马鞍山市低档涉性场所暗娼艾滋病及生殖道感染性疾病KABP调查分析

Survey on KABP of AIDS/reproductive tract infections among female sex workers in low-class establishments of Maanshan

目的了解马鞍山市低档涉性场所暗娼人群艾滋病与生殖道感染相关知识及行为现况,为艾滋病防治策略的制定提供依据。方法对马鞍山市辖区内低档涉性场所暗娼进行方便抽样问卷调查,调查样本量不少于300人。结果共调查马鞍山市低档涉性场所暗娼319人,结果显示,低档涉性场所暗娼对艾滋病基本知识总知晓率为75.0%。最近一次与嫖客性交使用安全套的比例为54.2%;最近一个月与嫖客性交每次坚持使用安全套的比例为43.0%。自报生殖道感染患病率为20.1%,在自报有症状的64人中,就诊者36人,占56.3%;未就诊者28人,占43.7%。调查对象中主要喜欢报纸、杂志、书籍、广播、电视及宣传材料发放等艾滋病及生殖道感染知识宣传形式;目前,生殖道感染防治过程中存在的最主要问题依次是医护人员服务态度差、生殖道感染防治知识宣传不够、没有开展定期的妇科病普查及看病不方便。结论马鞍山市低档涉性场所暗娼安全套使用率较低,自报生殖道感染患病率也较高,不良卫生习惯不容忽视。

Objective To understand the knowledge, attitute, belief and practice （KABP） of AIDS/reproductive tract infections among female sex workers in low-class establishments in Maanshan and provide the basis data for making the control strategy. Methods Female sex workers from the low-class establishments in Maanshan were recruited by venuebased sampling, and the survey sample size was no less than 300. Results The general awareness of AIDS among 319 female sex workers in low-class establishments in Maanshan was 75.0%. The rate of using condom in the latest was 54.2%, the rate of consistent using condom in the last 1 month was 43.0%. Self-reported prevalence of reproductive tract infections was 20.1%. 36 saw the doctor among 64 people with self-reported symptoms, accounting for 56.3%, and 28 did not see the doctor, accounting for 43.7%. Newspapers, magazines, books, radio, television and publicizing materials distribution were thought popular publicizing means of AIDS and reproductive tract infections knowledge; discrimination from health care workers, inadequately publicizing on knowledge of prevention and treatment of reproductive tract infections, not carrying out regular gynecological screening and inconvenient medical services were thought most important problems of the current prevention and treatment of reproductive tract infection. Conclusions The condom use is low among female sex workers in low-class establishments in Maanshan, self-reported prevalence of reproductive tract infections is relatively high, while poor health habits of female sex workers in low-class establishments in Maanshan should not be ignored.