马鞍山市低档涉性场所暗娼VCT认知与需求分析

Needs and recognition of HIV voluntary counseling and testing among female sex workers in low-class establishments of Maanshan

目的:了解低层次娱乐场所暗娼人群对艾滋病自愿咨询检测的知识、需求和行为,提高其自愿咨询检测的积极性。方法:采用方便抽样方法对马鞍山市金家庄区和当涂县焦家开发区低层次娱乐场所的182名暗娼进行问卷调查,并现场静脉采集血样5ml,检测HIV、HCV和梅毒。结果:超过60%的被调查者不了解自愿咨询检测,实际接受过自愿咨询检测的比例仅占16.5%;但当其了解自愿咨询检测以后,表示愿意接受自愿咨询检测的比例为58.2%,HIV、HCV、梅毒感染分别为0%,0.55%和17.5%。结论:低层次娱乐场所暗娼对自愿咨询检测的知晓率较低,应该加强宣传,增进低层次暗娼人群对自愿咨询检测的了解。

Objective To explore the knowledge, needs and behavior on HIV voluntary counseling and testing （VCT） among female sex Workers in low--class establishments,and to propose reasonable strategies on active seeking of VCT service. Methods Quantitative questionnaire survey and qualitative individual interviews were conducted among female sex workers in the low--class establishments in Maanshan. HIV ,HCV and syphilis detecting were carried out. Results A total number of 182 objects were recruited,only 16.5% of whom had ever received VCT service. Among subjects never seeking VCT, 60.0% had never beard of VCT. The alternative way was free collective VCT in the entertainment establishments provided by team workers. The infection rate of HIV,HCV and syphilis is 0 %,0.55% and 17.6% respectively. Conclusion Education programs on promoting VCT and demand were needed for female sex workers in the low--class establishments. High standard VCT service delivery and measures improvement can attract more female sex workers in the low class establishments seeking VCT and make VCT service functional.