417例女性性服务者感染艾滋病性病情况调查

Analysis on STD and HIV infection situation in 417 female sex workers

目的 了解掌握提供或可能提供性服务的女性感染艾滋病性病情况以及在商业性性行为中使用安全套情况 ,为针对此类人群开展行为干预提供科学依据。方法 调查某市提供或可能提供商业性性服务的女性 ,选取符合者 4 17例 ,按服务方式分为“娱乐场所性服务者”和“路边性服务者”两类。分别采集血液和阴道分泌物标本 ,进行HIV、梅毒、衣原体感染检测和淋球菌、念珠菌涂片及培养鉴定。问卷调查她们在商业性性行为中使用安全套的情况。结果 4 17例中尚未发现感染HIV者 ,感染 1种或多种性病的占 18.94 % ,其中感染梅毒者为 7.38% ,感染淋病的为3.5 7% ,感染衣原体的为 10 .95 %。路边性服务女性性病总感染率为 5 0 .0 0 % ,远比娱乐场所性服务女性感染率高 ,路边性服务女性安全套使用率比娱乐场所性服务女性低。结论 路边性服务女性感染性传播疾病的危险性比娱乐场所性服务女性的危险性大 ,应有针对性的进行安全性行为干预。

Objective To understand the infection situation of STD and HIV in sex workers and the rate of condom use in commercial sexual activities and provide scientific basis for conducting interventions on behaviours of this population.Methods A total of 417 sex workers were selected by random sampling method and classified into two types,working for commercial sexual activities in fixed entertainment places and finding clients beside streets.Their specimen of blood and vagina secrete were collected for HIV,syphilis and mycoplasma examination,Neisseria gonorrhoeae and candida albicans culture and diferentiation .The situation of condom use in commercial sexual activities was also investigated by questionaires.Results No HIV positive was detected,but the rate of the sex workers infected with one or several STD was 18.94%,among of which the infection rate of syphilis was 7.38%,gonorrhoeae 3.57%and mycoplasma 10.95%.The infection rate in sex workers on the street for clients was 50.00%,higher than that of working in fixed entertainment places.The condom use rate in the former was lower than that in the later.Conclusion The risk of HIV infection in sex workers on street for clients was higher than that in fixed entertainment places.