开远市嫖客人群HIV／STD相关高危行为的流行病学调查

Community-based survey of HIV/STD related risk behaviors among clients of FSWs in Kaiyuan City

目的了解嫖客人群的社会背景信息,艾滋病病毒/性病(HIV/STD)相关高危行为及性病感染的关联因素。方法外展人员到娱乐场所招募嫖客人群,开展匿名式问卷调查。结果调查的100名嫖客中,42%为已婚或同居,57%在过去1年与暗娼的商业性行为中发生过无保护性行为,41%在与暗娼的最近一次商业性行为中未使用安全套,17%在过去12个月出现过STD症状。感染STD的关联因素主要为:受教育时间<6年,通常与街头暗娼发生性行为,近12个月中与暗娼性行为时从不或偶尔使用安全套,最后一次与暗娼性行为时未使用安全套。结论嫖客人群中的安全套使用率较低,STD感染率较高,应该结合对暗娼人群的干预,对嫖客人群特别是对教育程度较低的嫖客人群开展综合性的干预活动,降低HIV和STD向普通人群传播的速度。

Objective To understand socio-demographic features of clients of female sex workers（FSWs） ,their HIV/ STD related risk behaviors and STD associated factors. Method Clients of FSWs were accessed and recruited by outreach staff in entertainment venues, and surveys with anonymous questionnaires were conducted accordingly. Results Of the surveyed clients,42 % were married or cohabited, 57 % had unprotected sex with FSWs in the recent 12 months, and 41% did not use condoms in their latest sex with FSWs; 17 % developed STD symptoms in the recent 12 months. The STI associated factors among them included less than 6 years of schooling, frequent sex trades with street-based FSWs,not using or occasionally using condoms in sex with FSWs in the recent 12 months and not using condoms in their last sex with FSWs Conclusion The rate of condom use was low and the prevalence of STD was high among clients of FSWs. Integrated interventions should be provided for both FSWs and their clients especially for clients with less schooling.