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目的描述成都市暗娼人群艾滋病感染现状及安全套使用情况;了解影响成都市暗娼人群安全套使用的主要因素,为制定艾滋病防治策略和干预措施提供依据。方法按照《全国艾滋病哨点监测实施方案》的要求,采用统一的问卷和检测试剂,对2 165名暗娼人群进行问卷调查和血清学检查。结果本次调查的暗娼人群平均年龄为27.9±7.5岁;未婚、在婚/同居者所占比例分别为46.0%、47.7%;文化程度以初中为主(54.6%);艾滋病相关知识知晓率为90.5%;最近1次和最近1个月安全套使用率分别为73.3%、41.5%;安全套使用的主要影响因素有场所档次、年龄、文化程度、前一个工作地点、艾滋病知晓、诊断性病、接受干预、艾滋病病毒检测。结论低档场所、高年龄、低文化程度暗娼人群安全套使用率低;干预服务是提高安全套使用率的有效手段。
Objective To describe the current status of HIV infection and the use of condoms among female sex workers in Chengdu. To understand the main factors influencing the use of condoms among female sex workers in Chengdu and to provide basis for formulating strategies and interventions for AIDS prevention and control. Methods According to the requirements of “National AIDS Sentinel Surveillance Implementation Plan”, a questionnaire and serological test were conducted on 2 165 FSWs using a unified questionnaire and testing reagents. Results The average age of female sex workers in this survey was 27.9 ± 7.5 years; the proportion of unmarried, married / cohabiting people was 46.0% and 47.7% respectively; the educational level was mainly junior high school (54.6%); the awareness of AIDS related knowledge was 90.5%; the rate of condom use in the last one and the last one month was 73.3% and 41.5% respectively; the main influencing factors of condom use were grade, age, educational level, former place of work, AIDS awareness, diagnosis of sexually transmitted diseases, HIV testing. Conclusions The rate of condom use in low-grade establishments, high-age and low-literate female FSWs is low. Intervention service is an effective way to increase the rate of condom use.