摘要
目的分析重庆市荣昌区两类不同涉性场所女性性工作者(FSW)艾滋病病毒(HIV)感染状况及安全套使用影响因素,为探索FSW人群干预措施,促进安全套的使用,有效控制HIV经性传播提出针对性的策略提供依据。方法2016-2018年,依托重庆市荣昌区社会组织参与艾滋病基金项目对两类不同涉性场所FSW人群开展抽样调查,同时采集外周静脉血样本进行HIV检测,并对安全套使用状况影响因素进行分析。涉性场所的类别根据单次交易价格而定,80元以下为A类,80~200元为B类。结果2016-2018年,抽样调查共完成两类不同涉性场所FSW人群HIV检测125人,检测阳性率为6.4%(8/125),其中A类涉性场所FSW人群阳性率为13.3%(6/45),B类涉性场所FSW人群阳性率占2.5%(2/80),差异有统计学意义(P<0.05)。两类涉性场所FSW人群最近1个月商业性行为坚持每次使用安全套率总体为65.6%(82/125),其中A类涉性场所FSW人群为35.6%(16/45),B类涉性场所FSW人群为82.5%(66/80),差异有统计学意义(P<0.05)。多因素结果显示,年龄、文化程度、涉性场所类别、艾滋病基本知识知晓状况是FSW人群最近1个月商业性行为坚持每次使用安全套的影响因素(P<0.05)。结论重庆市荣昌区A类涉性场所、大龄女性性工作者HIV感染率较高,安全套使用率低,是今后干预工作的重点。
Objectives First of all,analyzing the status of human immunodeficiency virus(HIV)infection and the factors of condom use among two types of female sex workers(FSW)in Rongchang district,Chongqing.In addition.the results of the analysis provide a basis for exploring FSW population interventions,promoting the use of condoms and proposing targeted strategies to effectively control HIV sexual transmission.Methods In 2016-2018,relying on the participation of Chongqing Rongchang district social organizations to participate in the AIDS Fund project,a sample survey was conducted on different types of FSW populations.Peripheral venous blood samples were collected for HIV testing.Factors affecting condom use was also analyzed.The types of sexual venues are determined based on the single transaction price.Below 80 yuan was classified as A,and 80-200 yuan was classified as B.Results In 2016-2018,125 samples survey completed for HIV tests in two different types of FSW populations,and the positive rate was 6.4%(8/125).Among them,the positive rate of type A was 13.3%(6/45)and of type B was 2.5%(2/80)(P<0.05).The proportion of persistent condom use in commercial sex in the last month was 65.6%(82/125).Among them,the condom use rate for type A was 35.6%(16/45),and of type B was 82.5%(66/80).Multivariate results showed that age,education level,the place of sexual service,and knowledge of AIDS were factors influencing the use of condom in commercial sex(P<0.05).Conclusions There was a high rate of HIV infection and a low rate of condom use in the type A FSW and older FSW in Rongchang district,Chongqing.These groups should the focus of interventions in the future.
作者
朱勇
马凤勋
贺学俊
张波
邱建平
卢胜
ZHU Yong;MA Feng-xun;HE Xue-jun;ZHANG Bo;QIU Jian-ping;LU Sheng(Chongqing Rongchang District Center for Disease Con trol and Prevention,Chongqing 402460;Chongqing Rongch ang District People's Hospital,Chongqing 402460,China)
出处
《热带医学杂志》
CAS
2020年第4期562-566,共5页
Journal of Tropical Medicine
基金
社会组织参与艾滋病防治基金(2016-2017500226PYDFSW002345-2018)。
