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目的探讨社区暗娼初筛时实名监测的工作方法,比较初筛时实名监测与确认时实名监测的优劣,了解娱乐场所暗娼艾滋病性病的感染情况、知识和行为情况,为制定防治策略和控制措施提供依据。方法对社区内娱乐场所暗娼进行初筛时实名监测,问卷调查的同时采集静脉血作艾滋病病毒(HIV)、梅毒、丙型肝炎病毒(HCV)血清学检测。结果 HIV无阳性检出,梅毒阳性检出率8.5%(20/235),HCV阳性检出率6.8%(16/235),艾滋病知识知晓率仅为68.5%(161/235),最近一年接受过干预服务的占84.7%(199/235),最近一年做过HIV检测的占6.8%(16/235),未做过HIV检测的占92.8%(218/235),不详的占0.4%;做过HIV检测的16人中知道检测结果的15人(93.8%),不知道检测结果的1人(6.2%)。在最近一次商业性性行为中,每次都使用安全套的占63.8%(150/235),有时或从未使用安全套的35.7%(84/235)。结论初筛实名监测将艾滋病性病的监测与告知、监测与随访管理有机结合起来,在一定程度上遏制了艾滋病性病的二代传播,保证了疫情数据的准确性。
Objective To explore the working methods of real-time monitoring of commercial sex workers at the time of initial screening and to compare the advantages and disadvantages of real-name monitoring at the time of real-name monitoring and confirmation at the initial screening to understand the infection situation, knowledge and behavior of HIV / AIDS STDs in entertainment venues. In order to formulate prevention and control strategies and control measures Provide evidence. Methods Real-time monitoring and questionnaire surveys were performed on seropositive women in entertainment venues in the community for HIV serological testing of HIV, syphilis and hepatitis C virus (HCV). Results HIV positive detection rate was 8.5% (20/235), HCV positive detection rate was 6.8% (16/235), AIDS awareness was only 68.5% (161/235) in recent years 84.7% (199/235) of those who received intervention services, 6.8% (16/235) of those who did HIV testing in the most recent year, 92.8% (218/235) who did not have HIV testing and 0.4% did not % Of the 16 people who did HIV test, 15 (93.8%) knew the test result, and 1 person did not know the test result (6.2%). Of the most recent commercial sexual practices, 63.8% (150/235) used condoms each time, and 35.7% (84/235) used condoms at times or never. Conclusion The screening of real-name screening of early screening organically combines the monitoring and notification of HIV / AIDS STDs with the management of follow-up visits, to a certain extent, curbing the second generation transmission of AIDS STDs and ensuring the accuracy of epidemic data.