北京市城郊两区娱乐服务场所暗娼艾滋病相关危险行为调查分析

目的了解北京市城郊两个区娱乐服务场所的暗娼艾滋病相关危险行为现状,评估暗娼感染艾滋病的风险,为在暗娼中开展行为干预提供科学依据。方法采用方便抽样方法对娱乐场所进行抽样,对场所内暗娼进行面对面问卷调查及采血检测。结果调查341名暗娼,最近一周商业性伴数中位数为3人。最近一次与商业性伴和固定性伴发生性关系时,使用安全套的比例分别为72.9%和49.3%;最近一月与商业性伴和固定性伴每次都用安全套的比例分别为44.1%和26.7%。城区暗娼商业性伴数高于郊区,最近一次与商业性伴使用安全套的比例和最近一月与商业性伴每次都用安全套的比例,均小于郊区。2.9%的暗娼吸毒。最近一年出现性病相关症状的比例为41.1%,其中到正规医院就诊的占75.7%。无一例感染艾滋病,梅毒快速血浆反应素环状卡片试验和梅毒螺旋体抗体阳性检出率分别为1.17%和12.1%。结论北京市城郊两区娱乐服务场所暗娼中存在引起艾滋病感染和流行的危险行为因素,且城区暗娼感染艾滋病的风险高于郊区。提示应加强娱乐服务场所的艾滋病干预工作,尤其是应把城区作为干预工作的重点。

Analysis of HIV/AIDS related risk behaviors among female sex workers at entertainment establishments in two districts of Beijing

Objective To investigate HIV/AIDS related risk behaviors among female sex workers(FSWs)at entertainment establishments in two districts of Beijing.Methods Face to face questionnaires were administered and blood samples were collected from FSWs at entertainment establishments in two districts of Beijing(one rural and the other urban).Results A total of 341 FSWs were investigated,and the median number of their clients in the last week were 3,and this number was higher in the urban district than in the rural district.The proportion of condom use in the last sex trade with their clients was 72.9%,and that with their regular sex partners was 49.3%.The reported rate of consistent condom use in the last month was 44.1% with the clients and 26.7% with the regular sex partners.The use of condoms in the last sex trade and the rate of consistent condom use with the clients were higher in the urban district.Of the FSWs interviewed 2.9% reported the use of drug.In the last year 41.1% of the FSWs had symptoms related with STIs.The laboratory tests displayed positive results for syphilis(RPR 1.17%,TP 12.2%),with no positive HIV cases.Conclusions The reported risk behaviors have the potential to precipitate the prevalence of HIV/AIDS among FSWs at entertainment establishments,especially in the urban districts.The HIV/AIDS behavioral interventions need to be strengthened among FSWs at entertainment establishments,particularly in the urban districts.