海南陵水县421名暗娼艾滋病知识态度行为调查分析

目的了解陵水县2010年暗娼（CSw）人群对艾滋病相关知识、态度、行为及暗娼人群HIV、HCV、及梅毒的感染水平，为在当地娱乐服务场所中开展艾滋病健康教育和行为干预效果提供依据。方法制定统一的调查问卷，对全县暗娼人群娱乐场所的3个乡镇按普查的方法对所有CSW人群做匿名式问卷调查，采用Epidata3．1录人数据，利用SPSS11．5软件统计分析数据。结果共调查CSW人群421人，年龄最小19岁，最大48岁，平均年龄为21．5岁；未婚占68．17％；经性接触传播、血液接触传播、母婴传播3个传播途径的知识知晓率分别为51．3％、85．3％、84．4％；正确使用安全套可以减少艾滋病传播的知晓率占56．5％；不同文化程度、年龄对艾滋病知识知晓率有统计学意义（P〈0．0001），随文化程度的增高，综合知识知晓率增高（χ2=45．0，P〈0．001）。结论陵水县暗娼人群艾滋病的基本知识总体较低；应针对不同文化程度的暗娼人群开展形式多样的艾滋病宣教活动，提高她们的艾滋病综合知识水平；加快推广安全套防艾工作，以免艾滋病在本地暗娼人群间蔓延。

Survey of AIDS knowledge, attitude and behavior among 421 commercial sex workers in Lingshui county.

Objective To understand the AIDS knowledge, attitude, behavior and the incidence of HIV, HCV and syphi- lis infection among the CSW in 2010. Methods All CSW in the entertainment establishments were asked to carry out the anonymous questionnaire survey by adopting the unified questionnaire.The data were processeded by Epidata3.1 and analyzed by using SPSSll.5 software. Results The youngest CSW was 19 years old and the oldest one was 48 years old, averagely 21.5 years old. Among the CSWs, the unmarried accounted for 68.17%. The awareness rate of HIV transmission knowledge includ- ing sexual contact, the spread of blood products and through mother to child transmission were 51.3%, 85.3% and 84.4%, re- spectively. The awareness rate of correct use of condoms accounted for 56.5%. The AIDS knowledge was significant associated with the education level and age of CSW （P〈 0.0001）.with the increase of the education level, the awareness rate of the compre- hensive knowledge increased （χ2=45.0, P 〈 0.001）. The syphilis infection rate was 3.5%. Conclusions The knowledge level of HIV/AIDS are generally low in CSW in Lingshui. Various AIDS health education should be conducted, so as to improve their comprehensive knowledge and promote the condom use for preventing transmission of AIDS in this county.