466例女性性工作者AIDS/STD血清学和行为学调查

Survey on the behavioral characteristics related to HIV/AIDS and the sero-prevalence of sexually transmitted diseases (STD) among 466 female sex workers (SWs) in Qingdao

目的了解青岛地区娱乐服务场所女性性工作者（SWs）艾滋病病毒／艾滋病／性病（HIV／AIDS／STD）血清学状况和行为学特征，为对该人群的有效十预提供依据。方法对发廊和路边店SWs进行不记名问卷调查，并采取血液样本检测HIV／STD。臆用SPSS 10．0软件进行资料统计分析。结果刨收有效问卷466份，血液样奉428份。SWs平均年龄23．07±4．94岁（15～48岁），60．3％有固定性伴。近1／3最近1次与客人性交时未使用安全套，77．6％近1个月与固定性伴性交时从未使用安全套。在过去半年中81．3％出现过生殖、泌尿系统异常症状，半数以上自行买药或不做处理。梅毒抗体甲苯胺红不加热血清试验（TRUST）、梅毒螺旋体明胶凝集试验（TPPA）和抗-HSV-2-IgG阳性率分别为3．5％、11．0％和33．4％，抗-HIV均阴性。不同年龄组TRUST、TPPA阳性率差异均有显著的统计学意义（X^2=5．015，P=0．037；X^2=9．598，P=0．022），其中年龄≥30岁组最高（分别为8．2％和20％）；不同婚姻状况TRUST、TPPA阳性率差异均有非常显著的统计学意义（X^2=16．213，P〈0．01；X^2=13．016，P〈0．01），有婚史者明显高于无婚史者（阳性率分别为10．0％和20培％）。结论青岛地区发廊、路边店SWs存在多种易感染HIV／AIDS的不安全行为，STD感染率很高，就医方式多不正规，急需进行有效干预，控制HIV／AIDS经性途径传播。

Objective To determine the sero-prevalence of sexually transmitted diseases（STD）and their behavioral characteristics related to AIDS/STIs among female sex workers（ SWs） in entertainment establishments in Qingdao, and to provide evidence for effective intervenion in this population group. Methods A behavioral questionnaire was administered, followed by a specimen collection for different STI and analyzed with SPSS10.0. Results 466 questionnaires were collected and 428 sero-speeimens were tested. Their average age was 23.07（15 -48） years. About one third of them never used condoms with their clients at their last sex activities. 60. 3 % had their regular sexual partners and 77.6 % never used con doms with their regular sexual partners within nearly one month.81,3 % had STIs＂syndromes＂and more than half of them bought medicine by themselves or were not treated. The Sero-prevalences were as follows： HIV antibody-negative;syphilis- TRUST- 3.5 % ;syphilis-TPPA - 11.0 % ; herpes simplex virus 2 antibodies 33.4 % , There were significant differences of TPPA/TRUST infections in ages and marriages,Conclusions SWs in Qingdao had high risk behaviours and high STI infection tates,and were not treated by suitable measures. Methods should be ,sought to provide easily accessible and affordabl STIs care services and behavioral intervention.