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目的了解南宁市暗娼艾滋病危险行为和HIV/性病感染状况,为暗娼人群干预提供科学依据。方法2007-2008年采取整群随机抽样方法抽取暗娼人群,进行面对面无关联匿名问卷调查并采血作HIV和梅毒抗体检测。结果2007-2008年艾滋病基本知识总知晓率分别为73.09%和79.5%,差异有统计学意义(χ2=4.43,P=0.035)。暗娼人群最近1次商业性行为时安全套使用率,分别为80.8%和73.1%,不使用率分别为19.2%和26.9%。2007年有63.3%暗娼出现性病相关症状,2008年有40.5%的暗娼出现性病相关症状。2007-2008年HIV抗体阳性率分别为0.53%、0.25%,梅毒阳性率分别为3.69%、6.25%。结论2008年南宁市暗娼人群艾滋病基本知识总知晓率、相关安全性行为较2007年均有提高,性病相关症状及抗体均有降低。
Objective To understand the AIDS risk behaviors and HIV / STD infection among female sex workers in Nanning and to provide a scientific basis for the intervention of FSW. Methods From 2007 to 2008, a random sample of female volunteers was recruited to carry out face-to-face anonymous questionnaire survey and collected blood for HIV and syphilis antibody testing. Results The total awareness rates of AIDS basic knowledge in 2007-2008 were 73.09% and 79.5%, respectively, with statistical significance (χ2 = 4.43, P = 0.035). The prevalence of condom use among commercial sex workers during the last commercial sex campaign was 80.8% and 73.1% respectively, with non-use rates of 19.2% and 26.9% respectively. In 2007, 63.3% of female sex workers appeared STD related symptoms. In 2008, 40.5% of female sex workers appeared STD related symptoms. The positive rates of HIV antibodies in 2007-2008 were 0.53% and 0.25% respectively, and the positive rates of syphilis were 3.69% and 6.25% respectively. Conclusion In 2008, the total awareness rate of HIV / AIDS among FSWs in Nanning City and the related safety behaviors were all higher than those in 2007, and the related symptoms and antibodies of STDs were decreased.