摘要
目的分析我国暗娼人群艾滋病相关行为变化及艾滋病病毒（HIV）感染流行趋势，为艾滋病综合防治和科学干预提供信息和依据。方法对2004--2008年连续开展监测的15个国家级暗娼综合监测点，在监测期内以重复横断面调查的方法对社区娱乐场所及街头的暗娼人群进行问卷调查并采血，每个监测点每轮调查的样本量约为400例。结果2004--2008年连续监测的15个国家级暗娼综合监测点，5年间监测对象HIV抗体阳性检出率（中位数）均为0．0％；梅毒抗体阳性检出率（中位数）分别为：0．5％、1．8％、1．6％、1．8％和1．O％。最近1次商业性行为安全套使用率（中位数）分别为：81．8％、80．5％、84．6％、87．O％和88．9％；最近1个月商业性行为坚持使用安全套的比例（中位数）分别为：65．8％、59．6％、60．3％、59．8％和73．7％。艾滋病知识知晓率（中位数）分别为：74．3％、84．1％、65．2％、66．O％和74．3％；接受过HIV检测并知晓检测结果者的比例（中位数）分别为：12．4％、20．4％、25．8％、25．3％和31．7％；最近1年接受过干预服务者的比例（中位数）分别为：46．4％、76．1％、72．1％、95．O％和90．8％。结论暗娼人群商业性行为坚持使用安全套的比例和艾滋病知识知晓率有待于进一步提高。接受过HIV检测并知晓检测结果和最近1年接受过干预服务者的比例呈上升趋势。HIV感染率总体水平低，但高危行为状况不容乐观，需不断开展干预和综合防治工作。
Objective To monitor the time trend of behaviors change related to HIV/AIDS epidemic and HIV prevalence, and to provide information and basis for comprehensive HIV prevention responses and evaluation of intervention effectiveness among female sex workers in China. Methods During the year of 2004 to 5008, a series of cross-sectional surveys were conducted among female sex workers in community recruited in both entertainment places and in street, during the defined timeframe, a face-to-face interview was conducted with uniformed questionnaire; while, the venous blood specimen was collected. The sample size was 400 per site per survey. Results In 15 continuous national HIV comprehensive surveillance sites among female sex workers from 2004 to 2008, the median of HIV prevalence was 0. 0% ; Prevalence （median） of syphilis respectively： 0. 5% , I. 8% , 1.6% , 1.8% and 1.0%. The median of target subjects who used condom in the last commercial sex was： 81.8%, 80.5%, 84.6%, 87.0% and 88.9% respectively;the median of always used condom in commercial sex during the last month： 65.8% ,59. 6%, 60. 3% ,59. 8% and 73.7%. The median of awareness rate on HIV/AIDS transmission of female sex workers was： 74.3% ,84. 1% ,65.2% ,66. 0% and 74. 3%. The median of target subjects who attended HIV VCT services were： 12.4% ,20.4% ,25.8% ,25.3% and 31.7%. The median of the proportion of female sex workers who reached intervention in last year respectively： 46.4% ,76. 1% ,72. 1% ,95.0% and 90. 8%. Conclusion Condom use and HIV awareness rate need to enhance further among female sex workers. The proportion of female sex workers who attended VCT and knew their HIV testing result and the proportion of female sex workers who reached intervention in last year both increase. HIV prevalence rate among female sex workers is generally low, but high risk behaviors are still alarming. It is necessary to take more comprehensive and effective prevention measures and intervention.
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2009年第11期1009-1015,共7页
Chinese Journal of Preventive Medicine
关键词
HIV
人群监测
危险性行为
监测
免疫学
HIV
Population surveillance
Unsafe sex
Monitoring,immunologic
