2015年柳州市400名嫖客艾滋病哨点检测结果分析

目的 探究2015年柳州市嫖客人群的HIV感染、安全套使用状况及其影响因素，为今后针对性工作的开展提供参考依据。方法 对柳州市城区的400名嫖客进行问卷调查，并抽取3～5 ml静脉血样，检测HIV、梅毒和丙型肝炎病毒抗体。结果 400名嫖客中绝大多数来自低档场所，其艾滋病相关知识总体知晓率为93.3%；最近一年和最近一次发生商业性行为时未使用安全套的比率分别为5.2%和13.5%，最主要原因为“影响快感”；多因素Logistic回归分析表明，年龄（OR=0.434，95%CI:0.261~0.721，P=0.001）和既往艾滋病检测（OR=2.103，95%CI:1.064～4.158，P=0.032）是最近一年嫖客人群商业性行为坚持使用安全套的保护因素。HIV、梅毒和丙肝抗体检测阳性率分别为1.3%、3.8%、0.5%。结论 柳州市城区嫖客以中老年人为主，最近一年商业性性行为坚持使用安全套的比率较低，而HIV感染率较高，存在着高危人群向普通人群传播的风险，需采取针对性的遏制艾滋病传播的措施。

Sentinel surveillance of AIDS among 400 commercial sex clients in Liuzhou City in 2015

Objective To explore infection situation of human immunodeficiency virus among 400 commercially sexual clients from Liuzhou and factors targeting the use of condoms, and to provide references for further work. Methods A total of 400 clients from Liuzhou were randomly enrolled for anonymous questionnaires. Peripheral blood samples were collected for detection of antibodies of human immunodeficiency virus (HIV). Treponema pallidum and hepatitis C virus. Results All clients were recruited from low entertainment places The rate of whole AIDS knowledge awareness was 93.3%. The rate of not using condom during commercial sex in the past time and year were 5.2% and 13.5%, respectively. The main reason was "non-comfortable". Multivariate Logistic regression analysis showed that age(OR=0.434, 95% CI:0.261-0.721,P=0.001) and the accepted detection of HIV (OR=2.103, 95% CI:1.064-4.158,P=0.032) were protective factors of persistent condom use in commercial sex in the past year; the positive rate of antibodies for human immunodeficiency virus (HIV). Treponema pallidum and hepatitis C virus were 1.3%,3.8% and 0.5%, respectively. Conclusions Most of clients from Liuzhou city are elderly adults. Both the low use of condom with female sex worker and the high rate of HIV infection play potential risk roles in the transmission from high risk population to general population. Therefore, targeted measures need to be taken in order to prevent the spread of HIV.