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目的对比分析攀枝花市少数民族和汉族暗娼艾滋病哨点监测结果,为综合干预提供依据。方法利用2009-2013年攀枝花市艾滋病哨点监测资料,将暗娼按照“民族”分为少数民族暗娼和汉族暗娼,并对其艾滋病病毒(HIV)感染状况及相关行为进行分析。结果 2009-2013年,共监测暗娼3904人,汉族暗娼3354人,少数民族暗娼550人。少数民族与汉族暗娼的HIV抗体阳性率分别为2.5%(14人)、0.8%(28人),差异有统计学意义(χ2=12.992,P<0.001)。少数民族暗娼初中及以上文化程度占36.4%、艾滋病知识知晓率为88.4%、安全套坚持使用率为36.4%、吸毒比例为3.6%、做过HIV检测的比例为18.0%,分别与汉族暗娼的72.4%、93.0%、59.9%、1.7%、29.3%比较,差异均有统计学意义;少数民族与汉族暗娼接受过干预服务的比例分别为95.5%、95.4%,差异无统计学意义。艾滋病知识、民族、干预服务、户籍、文化程度、年龄、艾滋病检测、固定性伴、工作时间等,是暗娼坚持使用安全套的影响因素。结论少数民族暗娼更容易感染HIV,应提高暗娼综合干预工作的针对性和可接受性。
Objective To compare and analyze the sentinel surveillance of HIV / AIDS among ethnic minorities in Han nationality and Panzhihua ethnic minority in Panzhihua City, and provide the basis for comprehensive intervention. Methods Based on surveillance data of sentinel surveillance of AIDS in Panzhihua from 2009 to 2013, the female sex workers were divided into female SWs and female sex workers according to “ethnicity ”, and their HIV status and related behaviors were analyzed. Results From 2009 to 2013, 3,904 female sex workers, 3,354 female sex workers and 550 female sex workers were monitored. HIV antibody positive rates among ethnic minority and female sex workers were 2.5% (14 persons) and 0.8% (28 persons), respectively, with statistical significance (χ2 = 12.992, P <0.001). Minority female volunteers with a junior high school education and above accounted for 36.4%, HIV / AIDS awareness rate was 88.4%, condom use rate was 36.4%, drug use rate was 3.6%, HIV test rate was 18.0%, respectively, compared with 72.4 %, 93.0%, 59.9%, 1.7% and 29.3%, respectively. The proportions of minorities and Han female sex workers who received intervention services were 95.5% and 95.4% respectively, with no significant difference. HIV / AIDS knowledge, ethnic groups, intervention services, household registration, educational level, age, HIV testing, regular sexual partners and working hours are the influential factors that commercial sex workers insist on using condoms. Conclusion Female sex workers in ethnic minority are more likely to be infected with HIV, and the pertinence and acceptability of the comprehensive intervention should be improved.