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目的通过对海南省2011—2013年艾滋病监测哨点暗娼人群艾滋病相关知识、行为及艾滋病/梅毒/丙肝感染状况进行调查分析,为今后做好海南省艾滋病疫情估计以及制定干预措施提供科学依据。方法按照《全国艾滋病哨点监测实施方案操作手册》要求,采用分层随机抽样方法对海南省暗娼人群进行问卷调查和血清学检测。结果2011—2013年共调查暗娼4 850人,艾滋病总体知识知晓率为81.55%,其中2011、2012和2013年艾滋病知识知晓率分别为77.52%、80.82%和86.30%;最近一次商业性行为安全套使用率80.45%,其中2011、2012和2013年使用安全套率分别为76.94%、79.06%和85.10%;最近一个月商业性行为每次都使用安全套率为62.49%;其中2011、2012和2013年最近一个月商业性行为每次都使用安全套率分别为56.43%、61.56%和69.09%;HIV、梅毒、丙肝抗体阳性率分别为0.06%、2.21%和0.35%。结论海南省暗娼人群艾滋病知识知晓率以及安全套使用率均逐年提高,最近一次商业性行为使用安全套比例较高,但最近一个月商业性行为每次都使用安全套比例还较低;艾滋病和丙肝抗体阳性率低,梅毒抗体阳性率高,今后应继续加强性病艾滋病的宣传干预和安全套的推广使用,控制性病和艾滋病的传播。
Objective To investigate AIDS-related knowledge, behaviors and AIDS / syphilis / hepatitis C infection among HIV-positive FSWs in Hainan Province during 2011-2013 so as to provide a scientific basis for the future HIV / AIDS epidemic in Hainan Province and to formulate intervention measures. Methods According to the “Operation Manual of National AIDS Sentinel Surveillance Implementation Plan”, stratified random sampling method was used to conduct questionnaire survey and serological test on the female sex workers in Hainan Province. Results A total of 4 850 FSWs were surveyed between 2011 and 2013, with a total awareness rate of 81.55%. Among them, the AIDS awareness rates in 2011, 2012 and 2013 were 77.52%, 80.82% and 86.30% respectively. The most recent commercial sexual condom use Rate of 80.45%, of which 76.94%, 79.06% and 85.10% were used in 2011, 2012 and 2013 respectively; commercial use of condoms was 62.49% each time in recent months; among them, the latest one in 2011, 2012 and 2013 The monthly commercial use of condom rates was 56.43%, 61.56% and 69.09% respectively; the positive rates of HIV, syphilis and hepatitis C antibody were 0.06%, 2.21% and 0.35% respectively. Conclusions HIV / AIDS awareness rate and condom use rate among the FSW population in Hainan Province have been increasing year by year. The proportion of condom use in recent commercial practice is high, but the proportion of condom use in commercial practice in each month is still low. AIDS and hepatitis C antibody positive Low rate of positive syphilis antibodies, the future should continue to strengthen the STD and AIDS prevention and publicity interventions to promote the use of condoms, control of sexually transmitted diseases and AIDS.