开远市暗娼人群参加HIV检测后咨询关联因素的前瞻性流行病学调查

目的了解开远市娱乐场所暗娼人群参加艾滋病病毒（HIV）检测后咨询的情况及影响因素,为艾滋病预防控制工作提供参考依据。方法采用外展招募方式,对符合纳入标准的暗娼,进行一对一的检测前咨询和问卷调查,并预约HIV检测后4周接受HIV检测后咨询服务。结果 57.4%（412/718）的暗娼通过参加HIV检测后咨询获取了HIV检测结果。多因素Logistic回归模型分析显示,来源于中低档服务场所（OR=0.57）、HIV抗体检测阴性（OR=0.51）、年龄〈25岁（OR=0.61）和艾滋病知识得分较低（〈14分）（OR=0.66）,是暗娼人群参加HIV检测后咨询的重要妨碍因素（P〈0.05）。结论暗娼人群参加HIV检测后咨询的比例较低,卫生部门在扩大HIV检测数量和范围的同时,需加强对暗娼开展有针对性的健康宣传教育,提高其参加HIV检测后咨询的比例,切实降低暗娼人群HIV相关高危行为。

Prospective epidemiological study of factors correlated with seeking HIV post-testing counseling service among female sex workers in Kaiyuan city

Objective To understand factors associated with seeking HIV post-testing counseling service among entertainment-based female sex workers （FSWs）. Methods Notification was given to FSWs participants to attend HIV post-testing counseling service within 4 week after HIV testing. Results Of the participating FSWs,57.4% （412/718） learned about HIV testing result by attending HIV post-counseling testing service. Multivariate logistic regression analyses showed that service based on lower-grade entertainment venues （OR=0.57）,negative HIV antibody status （OR=0.51）,under 25 years of age （vs.≥25 years）（OR=0.61） and low scores of HIV/AIDS knowledge （vs. ≥14 ） （OR=0.66） were independently associated with the utility of HIV post-testing counseling service among FSWs. Conclusion The proportion of attending HIV post-testing among entertainment-based FSWs is low. To reduce HIV related high risk behaviors,more effective strategy of health promotion and education should be implemented by health departments,other than expanding HIV voluntary testing coverage and quantity.