论文部分内容阅读
目的了解吉林省长春市暗娼人群艾滋病知识知晓高危行为和艾滋病病毒、梅毒和丙肝(HCV)感染情况,为制定性病艾滋病防治策略提供科学依据。方法 2013-2015年哨点监测期间(4-6月),对监测的暗娼人群进行问卷调查,同时采集静脉血进行HIV、梅毒和HCV血清学检测,并对哨点监测结果进行统计学分析。结果2013-2015年共监测暗娼3 600人,艾滋病知识知晓率均在85%以上,而且艾滋病相关知识的知晓率与暗娼人群的主要活动场所有明显关系,中高档场所的暗娼人群对艾滋病相关知识的知晓率(93.98%、95.89%)明显高于低档场所(75.06%),差异具有统计学意义(P<0.001)。最近一次商业性行为时安全套使用率分别为93.67%、92.25%和92.17%,最近1个月安全套坚持使用率分别为80%、82.67%和82%。近3年HIV抗体检测阳性率均为0,梅毒和HCV检出率较低,且较为稳定。结论长春市低档暗娼的艾滋病相关知识知晓率较低,HIV感染率较高,存在较高HIV感染风险,需重点开展干预和综合防治工作。
Objective To understand the high risk behavior of HIV / AIDS and the prevalence of HIV, syphilis and hepatitis C (HCV) among FSWs in Changchun City, Jilin Province, and to provide a scientific basis for the development of STD and AIDS prevention and control strategies. Methods During the sentinel surveillance period (April-June) from 2013 to 2015, the surveyed FSWs were surveyed by questionnaire, and venous blood samples were collected for HIV, syphilis and HCV serology tests, and the sentinel surveillance results were statistically analyzed. Results A total of 3 600 FSWs were monitored during 2013-2015, and the awareness rate of AIDS knowledge was over 85%. The awareness rate of AIDS-related knowledge was significantly related to the major venues for FSWs. FSWs in mid-to- (93.98%, 95.89%) was significantly higher than the low-grade sites (75.06%), the difference was statistically significant (P <0.001). Condom use was 93.67%, 92.25% and 92.17% respectively in the last commercial activity. Condom use was 82%, 82.67% and 82% respectively in the last month. In the past three years, the positive rate of HIV antibody test was 0, and the detection rate of syphilis and HCV was lower and more stable. Conclusion Low awareness rate of HIV / AIDS-related knowledge among low-frequency sex workers in Changchun is relatively low. HIV infection rate is high, and there is a high risk of HIV infection. Intervention and comprehensive prevention and control work should be focused on.