江苏省部分地区暗娼人群性病感染率及相关危险因素分析

目的:了解江苏省暗娼人群性病?艾滋病感染状况?行为学特征及梅毒?沙眼衣原体性病感染的危险因素?方法:采用方便抽样,对娱乐场所暗娼人群进行匿名问卷调查,每个调查对象采集5 ml静脉血和2支宫颈拭子检测性病?艾滋病,采用SPSS13.0进行统计分析?结果:本次共调查1 806例暗娼,年龄中位数25岁,最近1年有37.0%的调查对象出现过性病相关症状或体征,梅毒?沙眼衣原体?淋球菌和HIV感染率分别为8.4%?14.7%?5.4%和0.3%;教育水平低?来源场所档次低为梅毒感染的危险因素;年龄小?教育水平高?最近1个月与客人发生过无保护性行为是沙眼衣原体感染的危险因素?结论:江苏省性病感染率高,感染性病的危险因素大量存在,下一步的干预工作中,应对暗娼人群给予重点关注?

Prevalence of sexually transmitted disease and risk factors among female sex workers in Jiangsu province

Objective: To examine the prevalences of sexually transmitted disease and HIV,and sex behavior among female sex workers as well as the risk factors associated with the treponema pallidum (TP) and chlamydia trachomatis (CT) infections in Jiangsu province. Methods: The subjects were recruited by convenient sampling. Demographic and behavioral information was obtained using face-to-face questionnaire interview. Blood sample and cervical swab were collected for the tests of TP,HIV,CT and neisseria gonorrhoeae(NG). Data analyses were performed using SPSS13.0. Results: A total of 1 806 subjects were recruited with questionnaire information,and blood samples were collected. The median age was 25 years old. The prevalences of TP,CT,NG and HIV were 8.4%,14.7%,5.4% and 0.3% respectively. Risk factors for TP included lower education level and working in the lower class venues. Risk factors for CT included being younger,higher education level,having unprotected sex with clients during the past month. Conclusion: High STD prevalence and widespread risk behaviors are identified among female sex workers in Jiangsu province. Targeted intervention should focus on those working female sex workers.