摘要
目的了解影响娱乐场所服务小姐性病感染的主要因素,以利提高性病艾滋病干预的效果。方法对福州市区18家中高档娱乐场所的149名服务小姐进行性病检查、治疗和访谈。结果查出衣原体和(或)淋菌感染共42例,检出率28.2%。有“主诉阴道分泌物异常”、“体检见阴道有脓性分泌物”、“宫颈口有脓性分泌物”表现的小姐,衣原体和(或)淋菌感染率较高。最近1次使用安全套者比未使用者衣原体和(或)淋菌感染检出率略低。结论“阴道分泌物异常”、“阴道有脓性分泌物”、“宫颈口有脓性分泌物”3种临床表现是服务小姐感染衣原体、淋菌的影响因素。为提高性病艾滋病干预效果,在干预时,可针对有上述3种临床表现的服务小姐给予性病治疗药物,开展预防性治疗,以便通过及时降低性病感染率控制艾滋病传播。鉴于安全套使用也是性病感染的影响因素,应在服务小姐中积极推广使用安全套。
Objective To investigate risk factors of sexually transmitted infections （STI） in female sex workers （FSWs）,with a view to improving STI intervention for this population. Methods Were detected and treated in 149 FSWs recruited from 18 entertainment establishments in Fuzhou,Fujian Province. In-depth interview was conducted. Resuits Sixty-six （44.3%） FSWs had at least one infection,among which chlamydial and/or gonococcal infections account ed for 27.5 % （41 cases）. They eomplainted of abnormal vaginal discharge,and purulent vaginal discharges detected during phylcal examinations and purulent cervical discharges were more likely to have been associated with chlamydial and/or gonocoeeal infections. Those who used condom in their last sex intercourse were less likely to have such infections. Conclusion Three factors i. e, complaints of abnormal vaginal discharges,purulent vaginal discharges delected during physical examinations,and cervical purulent discharges, could indicate chlamydial and/or gonococcal infections in FSWs. To improve the effects of STI interventions,it is suggested that STI treatment be given to those who are faced with the above 3 risk factors. Preventive STI treatment to reduce STI incidence could contribute to AIDS control. Since condom use is also one of important factors determining STI incidence,it should be promoted as an essential intervetion.
出处
《中国艾滋病性病》
CAS
2006年第1期44-46,共3页
Chinese Journal of Aids & STD
基金
世行贷款卫九项目资助课题
关键词
娱乐场所服务小姐
性病
影响周素
Female sex workers
Sexually transmitted infections
Risk factor
