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目的了解暗娼HIV感染状况,评价暗娼干预效果。方法以暗娼指纹为个体关联,在首次横断面调查后每隔6个月对既往HIV抗体阴性暗娼进行随访调查。结果首次调查暗娼898人,1~3次随访率分别为28.2%、22.9%、12.5%。0~3次随访暗娼年龄、场所档次、婚姻状况、文化程度、首次性行为时间、每天接客数量差异均有统计学意义;艾滋病知识知晓率分别为89.8%、91.3%、97.3%、96.4%,最近一次安全套使用率分别为94.8%、94.1%、92.2%、93.8%,差异均无统计学意义。首次调查暗娼HIV抗体阳性率为1.1%,随访暗娼每人年HIV发病密度为4.0‰。结论暗娼干预工作取得了一定效果,需进一步完善干预策略和方法。
Objective To understand the prevalence of HIV infection among sex workers and evaluate the intervention effect of the sex workers. Methods The sex workers’ fingerprints were used as individual associations, and follow-up surveys of past HIV-negative commercial sex workers were conducted every 6 months after the first cross-sectional survey. Results The first survey of 898 female sex workers, 1 to 3 follow-up rates were 28.2%, 22.9%, 12.5%. There were significant differences in the number of HIV / AIDS patients from 0 to 3 follow-up visits, including age, place of grade, marital status, educational level, time of first sexual intercourse and number of daily pick-up. Knowledge of AIDS was 89.8%, 91.3%, 97.3%, 96.4% The most recent condom use rates were 94.8%, 94.1%, 92.2%, 93.8% respectively, with no significant difference. The first survey of sex workers HIV antibody positive rate of 1.1%, followed by commercial sex workers each HIV incidence density 4.0 ‰. Conclusion The interventions of female sex workers have achieved some results, and the intervention strategies and methods need to be further improved.