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目的分析峨眉山市不同场所女性性工作者(female sex workers,FSWs)对艾滋病相关知识行为和HIV等疾病感染情况,为健康教育和行为干预提供科学依据。方法采用比例分层随机抽样法抽取不同场所,再采用整群抽样(≤25人)或方便样本法(>25人)抽取调查对象,高档场所568例(32.6%)、中档场所984例(56.4%)和低档场所193例(11.1%),共计1 745例FSWs接受问卷调查血清学检测。结果不同场所FSWs以20~30岁的未婚(66.3%)和初中文化程度居多(60.6%),从事商业性交易时间以1~6月为主。不同场所FSWs艾滋病知识知晓率分别为高档场所75.2%、中档场所79.0%、低档场所67.9%,差异有统计学意义(P<0.01)。FSWs最近一月内从事性交易时安全套使用率在高档场所(59.5%)、中档场所(65.5%)和低档场所(59.1%),差异有统计学意义(P<0.05),不同场所FSWs静脉/肌肉注射吸毒行为(1.2%、2.1%、4.1%)差异有统计学意义(P<0.05)。FSWs的梅毒抗体阳性率在不同场所(4.8%、5.9%、10.4%)差异有统计学意义(P<0.05)。结论不同档次场所FSWs对艾滋病知识知晓率和安全套使用率均较低,应对不同档次场所的FSWs采取针对性的健康教育和行为干预。
Objective To analyze the AIDS-related knowledge, behavior and HIV infection among female sex workers (FSWs) in different places in Mount Emei, and provide a scientific basis for health education and behavior intervention. Methods Different places were sampled by proportional stratified random sampling method. Samples were collected by cluster sampling (≤25) or convenience sample method (≥25). 568 cases (32.6%) in high-grade places and 984 cases (56.4 cases) %) And 193 (11.1%) low-grade sites. A total of 1745 FSWs were surveyed for serology. Results The FSWs in different places were mostly unmarried (66.3%) aged 20-30 years with the majority of junior high school education (60.6%), and the commercial transaction time was mainly from January to June. The awareness rate of AIDS knowledge in different places was 75.2% in high-grade places, 79.0% in mid-range places and 67.9% in low-grade places respectively, the difference was statistically significant (P <0.01). Condom use rates in FSWs engaged in sexual transactions in the most recent January were high (59.5%), mid-range (65.5%) and low-end (59.1%), with statistically significant differences (P < The intramuscular injection drug use behavior (1.2%, 2.1%, 4.1%) had statistical significance (P <0.05). The positive rate of syphilis antibody in FSWs was significantly different at different sites (4.8%, 5.9%, 10.4%) (P <0.05). Conclusions FSWs in different grades have a lower AIDS awareness rate and condom use rate, and targeted health education and behavioral intervention should be taken for FSWs in different grades.