2011年浙江省湖州市暗娼人群艾滋病哨点监测分析

目的 了解浙江省湖州市暗娼人群艾滋病性病感染状况,为制定防治对策提供科学依据。 方法 按照《全国艾滋病哨点监测方案操作手册》(2011年版),对暗娼人群进行问卷调查,并采集静脉血样进行艾滋病病毒(HIV)、梅毒、丙型病毒性肝炎(丙肝)血清学检测。 结果 2011年湖州市共监测暗娼人群400人,监测对象HIV和梅毒抗体阳性率分别为0.25%和7.75%,未检出丙肝抗体阳性。监测对象艾滋病知识知晓率为90.3%,暗娼最近1个月商业性行为安全套坚持使用率、艾滋病预防干预措施覆盖率、HIV抗体检测知晓率分别为37.8%、91.3%和60.0%。 结论 湖州市暗娼人群的艾滋病和梅毒感染率较高,应加强对暗娼人群的健康教育和行为干预,推广100%使用安全套,以有效控制艾滋病经性途径传播。

Sentinel surveillance of AIDS among female sex workers in Huzhou,Zhejiang,2011

Objective To understand the infection status of sexually transmitted diseases(STDs) and acquired immunodeficiency syndrome(AIDS) among female sex workers(FSWs) in Huzhou and provide scientific evidence for the development of prevention and control measures.Methods According to the national AIDS surveillance standards(2011 edition),the questionnaire survey was conducted among FSWs and blood samples were taken from them to detect the antibodies to human immunodeficiency virus(HIV),Treponema pallidum and hepatitis C virus.Results Totally 400 FSWs were surveyed in 2011.The positive rate of HIV antibody was 0.25% and the positive rate of syphilis antibody was 7.75%.No hepatitis C antibody positive case was detected.The awareness rate of AIDS related knowledge was 90.3%.The persistent condom use rate in commercial sex was only 37.8% in past month,the coverage rate of AIDS prevention intervention was 91.3% and the awareness rate of HIV antibody test was 60.0%.ConclusionThe prevalence of HIV and syphilis infection in FSWs were high in FSWs in Huzhou.It is necessary to strengthen the health education and behavior intervention in FSWs to promote the full use of condom and to control the sexual transmission of HIV infection effectively.