开远市社区吸毒暗娼艾滋病相关高危行为调查分析

A HIV/AIDS related community-based study on high risk behaviors among drug-using FSWs in Kaiyuan city

目的了解社区吸毒暗娼的吸毒及高危性行为特征,为对她们开展行为干预提供参考依据。方法通过外展招募的方式,对云南省开远市101名社区吸毒暗娼进行了访谈式问卷调查。结果吸毒暗娼中,92.1%自报有过注射吸毒经历,17.2%的注射吸毒暗娼在最近6个月曾与别人共用过针具,65.4%的吸毒暗娼最近12个月中曾出现过性病症状。70.4%和14.9%的暗娼在与其固定性伴及螺客的最近一次性行为中,未使用安全套。结论吸毒暗娼共用针具吸毒的高危行为,使其处在艾滋病病毒(HIV)感染的巨大危险中,而其与嫖客人群及固定性伴的无保护性行为,很容易造成HIV通过性途径向其他人群的传播,加大对此类高危人群的干预力度势在必行。

Objective To understand characteristics of drug use and high risk sexual behaviors in drug-using female sex workers （FSWs）, and provide information for behavioral intervention to them. Methods One hundred and one community based drug-using FSWs were recruited by outreach staffs in Kaiyuan City, Yunnan Province, and face-to-face questionnaires were administered. Results Of the surveyed drug using FSWs 92.1% reported that they had their experience of injecting drugs, 17.2 % of the injection drug-using FSW shared needles in the recent 6 months;65.4 % of the surveyd FSWs had symptoms of STDs in the recent twelve months;70.4% and 14.9% of them did not use condoms with their regular sex partners or their male clients in the latest sex activities, respeetively. Conclusion High risk behavior of needle sharing has put drug-using FSWs in great risk to HIV infection, their unprotected sexual behaviors with their male clients or their regular sex partners may further spread HIV to other populations by heterosexual transmission, and so greater interventional effort will be urgently needed for this high risk population.