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目的了解贵州省铜仁市汉族与少数民族商业女性性服务者(FSW)艾滋病相关知信行及艾滋病病毒(HIV)感染率。方法对246名汉族和173名少数民族FSW开展横断面匿名问卷调查及HIV抗体检测。结果汉族与少数民族FSW在年龄、工作场所、婚姻状况、月收入等方面差异无统计学意义,但汉族FSW中外县市户籍者比例较少数民族者高,而少数民族FSW的文化程度较汉族者低。FSW均具备一定的艾滋病知识,但少数民族FSW的艾滋病知晓率较汉族者低。研究对象最近一次及最近一个月商业性行为时安全套使用率分别为95%和87.5%,而最近一次及最近一个月与固定性伴性行为时安全套使用率分别为70.3%及56.7%,少数民族FSW与汉族FSW安全套使用率差异均无统计学意义。少数民族FSW接受艾滋病咨询及性病诊疗服务方面的比例低于汉族FSW。未发现HIV感染者。结论贵州省铜仁市各民族FSW中商业性行为中安全套使用率高,HIV流行率低,但仍需加强针对该人群的艾滋病宣传教育和行为干预,尤其要重点关注少数民族FSW。
Objective To understand the prevalence of HIV / AIDS related information and HIV / AIDS among Han and minority ethnic women business service workers (FSW) in Tongren City, Guizhou Province. Methods Cross-sectional anonymous questionnaire and HIV antibody test were performed on 246 Han and 173 ethnic minorities. Results There was no significant difference in age, work place, marital status and monthly income among the Han and minority nationality FSWs, but Han and Han counties in China and foreign countries had a higher proportion of ethnic minority FSWs than ethnic Han Chinese Low. FSW possesses certain AIDS knowledge, but the AIDS awareness of ethnic minority FSW is lower than Han nationality. Condom use was 95% and 87.5% for commercial sex in the last and the most recent month respectively, while condom use was 70.3% and 56.7% respectively for the last and the most recent month with sex partners. The number of ethnic minorities FSW and Han FSW condom use rate differences were not statistically significant. Ethnic FSWs receive less AIDS counseling and STD clinics than Han Chinese FSWs. No HIV infection was found. Conclusion The condom use rate and the prevalence of HIV in commercial behavior in FSW among ethnic groups in Tongren City of Guizhou Province are high. However, it is still necessary to strengthen HIV / AIDS publicity and education and behavioral interventions for this population, with particular emphasis on FSW of ethnic minorities.