

目的：了解广州市女性吸毒人群性行为和三种性传播疾病感染情况。方法：对167例女性吸毒的性行为进行问卷调查和三种性传播疾病（淋病、尖锐湿疣、梅毒）的临床和实验室检查。结果：女性吸毒主要以未婚的性活跃年龄段（20岁－29岁）为主,且98．10％未婚吸毒曾有过性行为;167名吸毒女性中,每次性交均使用避孕套的仅有4．79％;检出性病24例,检出率为25．15％,三种性病依次为梅毒19．16％,淋病7．78％,尖锐湿疣1．20％,其中有4例混合感染。结论：女性吸毒性病感染情况严重,是性病传播尤其是梅毒传播的高危人群。     

Determinants of inconsistent condom use with female sex workers among men attending the STD clinic in Singapore

BACKGROUND/ OBJECTIVES: Female sex workers and their male clients have been identified as risk groups for the transmission of STDs and HIV. Behavioural interventions targeting clients need to address inconsistent condom use among them. The aim of the study is to assess the sociodemographic, behavioural, and psychological factors associated with inconsistent condom use among clients of sex workers. METHODS: 229 male patients attending the STD clinic in Singapore who reported paying for sex in the previous 6 months were interviewed. Response rate was 91%. RESULTS: Overall, 45% used condoms inconsistently; these clients were more likely to have poor STD knowledge, visit sex workers five or more times in the past 6 months, have lower self efficacy, less favourable social norms for condom use, and more likely to forget condom use when intoxicated (alcohol impaired decision making). CONCLUSIONS: Behavioural interventions for clients need to improve STD/HIV transmission knowledge and focus on improving client's self efficacy in using condoms.     

Comparison of sexually transmitted disease prevalence by reported condom use: errors among consistent condom users seen at an urban sexually transmitted disease clinic

BACKGROUND: The protective effect of condom use is controversial as a result of limited data. GOAL: The goal of this study was to assess the association between condom use errors in consistent condom users and the prevalence of various sexually transmitted diseases (STDs). STUDY: We conducted a cross-sectional study of visits to an urban STD clinic between January 2001 and January 2003, by women, men who have sex with women (MSW), and men who have sex with men (MSM) by consistent condom users with or without a condom use error. METHODS: Prevalence rates were calculated for gonorrhea, chlamydia, trichomonas, nongonococcal urethritis (NGU), and pelvic inflammatory disease. Rates were stratified by reported errors in condom use over the past 4 months for consistent users with adjusted odds ratios calculated by logistic regression. RESULTS: Among 1973 consistent condom users with error information available, any condom use error was reported more commonly among women (57%) than MSW (48%), or MSM (P <0.001 for each comparison), with breakage being the most frequently reported error. Among MSW, having a condom use error was associated with gonorrhea (adjusted odds ratio [AOR], 5.53; 95% confidence interval [CI], 2.48-12.35), chlamydia (AOR, 3.19; 95% CI, 1.80-5.65), and NGU (AOR, 2.09; 95% CI, 1.45-3.01), whereas, for women and MSM, no associations were seen for any STD. CONCLUSIONS: Condom use errors were common among subjects reporting consistent condom use and for MSW, condom error was associated with a significant increased risk of STD. These data support the premise that correctness of condom use is an important methodologic issue in studies assessing condom effectiveness.     

Predictors of condom use among patients with sexually transmitted diseases in Uganda.

BACKGROUND AND OBJECTIVE: Patients with sexually transmitted diseases (STDs) are at an increased risk of HIV infection and they must be targeted for increased condom use. GOAL: To identify predictors of condom use among patients with STDs. STUDY DESIGN: In a cross-sectional survey, an interview-administered questionnaire was administered to 138 patients at the STD clinic, Mulago, and the outpatients department, Mbarara Hospital, in Uganda. Data were collected on socio-demographic situations, STD symptoms, type of sexual partners, and use of condoms. Multivariate logistic regression models were used to identify independent predictors of condom use. RESULTS: Of the 138 patients, 87 (66%) knew how to use condoms, 81 (59%) ever used a condom, 34 (25%) used a condom at least once in the previous 3 months, 20 (15%) used a condom during the last sexual intercourse, and 80 (58%) accepted a free supply of condoms. Reasons for not using condoms among the 57 who had never were: having a regular partner or spouse (28, 49%), partner does not approve (17, 30%), reduced sexual pleasure (5, 9%), and no answer (7, 12%). The independent predictors of condom use were: being a man, not having a regular partner, having had sex with a casual partner, being able to read English, having at least secondary education, and using electricity for lighting. CONCLUSION: Providing health promotion messages in local languages may improve condom use in this population. There is a need for complementary HIV prevention strategies for women and for regular sexual partnerships.     

