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目的了解北海市不同档次女性性服务工作者人口学特征、对艾滋病相关知识的掌握、行为特点、安全套使用情况及性病艾滋病感染情况,为制定符合当地该人群实际情况的行为干预策略提供参考。方法采用分层方便抽样的方法对北海市海城区33家高、中、低档娱乐场所的女性性服务工作人群进行相关调查和检测。结果共调查女性性服务工作者400人,艾滋病相关知识知晓率为90.50%;高、中、低档女性性服务者最近1个月与客人发生性关系使用安全套比例分别为85.54%、88.04%、67.61%人;HIV检出率分别为0.00%、1.08%和0.70%;RPR检出率分别为1.80%、7.61%、21.13%;梅毒阳性感染率在不同组别安全套使用情况间差异有统计学意义(2=16.86,P<0.001)。结论不同档次女性性工作者虽然对艾滋病防治知识有一定的了解,但低档场所女性性工作者的安全套使用率较低,梅毒感染率高,是我市需要重点关注及加强干预的人群。
Objective To understand the demographic characteristics of female sex workers in different grades in Beihai, grasp AIDS-related knowledge, behavior characteristics, condom use and STD / AIDS infection, and provide a reference for formulating behavioral intervention strategies that are in line with the local population. Methods A stratified and convenient sampling method was used to investigate and test the female sexual service workers in 33 high, medium and low-grade entertainment venues in Haicheng District of Beihai. Results A total of 400 female sex workers and 90.50% AIDS-related knowledge were surveyed. The proportions of high, middle and low-grade female sex workers using sex cones during the recent month were 85.54%, 88.04% and 67.61 %, Respectively. The detection rate of HIV was 0.00%, 1.08% and 0.70% respectively. The detection rates of RPR were 1.80%, 7.61% and 21.13% respectively. The positive rate of syphilis infection was significantly different among condom use groups (2 = 16.86, P <0.001). Conclusions Although female sex workers in different grades have some knowledge of HIV / AIDS prevention and treatment knowledge, female sex workers in low-grade places have lower rates of condom use and high rates of syphilis infection, which are the people in our city who need to pay more attention to and strengthen interventions.