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目的分析甘肃省暗娼人群艾滋病相关知识、行为的变化趋势,为全省暗娼人群的艾滋病综合防治和干预措施的制定提供参考依据。方法 2005-2012年连续8年用分层按比例抽样的方法,对全省娱乐场所暗娼人群进行重复横断面问卷调查并采血,数据资料使用SPSS 13.0进行统计分析。结果调查暗娼年龄以20～30岁为主,未婚者居多,汉族占95%以上,户籍以本省为主;艾滋病总体知识知晓率从2005年的61.33%上升到2012年的88.64%;传播途径知识的知晓率高于非传播途径;暗娼人群最近1次商业性行为中安全套使用率和最近1个月商业性行为安全套坚持使用率分别从2005年的57.48%和42.44%上升到2012年的91.64%和75.94%;梅毒抗体阳性检出率的中位数为1.00%。结论甘肃省暗娼存在整体年龄较低、未婚者居多、以汉族为主、文化程度低、省内户籍多等特点。艾滋病知识总体知晓率较高,但对艾滋病非传播途径知识的掌握存在一定的误解。商业性行为中坚持使用安全套的比例逐年升高。暗娼人群艾滋病、梅毒仍然处于低流行态势,但仍需进一步加强干预力度。
Objective To analyze the changing trend of HIV / AIDS related knowledge and behavior among FSWs in Gansu province, and to provide a reference for the prevention and treatment of HIV / AIDS among FSWs across the province. Methods From 2005 to 2012, we conducted repeated cross-sectional questionnaires and collected blood samples of female sex workers in entertainment venues in the province for 8 consecutive years with stratified and proportional sampling method. The data were analyzed by SPSS 13.0. Results The age of female sex workers was 20-30 years old. Most of them were unmarried, accounting for more than 95% of the Han people. Household registration was dominated by the province. The awareness rate of total AIDS knowledge rose from 61.33% in 2005 to 88.64% in 2012. The prevalence of condom use among commercial sex workers in the last commercial activity and that of commercial sex condom use in the last month rose from 57.48% and 42.44% respectively in 2005 to 91.64% in 2012, And 75.94%, respectively. The median positive rate of syphilis antibody was 1.00%. Conclusions The sex workers in Gansu province have the characteristics of lower overall age, mostly unmarried people, dominated by the Han nationality, low educational level, and multiple household registrations in the province. The overall awareness rate of AIDS knowledge is high, but there is some misunderstanding about the mastery of AIDS non-transmission ways. The proportion of insisting on using condoms in commercial sex is increasing year by year. Sex workers, HIV / AIDS, syphilis is still in a low prevalence situation, but still need to further strengthen the intervention.