2018年云南某市暗娼人群哨点监测结果分析

Analysis of Sentinel Surveillance Results Among Female Sex Workers in One City of Yunnan Province

目的:了解不同层次暗娼人类免疫缺陷病毒(HIV)、梅毒感染情况和商业性性行为安全套使用情况差异及影响因素。方法:2018年4月至6月采用社区概率抽样方法(PPS法),对暗娼哨点进行横断面调查,共400人,收集人口学及高危行为等信息。结果:暗娼人群年龄中位数为29岁,多处在性活跃年龄,未婚者居多,文化程度低,流动性大;HIV抗体检出率为1.0%,梅毒检出率为2.5%;商业性性行为发生时,安全套使用率为95.5%,影响安全套坚持使用的危险因素是最近一年内未获得过同伴教育和未做过HIV检测咨询。结论:暗娼人群HIV、梅毒感染情况保持相对稳定的状态,不同层次暗娼安全套坚持使用率具有差别,有必要加大对该人群的干预力度。

Objective:To investigate the differences and influencing factors of HIV and syphilis infections and condom use in commercial sexual activities of different levels female sex workers(FSWs). Methods:From April to June 2018, PPS method was used to conduct a cross-sectional survey on the FSWs outposts with a total of 400 people. Demographic and high-risk behaviors and other information were collected. Results:The median age of FSWs was 29 years old, and most of them were sexually active, unmarried, and with poor education and high mobility. The detection rate of HIV antibody was 1.0% and syphilis was 2.5%. At the time of commercial sex, the rate of condom use was 95.5%, and the risk factors for consistent condom use were not having or receiving partner education and not having HIV testing consultation in the last year. Conclusion:HIV and syphilis infection among FSWs remained relatively stable, and condom adherence rates of FSWs at different levels were different. Therefore, it is necessary to strengthen the intervention for this population.