广西防城港市2017年中越女性性工作者艾滋病哨点监测结果

Analysis of HIV/AIDS sentinel surveillance among Chinese and Vietnamese female sex workers in Fangchenggang, Guangxi, 2017

目的了解防城港市2017年中越女性性工作者(Female sex worker,FSW)人群哨点监测情况和行为学特征的差异,为制定FSW的性病、艾滋病防治干预策略提供科学依据。方法从哨点系统数据库中收集2017年防城港市女性性工作者监测数据,按照研究对象国籍分为中国籍和越南籍两组,比较这两组人群的人口学信息、血清学检测结果、艾滋病相关知识知晓率、艾滋病相关行为学的差异及影响因素。结果此次调查的FSW共759名,其中,中国籍632名,年龄17～55岁,平均年龄(30.92±8.28)岁;越南籍127名,年龄16～57岁,平均年龄(29.43±8.71)岁;越南籍FSW HIV阳性率(2.36%)高于中国籍FSW(0.63%),但差异无统计学意义(P=0.176);越南籍FSW在场所档次、文化程度、艾滋病知识知晓率等均低于中国籍FSW,差异均有统计学意义(P<0.05)。多因素分析得出场所档次高(OR=3.395,95%CI:1.064～0.838)、前一个工作地点为本市(OR=3.802,95%CI:2.443～5.916)、接受过安全套宣传和发放/艾滋病咨询与检测干预(OR=19.196,95%CI:5.755～64.028)以及艾滋病知晓率高(OR=4.044,95%CI:1.848～8.849)是安全套使用的促进因素。结论防城港市在今后对FSW的性病艾滋病防控重点为低档场所中的低文化程度、未接受过艾滋病相关干预项目和艾滋病知识知晓率低的FSW,另外还需着重提高全体FSW每次性行为时都坚持使用安全套的频率。

Objective To investigate the differences in sentinel surveillance and behavioral characteristics between the Chinese and Vietnamese female sex workers in Fangchenggang City in 2017, and to provide scientific evidence for the formulation of female sex workers’ STDs and AIDS prevention and intervention strategies. Methods The subjects were collected from female sex workers monitoring system from April to July 2017 in Fangchenggang City, and divided into two groups according to their nationality, including Chinese and Vietnamese. The two groups’ demographic information, serological test results, awareness rate of AIDS knowledge, and AIDS related behavioral were compared by Chi-square test and/or Studentt test. Results A total of 759 FSW were investigated, of which 632 Chinese FSW had an average age of(30.92±8.28)(17-55 years old),and 127 Vietnamese FSW had an average age of(29.43±8.71)(16-57 years old);The HIV positive rate of Vietnamese FSW was 2.36%, which was higher than 0.63% of Chinese FSW(P=0.176);the place grade, education level, AIDS knowledge rate of Vietnamese FSW were significantly lower than those of Chinese FSW(P<0.05). Multivariate analysis showed that high place grades(OR = 3.395,95%CI:1.064-0.838), previous duty station was this city(OR= 3.802,95%CI:2.443-5.916), condom promotion, HIV/AIDS counseling and testing intervention(OR=19.196,95%CI:5.755-64.028) and high awareness of AIDS(OR=4.044,95%CI:1.848-8.849) were the contributing factors for condom use. Conclusions The future prevention and control of STDs andAIDSamongFSWinFangchenggangCitywillfocusontheFSWwithlow-education,low-level and not received AIDS-related interventions and low awareness of AIDS. And it is necessary to focus on increasing the frequency of condom use in all FSW.