124名娱乐场所女性服务人员艾滋病性病传播风险现况调查
Survey of AIDS/STD Transmission Risk among 124 FEWs in a District of Shanghai
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摘要:
目的 了解上海某区娱乐场所女性服务人员性传播疾病流行现状、安全套使用及艾滋病知晓率等情况,评价该区娱乐场所女性服务人员艾滋病性病(AIDS/STD)的传播风险性,为制定有针对性的干预措施以防治该区AIDS/STD传播提供依据。 方法 随机选取上海市卢湾区4家大型娱乐场所和18家小场所共124名女性服务人员进行安全套使用及AIDS/STD知识等问卷调查,并采集其血、尿标本进行实验室检测。 结果 娱乐场所女性服务人员中性传播疾病检出率11.3%,HIV阳性率0.8%,与商业性伴发生性行为坚持使用安全套比例仅为40.9%,女性服务人员中从事性服务工作超过3个月的占78.4%,吸毒女性服务人员罹患性传播疾病比例远高于不吸毒女性服务人员,比数比(OR)值为22.9。 结论 娱乐场所女性服务人员处于性活跃期,从事性服务时间长,性行为频次高,有吸毒现象,性病艾滋病预防知识缺乏,安全套使用率低,是AIDS/STD传播的重要桥梁人群,有很大的传播风险。需要在该人群中加大AIDS/STD防治知识及禁毒宣传,大力推广使用安全套以降低不安全性行为的发生几率。 Abstract:Objective To evaluate the transmission risk by surveying prevalence of sexually transmitted diseases (STD), condom usage and knowledge about AIDS among female entertainment workers (FEWs) in a district of Shanghai, and to provide a basis for making AIDS prevention interventions. Methods A total of 4 large and 18 small entertainment venues in Luwan Distract of Shanghai were selected by random sampling method, and 124 FEWs were included. Their condom usage and knowledge about AIDS were investigated by questionnaires. Their blood and urine samples were collected and tested. Results The positive rates of STD and HIV were 11.3% and 0.8% respectively. Among the FEWs investigated, the proportion of consistent condom use in sex with clients was only 40.9%, and the proportion of providing sexual services for more than 3 months accounted for 78.4%. The risk of STD in fection in FEWs with drug addiction was significantly higher than those without (OR=22.9). Conclusion FEWs play a bridge role in transmitting HIV/STD from the high risk population to the general population because they are sexually active and provide sexual services for a long time and in a frequent manner, with drug using history, insufficient AIDS/STD prevention knowledge and a low rate of condom use. The risk of HIV/STD infection among them is very high. Therefore, more attention should be paid to AIDS/STD knowledge, anti-drug education and condom usage promotion to reduce the frequency of unsafe sexual behaviors.
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