2010--2012年攀枝花市暗娼艾滋病哨点监测结果分析

目的分析攀枝花市2010—2012年暗娼的艾滋病（AIDS）相关行为变化，以及艾滋病病毒（HIV）感染流行趋势，为评价暗娼艾滋病综合干预效果及调整干预措施提供依据。方法采用重复横断面调查的方法，于每年的4—6月，对艾滋病监测哨点的从事商业性性交易的女性进行问卷调查并采血检测。结果2010—2012年共调查暗娼2400人，其AIDS知识知晓率分别为90．9％、93．9％和98．0％，差异有统计学意义（χ2=37．78，P〈0．001）。最近一次与客人发生性行为时使用安全套率分别为64．3％、89．9％和93．9％，最近一个月与客人发生性行为时每次使用安全套率分别为43．3％、61．8％和69．0％，差异均有统计学意义（χ2=286．97，P〈0．001；χ2=155．15，P〈0．001）。HIV抗体检测阳性率分别为1．3％、0．8％和0．6％，差异无统计学意义（χ2=2．02，P=0．365）。结论攀枝花市暗娼艾滋病综合干预工作效果明显；今后应借鉴新的方法，以促进咨询检测、促进安全套使用为重点内容，对重点暗娼人群实施持续的、高覆盖的综合干预。

An analysis on AIDS sentinel surveillance of female sex workers in Panzhihua city in 2010-2012

Objective To analyze characteristics of AIDS related behaviors and HIV prevalence among female sex workers （FSWs）, and provide the basis for effect evaluation of comprehensive intervention and further adjust- ment of intervention strategies. Methods A serial cross-sectional questionnaire survey of HIV/AIDS among FSWs was conducted annually from April to June in 2010-2012, and blood samples were collected for serological test. Re- sults A total of 2400 FSWs were investigated. From 2010 to 2012, the awareness rate of AIDS knowledge was 90.9%, 93.9 and 98.0%, respectively, with statistical difference （χ2 =37.78,P（0. 001）. The rate of condom use in last commercial sex was 64.3%, 89.9% and 93.9%, respectively, with statistical difference （χ2 =286.97,P〈 0. 001）, and the proportion of individuals using condom in every commercial sex during the last month was 43.3%, 61.8% and 69.0%, respectively, with statistical difference （χ2=155.15,P〈0. 001）. The prevalence of HIV was 1.3 %, 0.8% and 0.6 %, respectively, with no significant difference （χ2=2. 018,P〉0.05）. Conclusion The com- prehensive AIDS prevention program among FSWs was effective in Panzhihua. New methods should be used to pro- mote counseling, testing and condom using, and it is essential to conduct high coverage and constant intervention in target population in the future.