2011-2015年上海市松江区暗娼人群艾滋病哨点监测结果分析

【目的】了解上海市松江区暗娼人群艾滋病相关知识知晓情况、相关行为变化,以及人类免疫缺陷病毒(HIV)、梅毒、丙型肝炎病毒(HCV)的流行情况,为相关防控工作提供依据。【方法】在松江区辖区内于2011-2015年哨点监测期间,按照《全国艾滋病哨点监测实施方案》调查方法,对暗娼人群进行问卷调查并采集静脉血检测HIV、梅毒和HCV抗体。【结果】共调查2064名暗娼,艾滋病相关知识总体知晓率为94.77%,历年知晓率分别为93.33%、95.01%、93.00%、99.76%以及92.57%(P<0.05);最近1次商业性性行为使用安全套的暗娼总比例为90.07%,历年比例分别为84.05%、80.55%、93.72%、99.06%、95.79%(P<0.05);最近1个月内商业性性行为坚持使用安全套的暗娼总比例为76.74%,历年比例分别为69.29%、60.60%、86.47%、87.76%、78.96%(P<0.05);5年HIV抗体平均检出率为0.00%,梅毒抗体检出率3.00%,HCV抗体检出率为0.34%。【结论】松江区暗娼人群对艾滋病相关知识的知晓水平较高;最近1个月商业性性行为坚持使用安全套的比例不高;梅毒检出率略高于全国平均水平。

AIDS sentinel surveillance of female sex workers in Songjiang District of Shanghai

[Objective]To investigate the knowledge of HIV/AIDS among the female sex workers in Songjiang District of Shanghai,changes in their related behaviors,and prevalence of human immunodeficiency virus(HIV),syphilis,and hepatitis C virus(HCV),providing evidence for related prevention and control work in this regard.[Methods]During 2011-2015 sentinel surveillance period,in the area of Songjiang District,according to the survey method of the National AIDS Sentinel Monitoring Implementation Program,questionnaires were conducted on the female sex workers and their venous blood was collected to detect HIV,syphilis and HCV antibodies.[Results]A total of 2064 secret prostitutes were surveyed.The overall awareness rate of AIDS-related knowledge among them was 94.77%,and the annual awareness rates were 93.33%,95.01%,93.00%,99.76%,and 92.57%,respectively(P<0.05);The total proportion of the female sex workers who used condoms in the last commercial sex was 90.07%,and 84.05%,80.55%,93.72%,99.06%,and 95.79%respectively in the calendar year(P<0.05);The total proportion of the female sex workers who insisted on using condoms for commercial sex in the last 1 month was 76.74%,and 69.29%,60.60%,86.47%,87.76%,and 78.96%respectively in the calendar year(P<0.05);The average detection rate of HIV antibodies for 5 years was 0.00%,syphilis antibody detection rate was 3.00%,and HCV antibody detection rate was 0.34%.[Conclusion]The knowledge level of AIDS related knowledge is high among the female sex workers in Songjiang District.The persistent condom use rate during commercial sex is low in the last month;the syphilis detection rate is slightly higher than the national average.