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目的了解隆林县2010-2012年暗娼行为干预情况,评估干预效果,为艾滋病科学防控提供指导。方法按照艾滋病哨点监测实施方案,由哨点监测医务人员对暗娼人群进行一对一健康问卷调查并采集血液检测HⅣ、RPR、HCV。,结果 2010-2012年,艾滋病HIV阳性率分别为1.20%、0.40%、0.40%;梅毒RPR阳性率4.40%、3.20%、8.40%;HCV阳性率2012年0.40%,2010-2011年未检出;艾滋病知识知晓率70.40%、77.60%、92.40%;最近一次商业性行为安全套使用率81.60%、71.60%、93.20%;最近一个月商业性行为坚持使用安全套的比例74.80%、58.40%、88.00%;最近一年接受过HIV检测并知晓检测结果的比例75.20%、17.60%、55.20%;最近一年接受过干预服务的比例91.20%、58.40%、92.40%。结论隆林县暗娼人群艾滋病HIV感染率水平较低,梅毒RPR感染率较高且有上升趋势。接受宣传和行为干预服务的人群比例较高,但接受HIV检测并知晓结果的比例有待提高。文化程度低的暗娼人群是干预服务的重点。
Objective To understand the behavior intervention of female sex workers in Longlin County from 2010 to 2012 and evaluate the effect of intervention so as to provide guidance for AIDS prevention and control. Methods According to the implementation plan of sentinel surveillance of HIV / AIDS, one-on-one health survey of FSW population was conducted by sentinel surveillance medical staff and blood samples were collected for detection of HⅣ, RPR and HCV. . Results HIV positive rate of HIV was 1.20%, 0.40% and 0.40% respectively from 2010 to 2012. The positive rates of syphilis RPR were 4.40%, 3.20% and 8.40% respectively. The positive rate of HCV was 0.40% in 2012 and not detected in 2010-2011 ; The awareness rate of AIDS knowledge was 70.40%, 77.60% and 92.40% respectively; the rate of condom use for the most recent commercial sex was 81.60%, 71.60% and 93.20%; the percent of condom users who used commercial sex in the most recent month was 74.80%, 58.40% and 88.00% ; 75.20%, 17.60%, 55.20% of those who had been tested for HIV in the recent year and were aware of the test results; 91.20%, 58.40%, 92.40% of those who received intervention services in the most recent year. Conclusion HIV prevalence in HIV-infected FSWs is lower in Rulin County, and the infection rate of RPR in syphilis is higher and there is an increasing trend. The proportion of people receiving advocacy and behavioral intervention services is high, but the proportion of people who receive HIV testing and know the outcome needs to be improved. The low-educated FSW crowd is the focus of intervention services.