上海市长宁区娱乐场所女性服务人员STD/AIDS现况调查及相关影响因素的研究

目的了解上海市长宁区娱乐场所女性服务人员(FEW)的性病(STD)/艾滋病(AIDS)相关知识、态度、行为(KAP)现况及感染情况,为在长宁区娱乐场所进一步开展STD/AIDS健康教育与健康促进提供依据。方法选取2家大场所KTV、8家小发廊、15家小足浴房,采用分层抽样方法,抽取125名FEW进行问卷调查和STD/艾滋病病毒(HIV)感染初筛。结果 FEW对AIDS知晓率为60.8%(76/125),STD知晓率为81.6%(102/125),其差异有统计学意义(P<0.01,χ2=13.19)。FEW安全套使用率为78.8%(63/80),5种性病感染率分别为:HIV感染率0,梅毒感染率2.4%,淋病感染率4.8%,疱疹感染率4.8%,衣原体感染率16.0%。性病感染率为20.8%。结论长宁区FEW使用安全套防护意识低,需加大STD/AIDS相关预防知识的干预力度。

STD/AIDS prevalence survey and related factors among female entertainment workers in entertainment venues in Changning District,Shanghai

Objective To investigate the prevalence and knowledge,attitude,practice(KAP)of sexually transmitted diseases/ acquired immune deficiency syndrome(STD/AIDS)among female entertainment workers(FEWs)) in entertainment venues in Changning District,Shanghai,and to provide a scientific basis for further work in health education and health promotion on STD/AIDS in Changning.Method A total of 125 FEWs were sampled from 2 large-size Karaoke TV bars(KTVs) and 23 small entertainment venues(including tiny hair/beauty salons,small KTVs and small pediluvium rooms) in Changning by stratified cluster method,and then a questionnaire and STD/AIDS screening were carried out among them.Results The awareness rates of AIDS and STD were 60.8%(76/125) and 81.6%(102/125),respectively,with a statistical significance between them(P<0.01,χ2=13.19).The rate of condom use was 78.8%(63/80),and the prevalence of five STDs were HIV(20.8%),syphilis(2.4%),gonorrhoea(4.8%),herpes(4.8%) and chlamydia(16.0%),and the overall prevalence of the five STDs was 20.8%.Conclusion The awareness of condom use among FEWs in Changning was relatively inadequate,and a further health education and health intervention will be required to control STD/AIDS in Changning.