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目的了解湖州市暗娼人群艾滋病知识知晓水平、安全套使用及艾滋病、性病感染情况。方法按《浙江省艾滋病哨点监测实施方案》抽取800名暗娼进行问卷调查,并采集血样检测HIV、梅毒和丙肝抗体。结果800名暗娼艾滋病知识总知晓率为92.00%,高中及以上组知晓艾滋病知识的比例是小学及以下组的3.51倍,最近一年接受过艾滋病预防服务者知晓艾滋病知识的比例是未接受者的4.34倍。最近一个月商业性行为中安全套坚持使用率为57.63%,艾滋病知识知晓组坚持使用安全套的比例是不知晓组的2.09倍,最近一年接受过艾滋病预防服务者坚持使用安全套的比例是未接受者的3.29倍。血清学检测结果显示,梅毒和丙肝抗体阳性率分别为2.88%和0.25%,未检出HIV抗体阳性。结论湖州市暗娼人群艾滋病知识知晓率较高,但安全套使用率较低。应重点关注低文化水平者,提高艾滋病预防服务的可及性,以减少艾滋病传播。
Objective To understand the level of awareness of HIV / AIDS, the use of condoms, AIDS and STD infection among FSWs in Huzhou. Methods According to “Zhejiang Province sentinel surveillance implementation plan” to extract 800 female sex workers questionnaire survey, and blood samples were collected to detect HIV, syphilis and hepatitis C antibody. Results The total awareness rate of HIV / AIDS among 800 female sex workers was 92.00%. The proportion of those with knowledge of HIV / AIDS in high school and above was 3.51 times higher than that of primary and below groups. In the recent year, the proportion of HIV / AIDS patients who received HIV / AIDS was unacceptable 4.34 times. In recent months, the proportion of condom use in commercial practice was 57.63%, that of AIDS awareness groups 2.09 times that of condom use was unknown, and that of HIV / AIDS prevention providers insisting on using condoms in the most recent year was not reached 3.29 times. Serological tests showed that the positive rates of syphilis and hepatitis C were 2.88% and 0.25%, respectively. HIV antibody was not detected. Conclusions The knowledge of HIV / AIDS among FSWs in Huzhou City is higher, but the condom use rate is lower. Attention should be paid to those with low education level and to improving the accessibility of AIDS prevention services so as to reduce the spread of AIDS.