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目的了解甘肃省兰州市城关区娱乐场所提供女性性服务人员(FSW)梅毒感染情况及对梅毒相关知识了解程度,为FSW人群的干预工作提供指导依据。方法对城关区高、中、低档公共娱乐场所的400名FSW进行一对一问卷调查,同时进行梅毒抗体检测。结果 400名FSW最近一次安全套使用率为86.00%,最近一个月安全套坚持使用率为73.00%,梅毒感染率为7.75%;不同档次娱乐场所内FSW安全套使用和梅毒感染情况均存在差异;FSW人群对梅毒相关知识的获得途径比较少,相关知识主要来源于宣传活动和电视等渠道,其中宣传活动占52.50%,电视占32.00%,宣传材料占30.50%,网络占26.25%,报刊占13.25%。结论 FSW仍是感染梅毒的高危人群,对FSW广泛开展梅毒相关知识宣传仍是今后综合干预工作的一项重要内容;不同场所FSW梅毒感染率和相关知识了解程度存在较大差异,干预工作应以中、低档娱乐场所的FSW为重点,进一步加强防治知识宣传与干预。
Objective To understand the prevalence of syphilis infection and related knowledge of syphilis among female sexual service workers (FSW) in entertainment facilities in Chengguan District of Lanzhou City, Gansu Province, and provide guidance for the intervention of FSW population. Methods One-on-one questionnaire survey was conducted on 400 FSWs in high, medium and low-grade public places of entertainment in Chengguan District, and syphilis antibodies were also tested. Results The rate of condom use among the 400 FSWs was 86.00%. The condom use rate was 73.00% and the syphilis infection rate was 7.75% in the most recent month. FSW condom use and syphilis infection were different in different entertainment venues. Syphilis-related knowledge is rarely available, and related knowledge comes mainly from promotional activities and television channels, of which 52.50% are publicity activities, 32.00% are for television, 30.50% are for promotional materials, 26.25% are for the Internet, and 13.25% are newspapers and periodicals. Conclusions FSW is still a high risk group of people infected with syphilis. It is still an important part of future comprehensive syndromic intervention in FSW that syphilis-related knowledge should be widely disseminated. There is a big difference in the prevalence of syphilis infection and related knowledge in different places. Intervention should be based on Medium and low-end entertainment venues as the focus of the FSW to further strengthen prevention and treatment of knowledge advocacy and intervention.