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有吸毒史暗娼的行为和艾滋病毒/性传播疾病感染状况调查 被引量:10

Investigation on HIV/STDs and the behaviors of drug-abusing female sex workers
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摘要 目的了解有吸毒史暗娼的高危行为以及艾滋病毒/性传播疾病(HIV/STDs)的感染状况,为开展有针对性的行为干预提供依据。方法对一省会城市某区承认有吸毒史的暗娼,在艾滋病病毒(HIV)检测知情同意后全部纳入调查。收集人口学和高危行为信息,并采集静脉血进行HIV、梅毒、乙型肝炎(乙肝)、丙型肝炎(丙肝)检测。结果102名暗娼平均年龄26.7岁,首次从事性交易和首次吸毒的平均年龄为20.8岁和20.9岁。最近一次与客人发生性行为时使用安全套的比例为41.6%。最近一个月与客人发生性行为时,每次都使用安全套的比例为16.7%,从未使用的占13.7%。全部调查对象均吸食海洛因,其中60.8%为静脉注射的方式,最近1个月和最近一次共用注射器比例分别为62.9%和32.3%。HIV感染率为2.0%,乙肝病毒(HBV)感染率为3.9%,丙型肝炎病毒(HCV)感染率为32.4%,梅毒感染率为18.6%。53.9%的调查对象吸食头丸和/或K粉等新型毒品。结论有吸毒史的暗娼感染HIV/STIs的危险性高,其中吸食头丸和/或K粉等新型毒品的暗娼的感染危险性更高,应进行重点监测和干预。 Objective To learn the risk behaviors and HIV/STDs Prevalence rates among drug-abusing female sex workers (FSWs). Methods FSWs in some district of provincial capital who admitted drug abuse were investigated after the informed consent of HIV testing. Demography and high risk behavioral data were collected while tests for HIV, HBV, HCV and syphilis were conducted in venous blood samples. Results The 102 investigated FSWs were at the average age of 26.7 as their first sexual transaction at 20.8 and the first drug abuse at 20.9, averagely. For all the respondents, the proportion of using condom at the latest commercial sex was 41.6%. In the last month, 16.7% of respondents used condoms at every sexual contact, whereas 13.7% of them never did. All FSWs abused heroin, 60.8% of which intravenously injected. The proportions of needle-sharing in the last month and during the latest injecting were 62.9% and 32.3%. The infection rate of HIV was 2.0%, HBV 3.9%, HCV 32.4%, and syphilis 18.6%, respectively. 53.9% of the FSWs used new-type drugs such as 3, 4- methylene dioxymefhamphetamin (MDMA) and/or Ketamine. Conclusion Drug-abusing FSWs, particularly those abused MDMA and/or Ketamine, faced higher risks of STD infections. Surveillance and intervention should be conducted for this group.
出处 《疾病监测》 CAS 2007年第5期329-331,共3页 Disease Surveillance
关键词 暗娼 艾滋病 性病 高危行为 摇头丸 K粉 female sex workers human immunodeficiency virus sexually transmited diseases high risk behavior 3, 4-methylene dioxymefhamphetamin ketamine
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