广西低档场所暗娼HIV抗体阳性结果告知后性行为改变情况调查

目的了解低档场所暗娼人群获知艾滋病病毒(HIV)抗体阳性结果后性行为改变情况,为制定HIV抗体阳性暗娼有效干预管理措施提供依据。方法通过对发现的低档场所HIV抗体阳性暗娼进行阳性结果告知,3个月后通过问卷调查收集其性行为改变情况。结果 131名HIV抗体阳性暗娼,平均年龄为36.8岁,以汉族(51.1%)和壮族(32.1%)为主,在婚和同居占66.4%,户籍为广西占69.5%。对暗娼进行阳性结果告知后,22.9%完全失去联系,52.5%继续从事卖淫活动,24.8%接受抗病毒治疗。最近一个月与客人发生性关系时每次都使用安全套的比例告知前为49.1%(26/53),告知后为71.7%(38/53),两者差异有统计学意义(P0.05);最近一个工作日、最近一周、最近一个月商业性伴人数分别比告知前减少了0.5人、1.7人、8.2人,告知前、后的差异无统计学意义(P0.05)。结论对暗娼进行HIV阳性结果告知后,大部分低档场所阳性暗娼仍继续从事非法卖淫活动,且商业性伴人数改变不明显,建议多部门加强信息沟通与合作,加大打击力度,有效控制这部分传染源,遏制艾滋病传播蔓延。

Survey of sexual behaviors changing after the notification of HIV positive result in female sex workers from low-grade commercial sex venues in Guangxi

Objectives To understand the sexual behaviors changing in the female sex workers (FSWs) from low-grade commercial sex venues after informed their HIV positive results and provide a theoretical basis for effective intervention and management of HIV positive sex workers. Methods HIV positive FSWs in low-grade commercial sex venues were informed their HIV positive status; and their sex behaviors were collected with a designed questionnaire through a face-to-face interview before and at 3 months after the notifications. Results Of 131 positive female sex workers, the mean age was 36.8 years; ethnic Han (51.1%) and Zhuang (32.1%) were the majority, married and cohabitation female were accounted for 66.4% and 69.5% were residents in Guangxi province. After informed the positive results, 22.9% positive female sex workers completely lost contact, 52.5% of sex workers continued to engage in prostitution, 24.8% receiving antiretroviral therapy. The percentage of condom use in every sex intercourse with clients in the most recent month was 49.1% (26/53) before the notification, while it increased to 71.7% (38/53) after the notification, the difference was significant (P<0.05). The number of commercial sex partners has reduced by 0.5, 1.7, and 8.2 persons on the recent weekday, in the recent week, and recent month respectively after the notification, there was not significant change (P> 0.05). Conclusions After HIV positive results were informed, the majority of FSWs in low-grade commercial sex venues continued with prostitution. Although the condom use rate was increased and sex intercourse with their spouses or fixed sexual partners was decreased, the number of commercial sex partners was not significant change. We suggest that cooperation among multiple administration sectors should be strengthen to intensify the information exchanges and law enforcements to avoid further HIV transmission in the community.