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目的了解四川省眉山市女性性工作者人群艾滋病性病流行状况和相关危险因素,为制定女性性工作者人群干预措施提供科学依据。方法采用问卷调查,收集眉山市女性性工作者哨点监测对象的相关行为信息,并采集血样进行艾滋病、梅毒、丙肝检测。结果眉山市2009-2013年女性性工作者人群艾滋病知识知晓率为94.97%,最近1次商业性行为安全套使用率为90.03%,最近1月商业性行为安全套坚持使用率为59.86%;HIV抗体阳性检出率为0.56%;对最近1次和最近1月安全套使用的影响因素进行二分类Logistic回归分析显示,婚姻状况、文化程度、本次本地工作时间、艾滋病知识知晓情况的P<0.05。结论眉山市女性性工作者人群存在严重的知行分离情况;其婚姻状况、文化程度、本次本地工作时间、艾滋病知识知晓情况是最近1次安全套使用和最近1月安全套坚持使用的影响因素;该人群的艾滋病性病防治现状不容乐观,需加强干预和综合防治工作。
Objective To understand the HIV / AIDS prevalence and related risk factors among female sex workers in Meishan City, Sichuan Province, and to provide a scientific basis for formulating interventions for female sex workers. Methods A questionnaire survey was conducted to collect relevant behavioral information from the sentinel surveillance of female sex workers in Meishan City. Blood samples were collected for AIDS, syphilis and hepatitis C testing. Results The awareness rate of HIV / AIDS among female sex workers was 94.97% in 2009-2013 in Meishan City. The rate of condom use in the last commercial activity was 90.03%. The prevalence rate of condom use in commercial sex in January was 59.86%. The positive rate of HIV antibody The detection rate was 0.56%. Logistic regression analysis of the influencing factors of condom use in the last and the latest January showed that there was a significant difference (P <0.05) in marital status, educational attainment, local working hours and HIV / AIDS knowledge. Conclusion There is a serious separation of knowledge and practice among female sex workers in Meishan City. The marital status, educational level, local working hours and HIV / AIDS awareness are the most influential factors in the recent condom use and condom use in recent January. AIDS prevention and treatment of the population is not optimistic about the status quo, need to strengthen intervention and comprehensive prevention and control work.