浙江省温州市鹿城区女性性服务者艾滋病认知及高危行为特征调查分析

目的了解浙江省温州市鹿城区娱乐场所女性性服务者艾滋病（AIDS）相关知识水平、行为学特征及艾滋病病毒（HIV）抗体、乙肝病毒表面抗原（HBsAg）、梅毒感染状况。方法2008年对温州市鹿城区娱乐场所女性性服务者进行匿名问卷调查和血清标本采集,收集目标人群的人口学资料、艾滋病相关知识、安全套使用、求医行为等相关信息。结果403名调查对象未婚者占55.09%,平均年龄（23.2±4.2）岁,20～30岁年龄段占70.47%,初中及以下文化程度者占63.03%。艾滋病相关知识平均知晓率为76.83%。首次性行为年龄（20.3±2.5）岁,最近1周平均客人数2.8人,最近1个月与客人发生性行为时每次都使用安全套的比例为59.31%,与固定性伴安全套每次使用率为30.28%。检出HIV抗体阳性1例,阳性率为0.25%;梅毒抗体阳性6例,阳性率为1.49%;HBsAg阳性26例,阳性率为6.45%。结论娱乐场所女性性服务者对艾滋病知识掌握不全面,感染和传播HIV的危险行为有多性伴、性交频次多、无保护性性行为等,需要深入持久地采取综合干预措施,才能有效控制艾滋病性病在这一人群中传播和蔓延。

Analysis of AIDS-related knowledge and high-risk behavior patterns among female sex workers in Lucheng district,Wenzhou, Zhejiang

Objective To provide an insight into AIDS-related knowledge and high-risk behavior patterns, as well as the current levels of HIV antibody and HBsAg and syphilis infection, among female sex workers （FCWs） in recreation places in Lucheng District, Wenzhou, Zhejiang. Methods Anonymous questionnaire-based investigation was performed among female sex workers in recreation places of Lucheng, Wenzhou in conjunction with laboratory test of the collected blood samples to obtain information on the demography, AIDS-related knowledge, condom use and health care utilization. Results The unmarried accounted for 55.09% of 403 investigated subjects; the average age was （ 23.2 ± 4.2 ） years, 70.47% from 20 to 30 years. Those with the educational level of junior middle school or lower accounted for 63.03%. The average awareness rate of AIDS-related knowledge was 76.83%. The average age for the initial sexual activity was （20.3 ± 2.5 ） years. The average number of sexual partners was 2.8 in the last week; during the past month, 59.31% of the subjects used condoms in each commercial sexual activity with the customers, and 30.28% used them with a regular sex partner. One case of positive HIV antibody was identified, the HIV-positive rate being 0.25%. The syphilispositive rate was 1.49% （six cases）, the HBsAg-positive rate 6.45% （26 cases）. Conclusion Apart from inadequate awareness of AIDS-related knowledge, multiple sex partners, frequent sexual activities and unprotected sex behavior constituted the major risk factors for HIV/AIDS infection and transmission among female sex workers in recreation places. Therefore, in-depth and sustainable intervention with comprehensive approaches is desired for effective control of HIV/ AIDS spread in this population.