2012年贺州市市级暗娼哨点监测结果分析

Analysis on results of municipal CSWs sentinel surveillance in Hezhou City in 2012

目的了解贺州市市级娱乐场所女性性服务工作者(暗娼)艾滋病、梅毒、丙型肝炎(丙肝)3种性传播疾病流行情况和相关危险行为。方法由接受过培训的专业技术人员,进入各娱乐场所现场问卷调查后,采血检测人类免疫缺陷病毒(HIV)抗体、梅毒、丙肝抗体。全部结果录入国家哨点监测客户端软件及广西暗娼哨点新增问题数据库(EpiData)后,采用Excel 2003和SPSS 17.0软件进行资料分析。结果 2012年4—6月对400名暗娼提供了3种性病检测,检出HIV阳性12人,梅毒甲苯胺红不加热血清试验(TRUST)阳性48人,丙肝抗体阳性8人。12名HIV阳性暗娼全部来自低档场所,中档场所与低档场所的HIV感染率分别为0、4.51%,差异有统计学意义(χ2=4.778,P<0.05);城区与乡镇不同场所HIV抗体阳性率分别为1.94%、6.67%,差异有统计学意义(χ2=3.863,P<0.05)。中档场所与低档场所的梅毒感染率分别为3.73%、16.17%,差异有统计学意义(χ2=13.046,P<0.01);城区场所与乡镇场所的梅毒感染率分别为7.10%、28.89%,差异有统计学意义(χ2=31.361,P<0.01)。结论低档场所暗娼是感染和传播性病的高危人群;今后宣传干预工作的重点要放在低档场所特别是乡镇低档场所;在暗娼和嫖客人群双管齐下宣传"在任何情况下均全程正确使用安全套"是预防艾滋病流行的重点工作。

[ Objective] To understand the epidemic situation of three sexually transmitted diseases （including AIDS, syphilis and hepatitis C） among female commercial sex workers { CSWs } in municipal entertainment places in Hezhou City, and its related risk behaviors. [ Methods ] The professional and technical personnel who have received the training performed the spot questionnaire sur- vey in the entertainment places, and collected the blood samples to detect the antibodies of AIDS, syphilis and hepatitis C. All the results were put into the national sentinel surveillance client software and Guangxi CSWs sentinel problem database （ EpiData }, and the data were analyzed by Excel 2003 and SPSS17.0 software. [ Results ] A total of 400 CSWs were detected from April to June 2012, 12 people were positive for HIV, 48 people were positive in syphilis toluidine red unheated serum test （ TRUST} , and 8 peo- ple had the hepatitis C antibody. All of 12 CSWs with HIV antibody were found in low-grade places. The infection rate of HIV in middle and low-grade places was 0 and 4.51% respectively, and the difference was significant （ X2 = 4.778, P 〈 O. 05 ）. The posi- tive rate of HIV antibody in urban and rural places was 1.94% and 6.67% respectively, and the difference was significant （ x2 = 3. 863, P 〈0.05 ）. The infection rate of syphilis in middle and low-grade places was 3.73% and 16.17% respectively, and the difference was significant （X2 = 13. 046, P 〈 0.01 }. The infection rate of syphilis in urban and rural places was 7.10% and 28.89% respectively, and the difference was significant （ X2 = 31. 361, P 〈 0.01 ）. [ Conclusion] CSWs in low-grade places are the high risk population for infection and spread of sexually transmitted diseases. In future, the publicity and intervention should fo- cus on the low-grade places, especially rural low-grade places, and the key point of AIDS prevention is the publicity about correct use of condom during whole course in all situations among commercial sex workers and their clients.