2009-2011年青岛市暗娼人群艾滋病哨点监测信息分析

目的进一步掌握暗娼人群的行为特征和HIV感染状况,为探讨对该人群有效的干预措施提供依据。方法采用问卷调查,现场采血等方法,在艾滋病哨点检测方案规定的采样期内收集FSW的信息,采用SPSS16.0分析资料。结果三年各调查暗娼400名,平均年龄分别为(23.33±6.10)岁、(23.90±5.68)岁、(24.68±6.04)岁,多数未婚,文化程度较低。被调查人员对有关艾滋病传播途径和预防措施知识的回答正确率三年均较高,非传播途径知晓率较低。最近一次发生商业性性行为安全套使用率三年分别为78.2%、77.8%、52.8%;最近一个月发生商业性性行为时每次都用安全套的比例均较低;部分人有吸食毒品行为。未发现HIV阳性,梅毒阳性率分别为9.75%、16.75%、15.0%。结论暗娼人群对艾滋病的认识还有待提高,高危行为持续存在,梅毒感染率较高。应针对FSW行为特点,通过各种渠道加强对该人群的健康教育和行为干预。

Analysis of AIDS Sentinel Surveillance among FSW in Qingdao in 2009-2011

Objective To understand the behavior characteristics and status of HIV infection among female sex workers （FSW） and to provide a scientific basis for developing effective interventions. Methods The methods of questionnaire sur- vey and on- site blood sampling were used to collect information about FSW during schemed sampling period, and staffs- tieal analysis of data were performed with SPSS 16.0. Results 400 FSW were investigated eaeh year from 2009 to 2011, the average age was （23. 33 6. 10 ）, （23. 90 5. 68 ） and （24. 68 6. 04 ） years respeetively. Most of them were unmarried and poorly edueated. The FSW being investigated had a higher eorreet rate in answering the questions a- bout transmission routes and prevention measures of AIDS and a lower awareness rate of non - transmission routes. The rate of condom use in recent oommereial sexual behavior was 78.2%, 77.8% and 52.8% respectively in the three years. Consistent eondom use in commercial sexual behaviors was low in the previous one month, and some people had drug tak- ing behavior. HIV positive ease was not found, syphilis positive rate was 9.75%, 16.75%, and 15% in each year. Conclusions The awareness of AIDS among FSW needs to be improved, high risk sexual behavior still persists, and the syphilis infection rate is high. Health education and behavior intervention should be strengthened through various ways a- mong FSW.