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目的了解近十年来居住在本市的暗娼人群艾滋病流行状况和流行趋势,为本市制定针对性的干预措施提供依据。方法采用分层整群抽样方法,将高危场所分为高、中、低3层,按比例抽样。调查周期为2006年-2015年的4月-6月,按照《全国艾滋病哨点监测实施方案(试行)操作手册》中的《健康调查问卷》收集目标人群的危险行为、知识、态度等信息;同时采集3 ml~5 ml静脉血,检测血清HIV抗体和梅毒抗体。结果 2006年-2015年艾滋病知晓率总体趋势上升,2015年达93.3%;最近一次与客人发生性关系时使用安全套比例(除2009年之外)均在70%以上。2006年-2015年检测对象中除2009年检出1例外,其他年份均未检出HIV阳性,梅毒感染率居高不下。结论应针对性地开展不同档次暗娼人群的艾滋病、梅毒等宣传干预,仍应坚持不懈地开展该人群的安全套推广活动。
Objective To understand the prevalence and trends of HIV / AIDS among FSWs living in this city in the past 10 years and provide basis for the city to formulate targeted interventions. Methods The stratified cluster sampling method was used to divide the high-risk places into high, medium and low levels and to sample proportionally. The investigation period is from April to June in 2006 - 2015, and information such as dangerous behaviors, knowledge and attitudes of the target population is collected in accordance with the “Health Questionnaire” in the Operation Guide for the National Sentinel Monitoring Program for AIDS (Trial Implementation) At the same time collecting 3 ml ~ 5 ml venous blood, detection of serum HIV antibody and syphilis antibody. Results The overall HIV / AIDS awareness rate increased from 2006 to 2015, up 93.3% in 2015; the proportion of condom use (other than in 2009) during the last sexual contact with the guests was above 70%. In 2006 - 2015, the test subjects except one detected in 2009 were not detected in other years, HIV-positive, high rates of syphilis infection. Conclusions AIDS prevention, syphilis and other propaganda interventions should be conducted in different groups of FSWs in a targeted manner, and the condom promotion activities in this group should be persistently carried out.