四川省洪雅县2008年至2010年暗娼人群艾滋病高危行为的流行趋势分析

目的:了解洪雅县暗娼人群艾滋病高危行为的流行变化趋势,评估干预工作效果,为制定行为干预策略和措施提供依据。方法:2008年至2010年,每年采用两阶段分层抽样的方法,对抽中的暗娼人群进行问卷调查和血清学调查。结果:暗娼人群艾滋病防治知识知晓率逐年提高。最近1次商业性行为的安全套使用率在2008年至2010年由66.5%提高到76.5%(P<0.001);2010年内最近1个月坚持每次都使用安全套的频率较2008年和2009年有了明显提高,上升到46%(P<0.001);HIV感染率为0,梅毒感染率有所上升,主要集中在低档人群。结论:经过高频率的干预,各项成效逐步显现,不同暗娼场所的暗娼艾滋病知识知晓率、性交易中安全套使用、就医行为等方面都有所提高,在所调查的暗娼人群中检出HIV感染者为0,各类场所均检出梅毒,低档场所梅毒的感染率较高,今后的干预工作中应重点放在低档场所的暗娼人群中。

Analysis the trends of the prevalence of AIDS and syphilis among female sex workers in Hongya county from 2008 to 2010

Objective:To study the trends of the prevalence of AIDS and syphilis,AIDS-related knowledge,attitudes,behavior status among female commercial sex workers and evaluate the effectiveness of interventions,so as to provide relevant information and basis for further behavioral intervention in other establishments.Methods:According to "Hongya C-MAP project plan",from 2008 to 2010,respondents were selected with two-stage stratified sampling;the information was collected with questionnaire survey.Results:Awareness of AIDS prevention knowledge has gradually increased among commercial sex workers.The condom use rate in last sexual behavior from 66.5% in 2009,up to 76.5% in 2010.Compared with the 2008 and 2009,recent frequency of condom use,insisted each time has been significantly improved,up to 46%;HIV infection rate to zero,syphilis infection rates has increased,mainly in low-grade crowd.Conclusion:After high-frequency interference,the effectiveness gradually appeared the AIDS awareness,condom use in sex trade,medical treatment and other aspects of female commercial sex workers are improved.Among these female commercial sex workers HIV-infected was zero.Syphilis were detected all kinds of places,in low grade places syphilis infection rates are higher,and the future interventions should focus on FSW of low-grade places.