常德市武陵区2010年暗娼人群艾滋病哨点监测分析

目的了解武陵区暗娼人群艾滋病相关知识、行为现状及艾滋病、梅毒、丙型肝炎(丙肝)的感染状况,为干预工作提供依据。方法按照《全国艾滋病哨点监测实施方案(试行)》(2010年版)要求,抽查辖区内暗娼人群进行问卷调查和艾滋病病毒(Human immunodeficiency virus,HIV)、梅毒、丙肝病毒(Hepatitis C virus,HCV)抗体的检测。结果共调查400名暗娼,年龄中位数26岁,25～47岁占55.00%,本省户籍占90.00%,初中及以下文化占79.00%,有过婚史或有固定性伴者占58.00%。艾滋病知识知晓率为80.00%,最近1次与客人发生性行为时使用安全套的比例,最近1个月与客人发生性行为时坚持使用安全套的比例,分别为94.00%和77.50%。最近一年做过HIV检测并知晓检测结果的占34.50%,HIV、梅毒、HCV抗体阳性检出率分别为0.25%(1/400)、3.25%(13/400)、1.25%(5/400),HIV确认阳性率为0.25%。对HIV感染者追踪调查发现,第二代和第三代HIV感染者各1例。结论低档次的本土暗娼是该区性服务场所的"主力军",尽管目前HIV、梅毒、HCV的感染率较低,但传播风险不容忽视,控制传播是现阶段艾滋病性病防控工作的重点。

Analysis of sentinel surveillance of FSWs in Wuling District of Changde City in 2010

Objective To understand the status of AIDS related knowledge,behavior and the status of AIDS/ syphilis,hepatitis C(HCV) infections among female sex workers(FSWs) in Wuling District,and to provide scientific evidence for behavioral intervention.Method Following The National HIV/AIDS Sentinel Surveillance Implementation Plan(tentative)(2010 version),a questionnaire survey was conducted and AIDS,syphilis,HCV antibodies were tested among 400 FSWs.Results FSWs investigated aged 25-47 years,the median age was 26 years accounted for 55%.Among them the registered local residents accounted for 90.0%,those with junior middle schooling or below accounted for 79.0%,those with marriage history or having fixed sexual partners accounted for 58.0%;among them the rate of AIDS related knowledge was 80.0%,consistent use of condom in the last commercial sex and in the last month was 94.0% and 77.5% respectively,34.5% of them were tested and informed of the results of the testing,the detection rate of HIV/syphilis/HCV antibodies was 0.25%,3.25%and 1.25% respectively,and the confirmed positive rate was 0.25%.The follow up survey of HIV infections identified one case of the second generation infection and the other case of the third generation infection.Conclusion Local FSWs of low grade are the "main force" in sex service venues.Although HIV,syphilis and HCV infections were low at present,transmission risk can not be ignored.Transmission control remains the focus of AIDS prevention in the local district.