中国西南地区暗娼艾滋病相关行为分析

目的:了解暗娼艾滋病相关知识和危险行为水平。方法:采用等容量分层整群抽样方法,选择云南省5个县(市、区)各级场所的暗娼进行问卷调查。结果:调查暗娼1065人。艾滋病相关知识得分均分为(5.14±1.9),得分及格率(得分>=4.8/8)为77.8%,各地的差异无统计学意义(χ2=3.27,P>0.05)。最近一次商业性行为的安全套使用率为84.8%,不使用的主要原因是嫖客不愿使用为20.2%;5个调查地点暗娼人群吸毒率为1.3%。24.1%的调查对象在过去一年内出现过性病相关症状和体征,18.3%选择到私人诊所就诊。结论暗娼人群艾滋病相关知识正确答对率低,高危行为普遍存在:安全套使用率低,暗娼中存在吸毒人群,正确就医率低,存在诸多艾滋病性传播的隐患,需加强行为干预措施的针对性。

HIV/AIDS-related Risk Behaviour in Female Sex Workers, Southwest China

Objective：To assess HIV/AIDS-related knowledge and risk behaviour in temale sex workers （FSWs） living in 5outhwest China Methods] A cross-sectional epidemiological study was conducted in 5 cities of Yunnan province. In each city standardized questionnaire interviews were administered face-to-face to about 200 female sex workers, sampled among those working in the street, in hotels, in barber shops, in massage salons, or in entertainment sites.Results：1065 FSWs were interviewed; the sample size per participating city ranged from 176 to 242. （1） The participating FSWs scored 5.14 points （±1.9） for HIV/AIDS related knowledge on a scale with maximum 8. For 77.8% of them this score was more than 4.8. This score did not differ significantly between sampled cities （X2=3.27, P〉0.05）. While 84.8% of participants had used condoms during their last commercial sex act, only 74.9% of them had used condoms consistently for commercial sex during the last month. Most frequent mentioned reason for not using a condom is the elient＇s refusal to do so. Drug use was reported by 1.3% of participating FSWs. 24.1% of participants reported having experienced signs or symptoms of a sexual transmitted disease during the last year.Conclusions：HIV/AIDS-related knowledge is low among the FSWs of Yunnan province. The following high risk behaviours remain prevalent in FSWs： insufficient condom use, drug use, and poor management of sexual transmitted diseases. These behaviours favour the transmission of HIV from high-risk population groups to the general population. Targeted interventions are needed to reduce this risk.