450名公共娱乐场所女性性工作者性病／艾滋病认知行为和患病状况的调查分析

Cognitive behavior and sickness status of STD/AIDS of 450 female sex workers in entertainment places

目的了解清新区女性性工作者对性病／艾滋病传播和预防的知识知晓率、安全套使用及患病情况，为制定该区的性病／艾滋病防控措施提供科学依据。方法2008-2012年对该区公共娱乐场所中的女性性工作者采用随机整群抽样，进行统一问卷调查。采用ELISA检测方法检测梅毒及HIV抗体。使用Epidata3．0和SPSS13．0进行统计分析。结果在清新区共调查450人，该人群对性病／艾滋病传播和预防知识知晓率为65．11％（293／450），其中接受过干预的人知晓率为73．93％（156／211），未接受干预的人群知晓率57．32％（137／239），差异有统计学意义（χ2=13．61，P〈0．01）。近一周与商业性伴发生性行为时每次使用安全套比例为83．92％，安全套正确使用率为81．12％（348／429）。该人群梅毒抗体阳性率为4．67％（21／450），HIV抗体检测均为阴性。结论清新区女性性工作者性病／艾滋病知识知晓率不高，仍存在高危行为，应加强对该人群性病，艾滋病的防控干预。

Objective To investigate the knowledge level and behavior about STD/AIDS of female sex workers in entertainment industry at Qingxin District and provide scientific basis for STD/AIDS prevention and control. Methods A unified questionnaire was used to anonymously investigate female sex workers in entertainment industry at Qingxin District from 2008 to 2012, and the data was analyzed with Epidata 3.0 and SPSS 13.0. The antibody of STD/AIDS was tested with ELISA method. Results 450 respondents were investigated, the awareness rate of core issue about AIDS-related knowledge was 65.11% （293/450）, while the awareness rate of those who had and hadn＇t received intervention was 73.93% and 57.32% respectively, with a statistical difference （χ 2=13.61,P〈0.01）. 83.92% sex workers used condom during commercial sexual activity. 4.67% of the sex workers were positive in STD, and no one in HIV. Conclusions The awareness of AIDS-related knowledge of female sex workers at Qingxin District is low, and the high risk activity still exists. Prevention and control measures on HIV/AIDS for female sex workers should be strengthened.