目的了解某市低档站桩性服务小姐艾滋病相关知识、行为等生存状况,为进一步干预提供依据。方法采用非概率抽样中的目的抽样方法,个人深入定性访谈调查14名低档站桩性服务小姐,并采集血样进行HIV、梅毒抗体检测。结果14名小姐年龄在20 50岁之间,平均年龄41岁,以文盲为主。艾滋病及其预防的知识较匮乏,发生无安全套保护性行为的情况比较严重。普遍不知道或认为没有可能感染艾滋病,大部分自己买药治疗生殖器异常症状。14名小姐中,HIV抗体阳性2例,梅毒抗体阳性9例,其中2例HIV抗体阳性感染者合并感染梅毒。结论低档性服务小姐文化水平低,对感染艾滋病的风险意识不足,不安全性行为比例大,应加强针对该人群的干预措施,遏制艾滋病的传播。 Objective To understand the living conditions of HIV / AIDS-related knowledge and behaviors in the low-grade stations in a city and provide the basis for further intervention. Methods Objective sampling in non-probabilistic sampling was used. Individuals conducted a qualitative interview with 14 low-grade piles service workers and collected blood samples for HIV and syphilis antibody testing. Results The 14 young women aged 20 to 50 with an average age of 41 were mainly illiterate. AIDS and its prevention is scarce, and there is more serious occurrence of non-condom protection behavior. Generally do not know or think that there is no possibility of HIV infection, most of their own purchase of drugs for the treatment of genital abnormalities. Of the 14 young women, two were positive for HIV antibody and nine were positive for syphilis antibody. Two of the HIV-positive HIV-positive patients were infected with syphilis. Conclusion Low-grade sex workers have low literacy level, lack of awareness of risk of HIV infection and unsafe sex ratio. Interventions should be strengthened to prevent the spread of AIDS.