Human immunodeficiency virus type 1 among bar and hotel workers in northern Tanzania: the role of alcohol, sexual behavior, and herpes simplex virus type 2

GOALS: We assessed baseline prevalence of human immunodeficiency virus type 1 (HIV-1) and other STDs, as well as behavioral and biologic risk factors for HIV-1 in a population of female bar/hotel workers in Moshi, Tanzania. STUDY DESIGN: Between 2002 and 2003, we enrolled 1042 female bar/hotel workers in an ongoing prospective cohort study. We analyzed data collected at baseline to assess the associations between alcohol, sexual behavior, STDs, and HIV-1 infection. RESULTS: The prevalence of HIV-1 infection was 19.0% (95% confidence interval [CI] = 16.6%-21.4%). Consistent condom use was low (11.1%). HIV-1 was associated with genital ulcers on examination (adjusted odds ratio [AOR] = 2.08, 95% CI = 1.16-3.74), herpes simplex virus type 2 (HSV-2) (AOR = 3.80, 95% CI = 2.42-5.97), and problem drinking (AOR = 1.92, 95% CI = 1.06-3.47). Other independent predictors of HIV-1 were increasing age, number of sex partners, cohabitating, formerly married, location of employment, and having a husband with another wife. CONCLUSIONS: These findings suggest that programs designed to control HSV-2, reduce the number of sexual partners and alcohol use, and promote condom use could be effective in reducing transmission of HIV-1 in this population.     

桑拿按摩小姐健康教育效果评价

目的 :　探讨性病 (STD)健康教育的效果。方法 :　对按摩小姐进行性病健康教育 ,评价自身前后的效果并进行统计学处理 (t检验 )。结果 :　教育前后按摩小姐对STD的认识有非常显著的差异(t>2 .5 8,P <0 .0 1) ;对安全套的认识有非常显著性差异 (t >2 .5 8,P <0 .0 1) ;对艾滋病的认识十项有非常显著性差异 (t>2 .5 8,P <0 .0 1) ,一项有显著差异 (t>1.96 ,P <0 .0 5 ) ;对安全性行为的认识干预前后有非常显著性差异 (t>2 .5 8,P <0 .0 1) ;干预前后按摩小姐自报性接触总数及性接触的频数没有显著差异 (t<1.96 ,P >0 .0 5 ) ,但干预后性交时安全套的使用及频率 (每次均用、经常用、偶尔用 )显著增加 (t>1.96 ,P <0 .0 5 ) ;干预前后没有检测到STD。结论 :　对接摩小姐进行STD健康教育能显著提高STD防治知识正确认识程度 ,也能显著增加安全套的使用及频率     

STD in Bangladesh's trucking industry: prevalence and risk factors

OBJECTIVES: This study characterises the prevalence of a broad spectrum of sexually transmitted diseases (STDs) (herpes simplex virus 2, syphilis, chlamydia, gonorrhoea), and examines associations between risk factors and infection in men working in Bangladesh's trucking industry. Given the high risk sexual behaviours of truck drivers and helpers in many contexts, as well as the direct health effects of STDs and their role in facilitating HIV transmission, it is important to understand the prevalence of STDs and associated risk factors in this population. METHODS: A cross sectional study was conducted at Tejgaon truck stand, one of the largest truck stands in Dhaka, the capital city. The study group, comprising 388 truck drivers and helpers, was selected via a two tiered sampling strategy. Of 185 trucking agencies based at the truck stand, 38 agencies were randomly selected, and a mean of 10 subjects (drivers/helpers) were recruited from each agency. Urine and blood samples were collected from subjects after an interview about their lifestyle and a comprehensive physical examination. Gold standard laboratory tests were conducted for the detection of STD. Multiple logistic regression was used to assess associations between infections and potential risk factors. RESULTS: The levels of prevalence of disease were HSV-2 (25.8%), serological syphilis (5.7%), gonorrhoea (2.1%), chlamydia (0.8%). For infection with any bacterial STD (syphilis, gonorrhoea, or chlamydia) the only significant risk factor was having sex with a commercial sex worker in the past year (OR=3.54; CI=1.29-9.72). For HSV-2, truck helpers working primarily on interdistrict routes were significantly more likely to be infected than drivers working on these routes (OR=2.51, CI=1.13--5.55). CONCLUSIONS: The high prevalence of HSV-2, and to a lesser extent syphilis, and the low levels of condom use despite high numbers of casual sexual partners, illustrate the importance of promoting condom use, particularly in commercial sexual encounters, to men in Bangladesh's trucking industry.