2009-2013年峨眉山市女性性工作者艾滋病知识行为初步调查

Preliminary study of HIV/AIDS knowledge and behavior among female sex workers in Emeishan City,2009-2013

目的分析峨眉山市不同场所女性性工作者(female sex workers,FSWs)对艾滋病相关知识行为和HIV等疾病感染情况,为健康教育和行为干预提供科学依据。方法采用比例分层随机抽样法抽取不同场所,再采用整群抽样(≤25人)或方便样本法(>25人)抽取调查对象,高档场所568例(32.6%)、中档场所984例(56.4%)和低档场所193例(11.1%),共计1 745例FSWs接受问卷调查血清学检测。结果不同场所FSWs以20~30岁的未婚(66.3%)和初中文化程度居多(60.6%),从事商业性交易时间以1~6月为主。不同场所FSWs艾滋病知识知晓率分别为高档场所75.2%、中档场所79.0%、低档场所67.9%,差异有统计学意义(P<0.01)。FSWs最近一月内从事性交易时安全套使用率在高档场所(59.5%)、中档场所(65.5%)和低档场所(59.1%),差异有统计学意义(P<0.05),不同场所FSWs静脉/肌肉注射吸毒行为(1.2%、2.1%、4.1%)差异有统计学意义(P<0.05)。FSWs的梅毒抗体阳性率在不同场所(4.8%、5.9%、10.4%)差异有统计学意义(P<0.05)。结论不同档次场所FSWs对艾滋病知识知晓率和安全套使用率均较低,应对不同档次场所的FSWs采取针对性的健康教育和行为干预。

Objective To analyze the HIV/AIDS related knowledge and behavior, the infection of HIV and other diseases a- mong female sex workers （ FSWs ） in different places in Emeishan City so as to provide a scientific basis for health education and behavior intervention. Methods Different sites were selected by proportional stratified random sampling, and then FSWs were selected by cluster sampling （ for risk sites having 25 persons or less } or convenience sampling （ for risk sites having more than 25 persons）. Questionnaire surveys and serological testing were conducted among 1,745 FSWs, including 568 （32.6%） , 984 （ 56. 4% ） and 193 （ 11.1% ） respectively from high-, middle- and low-grade places. Results Most of the FSWs were unmar- ried adults aged 20-30 years （ 66.3% ） , adults with educational background of junior middle school C 60.6% ） , and adults engag- ing in commercial sexual behavior for 1-6 months. The awareness rates of AIDS-related knowledge of FSWs in the high-, middle - and low-grade places were 75.2%, 79.0% and 67.9% respectively, and the differences were statistically significant （P〈0.01）. The rates of condom using during commercial sexual behavior in FSWs from the high-grade places （ 59.5% ） , middle-grade places （65.5%） and low-grade places （59.1%） showed statistically significant differences （P〈0.05 ）. So were the prevalence of vein/in- tramuscular injection drug abuse （ 1.2%, 2.1% and 4.1% ） and the positive rate of antibody against syphilis （ 4.8%, 5.9% and 10.4% ）. Conclusions The awareness rates of AIDS-related knowledge and the rates of condom use in FSWs from different places in Emeishan City in 2009-2013 were all low. It is necessary to conduct targeted health education and behavioral intervention among FSWs from different places.