2013年浙江省绍兴市暗娼哨点监测结果分析

目的了解浙江省绍兴市暗娼艾滋病知识知晓率、高危行为发生情况及其影响因素,艾滋病病毒、梅毒和丙型病毒性肝炎(丙肝)感染状况,为制定艾滋病综合防治策略提供依据。方法依据《全国艾滋病哨点监测实施方案》要求,调查对象为2013年4 6月在各类高危场所从事商业性性服务的女性,于绍兴市下辖6个区、县(市)开展暗娼人群问卷调查和血清学检测。结果本次监测共调查2423人,HIV和梅毒抗体阳性率分别为0.04%、1.9%,未发现丙肝抗体阳性;艾滋病知识知晓率为90.7%,蚊虫叮咬是否会传播艾滋病知晓率最低,为76.1%。多因素logistic回归分析发现,艾滋病知识知晓率与暗娼年龄、工作场所档次、文化程度和本地工作时间有关。最近1年接受过艾滋病宣传、同伴教育和艾滋病检测比例在不同档次暗娼间差异有统计学意义(χ2=9.336,P=0.009;χ2=59.513,P0.001;χ2=8.032,P=0.018)。结论年龄大、工作场所档次和文化程度低、本地工作时间短的暗娼艾滋病知识知晓率较低,低档次暗娼接受艾滋病宣传教育和检测率较低,提示对于不同特征、特别是低档次暗娼要持续开展干预和综合防治工作。

Sentinel surveillance for AIDS among female sex workers in Shaoxing,2013

Objective To understand the awareness of AIDS related knowledge, prevalence of risk behaviors and related factors, infection status of HIV, syphilis and HCV among female sex workers （FSWs） in Shaoxing and provide evidence for the comprehensive prevention and control of AIDS. Methods According to the national AIDS sentinel surveillance protocol （2012 edition）, questionnaire survey and serological detection were conducted among FSWs in six counties of Shaoxing from April to June,2013. Results Totally 2423 FSWs were surveyed in 2013. The HIV, syphilis infection rates were 0. 04% and 1.9% respectively, but no HCV positive FSWs were detected. The awareness rate of AIDS related knowledge was 90. 7%, but only 76. 1% of FSWs knew “whether mosquito can transmit HIV or not”. Multivariate logistic regression analysis indicated that the awareness of AIDS related knowledge was associated with the age, grade, educational level and local residence duration of the FSWs, but the grade specific differences in receiving health education, peer advise and HIV detection during the past year among FSWs were statistical significant （X^2 = 9.336,P =0.009; X^2 = 59.513,P 〈 0.001; X^2 = 8.032,P =0.018）. Conclusion Older age, low grade, low educational level and short local residence were closely related with tow awareness of AIDS related knowledge in FSWs in Shaoxing, it is necessary to conduct targeted AIDS prevention and control among FSWs.