论文部分内容阅读
目的 了解掌握提供或可能提供性服务的女性感染艾滋病性病情况以及在商业性性行为中使用安全套情况 ,为针对此类人群开展行为干预提供科学依据。方法 调查某市提供或可能提供商业性性服务的女性 ,选取符合者 4 17例 ,按服务方式分为“娱乐场所性服务者”和“路边性服务者”两类。分别采集血液和阴道分泌物标本 ,进行HIV、梅毒、衣原体感染检测和淋球菌、念珠菌涂片及培养鉴定。问卷调查她们在商业性性行为中使用安全套的情况。结果 4 17例中尚未发现感染HIV者 ,感染 1种或多种性病的占 18.94 % ,其中感染梅毒者为 7.38% ,感染淋病的为3.5 7% ,感染衣原体的为 10 .95 %。路边性服务女性性病总感染率为 5 0 .0 0 % ,远比娱乐场所性服务女性感染率高 ,路边性服务女性安全套使用率比娱乐场所性服务女性低。结论 路边性服务女性感染性传播疾病的危险性比娱乐场所性服务女性的危险性大 ,应有针对性的进行安全性行为干预。
Objective To understand the status of sexually transmitted diseases (STDs) in women infected with or providing sexual services and the use of condoms in commercial sexual practices to provide a scientific basis for behavioral interventions targeting such populations. Methods A survey was conducted on 417 women who provided or may provide commercial sex services in a certain city, and classified them into “entertainment sex service providers” and “roadside service providers” according to the service mode. Blood and vaginal secretions samples were collected for HIV, syphilis, chlamydial infection detection and Neisseria gonorrhoeae, Candida smear and culture identification. Questionnaire survey their use of condoms in commercial sex. Results Among 1717 cases, 18.94% were infected with one or more venereal diseases. Among them, 7.38% were infected with syphilis, 3.57% were infected with gonorrhea and 10.95% were infected with chlamydial infection. The total infection rate of sexually transmitted diseases among sex workers in roadside service was 50.0%, which was far higher than that of female sex services in entertainment venues. The utilization rate of female condoms in roadside services was lower than that of female sex services in entertainment venues. Conclusion The risk of sexually transmitted diseases in roadside services for women is greater than that of female sex services in entertainment venues, and targeted safety intervention should be carried out.