论文部分内容阅读
目的了解我国西部地区50个县(区)不同活动场所暗娼(FSW)人群的艾滋病病毒(HIV)抗体阳性检出率和行为学指标情况。方法通过高危人群规模估计,对不同场所内FSW人群进行分层随机抽样和一对一问卷调查,收集高危行为信息,检测血清HIV抗体。结果 15 526名调查对象中,第一类来自宾馆、酒店、桑拿、洗浴中心、夜总会、卡拉OK厅、歌舞厅、酒吧等,占48.04%;第二类来自洗脚屋、发廊、路边店、小饭店和街头站桩,占51.96%。年龄20～29岁者占60.96%;初中以下文化程度占83.77%。第二类FSW人群最近一次性交易时安全套使用率(68.9%),最近一个月性交易时安全套使用率(37.07%),艾滋病知识知晓率(17.53%),最近一年接受预防服务率(67.31%),均低于第一类。FSW人群HIV阳性率为1.58%。结论 FSW人群中艾滋病知识知晓率较低,存在商业性行为中不使用安全套等高危行为,尤其是在街头等第二类场所中的FSW,是监测和干预工作的重点人群。
Objective To understand the HIV positive rate and behavioral indexes of FSW population in 50 counties (districts) in western China. Methods According to the scale of high risk population, stratified random sampling and one-on-one questionnaire survey were conducted among FSW population in different places to collect high-risk behavioral information and to detect serum HIV antibody. Results Among the 15 526 respondents, the first category came from hotels, hotels, saunas, bathhouses, nightclubs, karaoke bars, dance halls, bars, etc., accounting for 48.04%; the second category came from the foot bath house, hair salon and roadside shop , Small restaurants and street station, accounting for 51.96%. The age of 20-29 years accounted for 60.96%; junior high school education accounted for 83.77%. Condom use rate (68.9%) in the last one-time transaction of FSW in the second category, condom use rate in the last month (37.07%), awareness rate of AIDS knowledge (17.53%) and prevention service rate in the latest year (67.31 %), Are lower than the first category. FSW population HIV positive rate of 1.58%. Conclusions There is a low awareness rate of HIV / AIDS among FSW population. There is high risk of not using condoms in commercial sexes, especially FSW in the second type of places such as streets. It is a key population for monitoring and intervention.