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目的了解江门市女性性服务者艾滋病防治知识知晓情况、艾滋病流行状况及相关危险因素,为艾滋病综合防治提供依据。方法 2010-2013年对江门市的夜总会、桑拿/洗浴中心、歌舞厅、发廊、洗脚屋、路边店等娱乐场所的女性性服务人群进行调查,并根据其危险行为状况,将场所分为高、中、低三个层次。使用统一的哨点监测健康调查问卷进行访谈式问卷调查,并进行艾滋病病毒(HIV)、梅毒、丙肝血清学检测。结果女性性服务者艾滋病防治知识知晓率为80.04%(6 427/8 030)。不同档次、不同文化程度女性性服务者艾滋病知晓率差异均具有统计学意义(χ2=144.22,P<0.01;χ2=144.95,P<0.01)。经多因素Logistic回归分析结果显示,在本地工作时间、文化程度两个因素对知晓率有影响,其中在本地居住时间在6个月以上的人群其艾滋病知识知晓率是居住不足6个月的1.6倍;初中、高中及以上文化程度者其艾滋病防治知识知晓率分别是小学及以下文化程度者的1.4、2.7倍。最近一次商业性行为中坚持使用安全套比例为77.14%,最近1个月商业性行为中安全套每次使用率为61.74%;不同档次场所最近一次安全套使用率差异有统计学意义(χ2=198.68,P<0.01)。HIV抗体、梅毒和HCV检测阳性率分别为0.10%、3.50%和0.72%。结论江门市女性性服务者艾滋病相关知识知晓率偏低,存在高危险行为;女性性服务者HIV感染率总体处于较低水平,但是艾滋病流行的危险因素仍然存在,需要进一步加强女性性服务者干预力度。
Objective To understand the status of HIV / AIDS prevention and treatment knowledge, AIDS prevalence and related risk factors among female sex workers in Jiangmen City, and provide basis for comprehensive AIDS prevention and control. Methods From 2010 to 2013, we conducted a survey of female sexual service workers in nightclubs, sauna / bathing centers, dance halls, hair salons, foot bathing houses and roadside shops in Jiangmen City. According to their dangerous behaviors, High, medium and low three levels. Interviews were conducted using a uniform sentinel Surveillance Health Questionnaire and HIV, syphilis and HCV serology. Results The awareness of HIV / AIDS prevention among female sex workers was 80.04% (6 427/8 030). There was statistically significant difference in HIV prevalence between female sex workers of different grade and educational level (χ2 = 144.22, P <0.01; χ2 = 144.95, P <0.01). The results of multivariate logistic regression analysis showed that the local working time and education level had an impact on the rate of awareness, of which the awareness of AIDS among local residents living in 6 months or above was less than 1.6 months Times; junior high school, high school and above education level of AIDS prevention and control of their knowledge rate of 1.4 and 1.7 times the primary and secondary education respectively. The proportion of condom use in recent commercial activities was 77.14%. The average utilization rate of condoms in commercial activity in the last month was 61.74%. The most recent condom use rate in different places was statistically different (χ2 = 198.68, P <0.01). The positive rates of HIV antibody, syphilis and HCV were 0.10%, 3.50% and 0.72% respectively. Conclusions There is a low risk of AIDS-related knowledge among female sex workers in Jiangmen City. There is a high risk of HIV infection among female sex workers in Jiangmen City. However, HIV prevalence rates among female sex workers are generally at a low level. However, risk factors for AIDS epidemic still exist, and interventions for female sex workers need to be further strengthened Strength.