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目的了解广西钟山县不同档次场所暗娼人群的行为特征及人类免疫缺陷病毒(HIV)与梅毒感染情况及其变化趋势,为分析艾滋病流行趋势及防治措施提供科学依据。方法按照《国家级HIV综合监测点监测方案》的要求,进行问卷调查并采血检测。全部结果录入国家哨点监测客户端软件后,采用Excel 2003和SAS 9.1软件进行资料分析。结果共监测1 337名暗娼,低档场所607人,占44.08%;中档场所770人,占55.92%。低中档场所暗娼在最近1次商业性行为时使用安全套比例、接受艾滋病干预服务及最近1 a内接受艾滋病检测比例均存在提高趋势(P<0.05)。中档场所暗娼在艾滋病知识知晓率及最近1个月内商业性行为每次都使用安全套比例均存在提高趋势(P<0.05),低档场所暗娼不存在提高趋势(P<0.05)。HIV抗体阳性率为1.96%,8例为既往确认阳性,占29.63%;梅毒阳性率为15.03%。梅毒阳性率逐年升高,均存在升高趋势(P<0.05)。结论钟山县低档暗娼对艾滋病知识的知晓率、坚持使用安全套比例低,HIV、梅毒感染率高,是干预的重点人群;HIV抗体阳性患者在该地继续从事性服务比例大,是艾滋病传播的重要桥梁人群,应进行有效管理;梅毒感染率居高不下,应引导并加强性病的规范化治疗。
Objective To understand the behavioral characteristics, HIV and syphilis infection among the female sex workers at different grades in Guangxi Zhuang Autonomous Region, and to provide a scientific basis for the analysis of AIDS epidemic trends and prevention and treatment measures. Methods According to the requirements of “National HIV Integrated Monitoring Point Monitoring Program”, questionnaires and blood tests were conducted. After all the results were recorded in the national sentinel surveillance client software, the data were analyzed by Excel 2003 and SAS 9.1 software. Results A total of 1 337 FSWs were monitored. There were 607 low-grade establishments, accounting for 44.08%. There were 770 mid-range establishments, accounting for 55.92%. Sex workers in low and mid-range places had higher proportion of condom use in the last commercial activity, HIV / AIDS intervention services and the proportion of AIDS-tested patients in the last 1 year (P <0.05). The midwifery workplace FSW awareness of HIV / AIDS and the proportion of condom users who use commercial sex in each of the last two months both showed an increasing trend (P <0.05). There was no upward trend in CSW in low-grade places (P <0.05). The positive rate of HIV antibody was 1.96%. The positive rate of HIV antibody was 29.63% in 8 cases. The positive rate of syphilis was 15.03%. The positive rate of syphilis increased year by year, both increasing (P <0.05). Conclusion The awareness rate of HIV / AIDS among low-grade female sex workers in Zhongshan County is low, the proportion of condom use in HIV / AIDS remains low, HIV and syphilis infection rates are high, and HIV / AIDS-positive patients continue to engage in sexual services in this area with high HIV / AIDS prevalence Important bridge population, should be effectively managed; syphilis infection rate is high, should guide and strengthen the standardization of STD treatment.