玉林市2009～2011年暗娼人群行为监测结果

Investigation on core indicator of behavioral surveillance among female sex workers in Yulin,2009～2011

目的了解玉林市2009～2011年暗娼干预行为改变现况,评估干预效果,为在暗娼中进一步开展行为干预提供相关信息和依据。方法采用整群抽样方法,对暗娼商业性性交易的不同场所女性性服务工作者(FSW)进行面对面健康问卷及采血检测HIV、RPR、HCV。结果 2009～2011年,3年间监测对象最近一次商业性行为安全套使用率分别为81.00%、95.00%和95.25%;最近一个月商业性行为坚持使用安全套的比例分别为44.75%、62.75%和77.00%;艾滋病知识知晓率分别为87.25%、86.44%和82.91%;接受过HIV检测并知晓检测结果者的比例分别为:42.50%、50.25%和22.75%;最近一年内接受过干预服务者的比例分别为:68.75%、78.25%和90.25%;HIV阳性检出率分别为1.25%、0.25%、1.25%;梅毒阳性检出率分别为4.00%、3.25%、8.75%;HCV阳性检出率分别为0.50%、1.00%、1.25%。结论玉林3年间接受过HIV检测并知晓检测结果者的比例呈下降趋势,最近一年内接受过干预服务者的比例和梅毒检出率呈逐年上升的趋势,暗娼人群安全套使用率和艾滋病知识知晓率有待于进一步提高。文化程度低的暗娼应成为预防干预工作的重点。

Objective To get the information of intervened behavior for the sex workers,and evaluate the intervened effect in Yulin City from 2009 to 2011,so as to provide the evidence for further behavioral intervention.Methods Face to face interview and blood collection for HIV and RPR test were conducted among female sex workers（FSW）providing commercial sex services in various vice establishments who were chosen by cluster sampling.Results The rate of using condoms in the last commercial sex activities among the surveyed FSWs was： 81.00%,95.00% and 95.25% in the respective 3 years from 2009 to 2011;while the rate of consistently using condoms in sex with clients during the last month was： 44.75%,62.75% and 77.00% in the respective 3 years.The rate of awareness of HIV/AIDS transmission among the FSWs was 87.25%,86.44% and 82.91%,respectively.The proportion of the FSWs who attended HIV VCT services was 42.50%,50.25% and 22.75%.The proportion of the FSWs who received intervention service within the last year was 68.75%,78.25% and 90.25%,respectively.The HIV detection rates were 1.25%,0.25%,1.25% in the 3 years while the syphilis detection rates were 4.00%,3.25%,8.75% respectively and HCV detection rates were 0.50%,1.00%,and 1.25%.Conclusion The proportion of the FSWs who attended HIV VCT services has reduced.The proportion of the FSWs who received intervention service and the syphilis detection rates tends to increase.Rate of condom use and HIV awareness need to be further enhanced among female sex workers.Poorly educated female sex workers be listed as a key subpopulation for surveillance attention and interventions.