广西480例性服务小姐行为特征和性病感染情况调查

The survey on behavior characteristics and STI on 480 CSW cases

目的了解性服务小姐的性行为特征及其与主要性病患病率之间的关系,以确定健康教育和行为干预的重点及有效方法。方法对每个调查对象进行问卷调查及体检并采集实验室标本进行生物学检验。结果 480例小姐中最近一次性生活安全套的使用率为66.5%,最近一个月内每次性生活都使用安全套的达到53.9%,但是低档次场所小姐的安全套使用率仍然较低(分别为46.7%和25.8%)。中低档次场所小姐梅毒(10.6%)和淋病(4.7%)的患病率均明显高于高档次场所的小姐(5.8%和1.7%)。不管何档次场所,梅毒的患病率(9.4%)均高于淋病(4.0%)。大约10%的小姐为无临床症状的性病患者。结论低档次娱乐场所的性服务小姐既是性病的易感者又是重要的传染源,对这一人群的监督、管理、宣传和健康教育应成为今后干预工作的重点。

Objective To understand the relationship between sex behavior characteristics and STI in CSW and to define the ways of health education.Methods Giving a physical examination and laboratory assay,an epidemic questionnaire survey was conducted to each case of 480 CSW.Results The usage rate of condom was quite satisfactory in the 480 cases,the condom use rate of the last sex was 66.5% and the condom use rate for every sex in the last month was 53.9%,but these two rates in the cheaper group were still unsatisfactory （46.7% 25.8%）.By the way,the prevalence rates of syphilis and gonorrhea in the middle-cheaper groups （10.6% 4.7%） were higher obviously than those in the higher grade group （5.8% 1.7%）.The prevalence rate of syphilis was higher than that of gonorrhea regardless which grade group.Conclusion The CSW who worked in the cheaper places are the hi-susceptible persons also main source of infection and should become an important control objective for the future.