上海市娱乐场所服务小姐的性行为和吸毒行为调查

目的 了解上海市娱乐场所服务小姐的类型及她们中艾滋病相关危险行为情况。方法 选择1个区，绘制娱乐场所标点图，对招收的小姐进行深入访谈，收集她们的入口学、性行为、吸毒、自我防护、避孕套使用、性病史和既往求医史资料。结果 在38个场所共访问服务小姐63名，包括发廊38名、酒吧桑拿13名、K房舞厅10名、街头2名。平均年龄25岁（17-45岁），73%为外地人，37人承认有多种性服务对象，有经期卖淫、群交现象。5人吸毒，其中3人静脉注射吸毒且与他人共用注射器。10人知道其他小姐吸毒。16人使用过避孕套，4人是为了防病，仅2人能坚持每次使用，但与男友或固定性伴却不用。22人承认得过至少一种性病。26人病考虑求医，其中，38%到公立医院门诊，27%自己买药吃，35%到私人医生处就诊。结论 上海市娱乐场所服务小姐中存在着经性和经共用注射器感染和传播性病艾滋病的高危险行为，必须尽快实施针对这一群控制性病艾滋病流行的有效措施，尤其要考虑在娱乐场所推广100%的使用避孕套项目。

Study on sexual and drug use behaviors of high risk among sex workers in entertainment in establishments

Objective To understand the types of entertainment establishments involved in commercial sex and Acquired immunodeficiency syndrome (AIDS) related risk behaviors among sex workers. Methods One district in Shanghai was selected. All entertainment establishments in the district were mapped. In depth interview was carried out to collect information about demographic, sexual, drug use, measures of self protection, condom use, history with sexually transmitted disease (STD) and health care seeking behaviors. Results Sixty three sex workers were recruited from 38 places, of which, 38 from beauty parlors, 13 from pubs/ bars and sauna settings, 10 from KTV and 2 freelance. The average age was 25 (17 45) years old. 73% were not permanent residents. Thirty seven had reportedly engaged in commercial sex activities. Some reportedly had sex even during menstruation and involved in group sex. Five drug users and 3 of them reported injecting and sharing needles. Ten of them knew that other sex workers had used drugs. Sixteen (25%)reportedly using condoms but only 4 for disease prevention. Another 2 reported consistent condom use with clients but never used with boyfriends or steady partners. Twenty two (35%) reported suffering from STDs at least once. Twenty six (41%) reported seeking care when having diseases, with 38% going to public clinics, 27% to pharmacy and 35% to private clinics. Conclusion AIDS related sexual and drug injecting high risk behaviors were common among sex workers in Shanghai. Specific and effective interventions, particularly the implementation of 100% condom use program at all entertainment establishments are called with much urgency.