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目的了解北京市暗娼人群艾滋病相关行为变化及艾滋病、梅毒感染流行趋势,为艾滋病综合防治和科学干预提供科学依据。方法于2006-2009年对810名社区暗娼及1 247名哨点监测暗娼人群进行血清学和行为学问卷调查。结果 2006-2009年社区暗娼人群HIV抗体检出率均为0,暗娼人群分别为0.4%(1/267)、0.4%(2/252)、0(0/236)、0(0/292);梅毒RPR(rapid plasma region test,RPR)阳性率社区暗娼人群分别为3.0%(5/167)、2.1%(4/192)、1.5%(3/195)、1.0%(2/198),暗娼分别为8.6%(23/267)、10.4%(47/452)、6.4%(15/236)、3.8%(11/292);最近一次安全套使用率社区暗娼人群分别为94.0%(186/198)、88.5%(179/202)、92.3%(192/208)、94.7%(191/202),暗娼人群分别为79.0%(211/267)、88.0%(398/452)、88.5%(209/236)、91.7%(268/292)。结论 2006-2009年丰台区暗娼人群安全套使用率逐年提高,HIV感染率总体处于较低水平;但艾滋病知识及检测知晓率有待进一步提高,低档次小场所的暗娼应成为预防干预工作的重点。
Objective To understand the changes of AIDS-related behaviors and the prevalence of AIDS and syphilis among female sex workers in Beijing and provide a scientific basis for the comprehensive prevention and treatment of AIDS and scientific intervention. Methods From 2006 to 2009, serological and behavioral questionnaires were surveyed among 810 community-based sex workers and 1 247 sentinel-monitored female sex workers. Results The prevalence of HIV antibody among the female sex workers was 0 in 2006-2009, 0.4% (1/267), 0.4% (2/252), 0 (0/236), 0 (0/292) ; The prevalence of syphilis RPR (RPR) in the community was 3.0% (5/167), 2.1% (4/192), 1.5% (3/195), 1.0% (2/198), Sex workers were 8.6% (23/267), 10.4% (47/452), 6.4% (15/236) and 3.8% (11/292) respectively. The frequency of condom use in the community was 94.0% (186 / The number of female sex workers were 79.0% (211/267), 88.0% (398/452) and 88.5% (95%), respectively 209/236), 91.7% (268/292). CONCLUSIONS: The occupational rate of condom use among FSWs in Fengtai District has been increasing year by year since 2006, and the HIV prevalence rate has been generally low. However, AIDS knowledge and testing awareness need to be further improved. Female sex workers in low-grade small places should be the focus of preventive interventions.