上海郊区艾滋病高危场所性服务人员艾滋病知识和行为调查

Investigation on HIV/AIDS-related knowledge and behaviors among sex workers in the high-risk areas of Shanghai Suburbs

目的了解上海市郊区高危场所性服务人员对艾滋病相关知识和行为学特征,为制定有效的预防控制措施提供依据。方法采用横断面调查方法,对社区内尚在营业的高危场所进行入户调查,经知情同意后对社区内40名高危场所性工作者进行一对一问卷调查,同时采集血样,进行艾滋滋病病毒(HIV)、梅毒、甲型肝炎抗体的检验。结果艾滋病知识的基本知晓率达95.0%,对于艾滋病三大传播途径了解较多,但是往往对非传播途径等知识存在误解。安全套的使用率较高,最近1次与他人发生性行为时安全套使用率为100.0%。结论加强与性服务人员及业主的沟通频率、免费发放安全套、开展同伴教育等对提高性服务人员的艾滋病防治知识知晓率和改善行为具有重要作用。

[Objective]To understand the HIV/AIDS-related knowledge and behavioral characteristics among sex workers in the high-risk areas of Shanghai suburbs,and provide evidence for developing effective control measures.[Methods]A cross sectional survey was performed on 40 sex workers in high-risk places in business with informed consent through one-to-one questionnaire and blood testing for HIV and syphilis and HAV were done for all participants.[Results]Though the understanding rate of HIV/AIDS knowledge was 95% and the understanding rate of 3 transmission routes of HIV/AIDS was high,they were often unclear about the non-transmission route.The rate of condom use with their clients in the last sexual behavior was 100%.[Conclusion]Enhancing communication with sex workers and owners,offering free condom and carrying out peer education play important role in improving the knowledge levels and behavior about AIDS among sex workers.