温州市鹿城区娱乐场所女性性服务者4种性传播疾病感染状况及相关危险因素

目的了解温州市鹿城区娱乐场所女性性服务者HIV,HCV,HBsAg,梅毒感染状况及影响因素,为实施有效干预,预防控制相关疾病在该类人群中传播提供依据.方法 采用分层随机抽样法抽取不同类别高危场所,再采用整群抽样(≤25人)或方便样本法(>25人)抽取调查对象,由经过培训的调查员对调查对象进行匿名问卷调查及抽血检测HIV,HCV,HBsAg,梅毒.结果 412名调查对象以20~29岁年龄段为主,占67.96%,初中及以下文化程度者占63.84%,未婚者占61.65%,外省户籍占89.08%,艾滋病相关知识知晓率为70.87%.最近1个月与客人发生性行为时安全套使用率较低,每次都用的占48.30%,从来不用的占12.14%,曾做过艾滋病检测的占53.71%.18.20%的人曾患过性病,1.46%的人有吸毒史.未检出HIV抗体阳性,HCV,HBsAg,梅毒抗体阳性率分别为0.24%;,6.31%和2.43%.低档和中高档场所梅毒阳性率分别为5.15%,1.59%,最近一年曾患过性病和未患过性病的梅毒阳性率分别为8.51%,1.64%,梅毒阳性率在不同档次场所和是否曾患过性病间的差异有统计学意义(χ²=3.985,P=0.045;χ²=8.290,P=0.004).结论 温州市鹿城区娱乐场所女性性服务者艾滋病知识掌握不全面,安全套使用率较低,HIV感染率总体处于较低水平,低档次场所和曾患过性病的女性性服务者梅毒感染率较高.仍需进一步加强对此类人群特别是低档次人群的健康教育和行为干预工作.

Infection status of HIV,HCV, HBsAg and syphilis and related risk factors among female sex workers in entertainment places in Lucheng district of Wenzhou city

Objective To understand the infection state of HIV,HCV,HBsAg and syphilis and related risk factors among female sex workers in entertainment placesIn Lucheng district,and provide scientific evidence for the prevention and control of the diseases. Methods Different high risk sites were selected by stratified random sampling,then the female sex workers were surveyed by using cluster sampling (less than 25 people) or convenience sample method (more than 25 people).With informed consent obtained,a cross sectional survey was conducted using structured anonymous questionnaire by well trained investigators,and blood samples were collected to detect HIV,HCV, HBsAg and syphilis antibody. Results A total of 412 investigated,67.96% of them were aged 20 to 29 years, 63.84% of them received below junior or middle school education ,61.65% were unmarried.89.08% cases were other provinces, The general awareness rate of AIDS related knowledge was 70.87%.The percentage of using condom was low,only 48.30% reported consistent use and 12.14% never use. 53.71% of the them had done HIV detection. 18.20% have had sexually transmitted diseases and 1.46% reported taking drug.0 HIV antibody positive case was detected from 412 samples. The positive rates of HCV,HBsAg,syphilis were 0.24%,6.31% and 2.43%,respectively.The positive rates of syphilis in Low-grade and high-grade places were 5.15%, 1.59%,respectively,and the positive rates of syphilis had or not Venereal disease during the past year were 8.51%, 1.64%, respectively, Positive rates of syphilis specific differences between different grade places and ever had or not a sexually transmitted disease were statistical significant(χ2=3.985,P=0.045; χ2=8.290,P=0.004). Conclusions The awareness of AIDS related knowledge among female sex workers suggests insufficient,the percentage of using condom is low,overall HIV infection rate at lower levels, the syphilis infection rate is higher in low grade places and had the Venereal disease. It is urgent to further strengthen the health education and behavior intervention on this population.