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目的了解龙州县低档暗娼的艾滋病知识知晓情况,行为特征,艾滋病病毒(HIV)、梅毒和丙型肝炎病毒(HCV)感染情况,为完善暗娼哨点监测干预措施提供依据。方法 2012-2015年对龙州县辖区内的低档暗娼进行问卷调查以及血清学检测。结果 2012-2015年共调查788名低档暗娼,各年低档暗娼的艾滋病知识知晓率分别为98.6%(204/207)、97.7%(209/214)、99.0%(191/193)和96.6%(168/174)。坚持使用安全套的比例呈现小幅度的波动,但在4年间均达到90%以上。总体HIV、梅毒、HCV感染率分别为1.1%(9/788)、13.1%(103/788)和1.3%(10/788)。4年间低档暗娼HIV感染率从2.9%(6/207)下降至0(0/174),梅毒感染率从30.4%(63/207)下降至16.1%(28/174)(P<0.01)。在4年间HCV感染率在1.3%(10/788)左右波动,较为稳定(P>0.05)。结论龙州县低档暗娼HIV感染率已经得到初步控制,但仍存在一定的梅毒和HCV流行,需要加强干预。
Objective To understand the AIDS awareness, behavioral characteristics, HIV, syphilis and hepatitis C virus (HCV) infection among low-sex commercial sex workers in Longzhou County and provide the basis for improving the monitoring and control measures. Methods From 2012 to 2015, questionnaires and serological tests were conducted on low-grade commercial sex workers in Longzhou County. Results A total of 788 low-sexed sex workers were investigated during 2012-2015. The awareness rate of HIV / AIDS among low-sex female sex workers was 98.6% (204/207), 97.7% (209/214), 99.0% (191/193) and 96.6% 168/174). The proportion of people who insisted on using condoms showed small fluctuations, but both reached over 90% in 4 years. Overall HIV, syphilis and HCV infection rates were 1.1% (9/788), 13.1% (103/788) and 1.3% (10/788), respectively. The prevalence of HIV among low-grade CSWs declined from 2.9% (6/207) to 0 (0/174) in 4 years, and the infection rate of syphilis decreased from 30.4% (63/207) to 16.1% (28/174) (P <0.01). In 4 years, the HCV infection rate fluctuated around 1.3% (10/788), which was stable (P> 0.05). Conclusion The prevalence of HIV infection in low-grade CSWs in Longzhou County has been preliminarily controlled, but there is still some prevalence of syphilis and HCV, and interventions need to be strengthened.