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目的分析德州市不同档次娱乐场所暗娼的艾滋病知识、行为及艾滋病病毒(HIV)/梅毒感染状况,为制定有针对性的暗娼人群干预策略提供科学依据。方法于2009-2014年,对德州市不同档次娱乐场所的暗娼人群开展问卷调查及血清学监测。结果监测不同档次娱乐场所暗娼2218人,其中低档456人(20.56%),中档1340人(60.41%),高档422人(19.03%)。历年艾滋病知识知晓率分别为50.50%(202/400)、58.50%(234/400),87.50%(350/400)、98.25%(393/400)、87.47%(314/359)、93.82%(243/259)。<20岁暗娼的艾滋病知晓率32.69%(17/52),20~29岁79.72%(1631/2046),30~39岁74.23%(72/97),≥40岁69.57%(16/23)。2009-2014年,最近一个月商业性行为安全套坚持使用率分别为30.50%(122/400)、39.00%(156/400)、59.25%(237/400)、58.50%(234/400)、65.46%(235/359)、72.97%(189/259);最近一年HIV检测率分别为20.50%(82/400),40.25%(161/400)、46.25%(185/400)、53.00%(212/400)、80.50%(289/359)、91.51%(237/259),呈逐年升高的趋势。HIV抗体检测全部阴性,梅毒确证阳性率2.03%(45/2218)。结论不同档次娱乐场所暗娼人群艾滋病认知及行为存在差异,应结合各自特征采取有针对性的健康教育及行为干预措施。
Objective To analyze AIDS knowledge, behavior and HIV / syphilis infection status of commercial sex workers in entertainment venues of different grades in Dezhou, and to provide a scientific basis for formulating targeted intervention strategies for female sex workers. Methods From 2009 to 2014, questionnaires and serological surveillance of female sex workers in entertainment venues of different grades in Dezhou were conducted. Results A total of 2218 commercial sex workers in different entertainment venues were monitored. Among them, 456 (20.56%) were mid-range, 1,340 mid-range (60.41%) and 422 were high (19.03%). Over the years, the awareness rate of AIDS knowledge was 50.50% (202/400), 58.50% (234/400), 87.50% (350/400), 98.25% (393/400), 87.47% (314/359), 93.82% 243/259). AIDS awareness among female sex workers <20 years old was 32.69% (17/52), 79.72% (1631/2046) between 20-29 years old, 74.23% (72/97) between 30-39 years old and 69.57% (40/39) . In 2009-2014, the sustained use rates of commercial sex condoms in the most recent month were 30.50% (122/400), 39.00% (156/400), 59.25% (237/400), 58.50% (234/400), 65.46 (235/359), 72.97% (189/259). The detection rates of HIV in recent years were 20.50% (82/400), 40.25% (161/400), 46.25% (185/400) and 53.00% 212/400), 80.50% (289/359), 91.51% (237/259), showing a trend of increasing year by year. HIV antibody test all negative, syphilis confirmed positive rate of 2.03% (45/2218). Conclusion There are differences in cognitive and behavioral aspects of HIV among FSWs in different grades of entertainment establishments. Relevant health education and behavioral interventions should be taken according to their own characteristics.