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目的了解2009年信阳市浉河区和平桥区暗娼人群的艾滋病知识水平和行为状况,评价艾滋病项目活动的效果,为调整信阳市艾滋病防治工作干预重点提供依据。方法使用艾滋病综合监测中的暗娼行为监测问卷进行一对一的问卷式调查,收集暗娼的一般人口学特征和艾滋病相关高危行为的状况。结果艾滋病知识知晓率86.10%;传播途径和非传播途径知晓率分别为92.60%和75.30%(χ2=185.69,P<0.001);与嫖客最近一次性行为时安全套使用率和最近一个月每次都用安全套比例分别达98.00%和76.80%;有两人经口吸毒,占0.50%;最近一年有11人诊断患过性病,占2.80%;最近一年接受过预防艾滋病服务的比例98.30%;最近一年做艾滋病检测14人,占3.50%。本次调查共采血检测395人份,HIV全部阴性,梅毒阳性8例,HCV抗体阳性1例。结论我市暗娼人群艾滋病知识知晓率和安全套使用率与工作目标相比还有差距,需进一步加强高危行为干预活动。
Objective To understand the HIV status and behavior status of FSWs in Hepingqiao District of Xunyang City in 2009 and evaluate the effect of HIV / AIDS program activities so as to provide basis for adjusting the focus of HIV / AIDS prevention work in Xinyang City. Methods A one-on-one questionnaire survey of female sex workers in HIV comprehensive surveillance was conducted to collect the general demographic characteristics of sex workers and the status of AIDS-related high-risk behaviors. Results The awareness rate of AIDS knowledge was 86.10%. The awareness rates of transmission routes and non-transmission routes were 92.60% and 75.30% respectively (χ2 = 185.69, P <0.001). The condom use rate in recent sexual intercourse with clients and each of the most recent month With condom percentage of 98.00% and 76.80% respectively; two people take drugs by mouth, accounting for 0.50%; in the recent year, 11 people have diagnosed STDs, accounting for 2.80%; 98.30% have received HIV / AIDS prevention services in the recent year; AIDS testing in the last year 14 people, accounting for 3.50%. A total of 395 blood tests were conducted in this survey, with all HIV negative, 8 positive for syphilis and 1 positive for HCV antibody. Conclusion There is still a gap between the rate of awareness of HIV / AIDS and the rate of condom use among the FSWs in our city, and the intervention of high-risk behavior needs to be further strengthened.