女性性服务者性病、艾滋病认知状况调查

Baseline survey on STD/AIDS knowledge,attitude and practice among female sex workers

目的了解娱乐场所女性性服务者性病/艾滋病（STD/AIDS）知识知晓情况、相关态度及行为状况,为有针对性地开展行为干预并评价实施效果提供依据。方法对南京市某区娱乐场所的女性性服务者进行一对一问卷调查。结果共调查76家娱乐场所209名女性性服务者,女性性病症状总知晓率为32.7%,艾滋病相关知识总知晓率为81.0%,不同文化程度对STD/AIDS知识正确知晓率有差异;最近一周平均每天接待1～3个客人的占81.9%;与固定性伴和与客人最近一次性行为中,安全套使用率分别为40.1%和85.6%;3个月内更换场所和更换城市的女性性服务者分别占53.4%和24.3%;有性病症状时,57.4%女性性服务者选择正规综合性医院性病门诊就医。结论娱乐场所性服务者的STD/AIDS相关知识仍偏低;女性性服务者高危性行为发生频繁且流动性强;娱乐场所行为干预应通过外展服务和同伴教育等方式有针对性开展,鼓励正确并坚持使用安全套预防STD/AIDS的传播。

Objective To understand knowledge, attitude and practice on STD/AIDS among female sex workers（FSWs） in entertainment establishments, so as to better guide the implementation of the program and evaluating its effects. Methods Face to face questionnaires among FSWs were conducted in a district of Nanjing city. Results Totally 209 FSWs in 76 entertainment establishments were involved in this survey. The average rate of the awareness on STD symptoms and AIDS knowledge was 32.7% and 81.0%. 81.9% FSWs had 1-3 clients everyday in last week. The reported condom use rate at the last sex with clients was 85.6 %, and with fixed partners it was 40.196 averagely. The frequency of FSWs moving from one city or place to another city or place was 24.3 % and 53.4 % respectively. When having SID, 57.4 % FSWs would like to visit STD clinics in general hospitals for treatment and care. Conclusion The low knowledge on STD/AIDS, the high occurrence of unsafe sex and floating characteristics requires further health education among FSWs. Intervention should be conducted by provision them with outreach service and peer education to promote awareness, encouraging correct and insistent condom use to prevent STD/AIDS spread in local area.