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目的了解遵义市暗娼人群艾滋病性病防治知识及行为学特征,为分析艾滋病流行趋势及防治措施提供科学依据。方法对2010-2013年遵义市暗娼人群艾滋病哨点监测资料进行分析。结果 4年共监测暗娼1 445人,其中低档场所16.20%、中档场所45.95%、高档场所37.85%;最小年龄15岁,最大年龄46岁,平均年龄25.0±5.64岁;未婚45.50%、在婚37.19%、同居12.53%、离异或丧偶4.78%;初中及以下文化者、85.41%;艾滋病防治知识总体知晓率为91.14%;最近1次与客人发生性行为时使用安全套比例为77.46%,最近1个月与客人发生性行为时每次都使用安全套的比例为53.99%,最近1年患过性病的比例2.29%;最近1年接受过安全套宣传、发放及艾滋病咨询检测的比例为80.15%;2010-2013年共检测1 445人,其中HIV抗体阳性率0.07%,梅毒抗体阳性率2.02%,HCV抗体阳性率2.01%。结论遵义市暗娼人群艾滋病防治知识知晓率高,安全套使用率低,梅毒、丙肝阳性率高,需加大综合干预力度,提高安全套使用比例,控制艾滋病经性途径传播,减少艾滋病性病感染比例。
Objective To understand AIDS prevention and treatment knowledge and behavioral characteristics of female sex workers in Zunyi and to provide a scientific basis for the analysis of AIDS epidemic trends and prevention and treatment measures. Methods The data of sentinel surveillance of HIV / AIDS among FSWs in Zunyi during 2010-2013 were analyzed. Results A total of 1 445 female sex workers were monitored in 4 years. Among them, 16.20% were low-grade places, 45.95% in mid-range places and 37.85% in high-grade places. The youngest was 15 years old and the youngest was 46 years old, with an average age of 25.0 ± 5.64 years old, 45.50% unmarried, 37.19 %, Cohabitation 12.53%, divorced or widowed 4.78%; junior high school and below culture, 85.41%; AIDS prevention and treatment knowledge of the overall awareness rate was 91.14%; recent use of a condom with guests when the proportion of 77.46%, the most recent one The proportion of condoms used each time during the month with the guests was 53.99%, the incidence of STDs was 2.29% in the recent one year, 80.15% of condoms were distributed in the past year, and AIDS counseling and testing was conducted. A total of 1 445 people were tested in 2013, of which HIV antibody positive rate was 0.07%, syphilis antibody positive rate 2.02% and HCV antibody positive rate 2.01%. Conclusions There is a high awareness rate of HIV / AIDS prevention and treatment among FSWs in Zunyi. Condom use rate is low. The positive rate of syphilis and hepatitis C is high. Comprehensive interventions need to be stepped up to increase the proportion of condom use, control HIV transmission through sex and reduce the proportion of AIDS STDs.