摘要
目的了解合肥市不同类别商业性性工作者人口学特征、艾滋病相关知识、行为态度和艾滋病病毒(HIV)感染现状。方法采用双阶段整群抽样方法抽取场所和样本,使用调查问卷面对面调查,采血检测HIV抗体和梅毒抗体。结果采样检测358人,HIV抗体检测结果均为阴性,梅毒RPR初筛阳性者27人,阳性率为7.7%。问卷调查364名,不同类别CSW的年龄、家庭住地、文化程度略有不同。发现部分调查对象对艾滋病感染危险性认识不清。CSW在与客人发生性行为时安全套使用率较高;但在与固定性伴发生性行为时每次安全套使用率较低。调查对象中一天接客最多为15人;一周接客最多为35人。初次性行为年龄低于16岁的有13.5%,首次从事性服务年龄低于16岁的有4.4%。22%的调查对象近1 a患过性传播疾病。结论在干预活动时应考虑不同层次人群特点,采取不同策略。安全套的社会定义需要发生改变,需要新的理解、发展和提升:安全套是针对疾病的,并不包括滥交、卖淫和疏远等这样的社会定义。无论在何种性关系中,安全套都应该是不可或缺的部分。
Objective To understand the demographic of commercial female sex workers and the level of AIDS related knowledge, attitude of their high risk behavior and the status of HIV infection in Hefei. Methods Different high risk sites and the samples were selected by two-stage cluster sampling. All the samples were screened by HIV antibody test and RPR. Results No HIV infection was found in a total of 358 samples, with 27 samples infected syphilis, which the txasitive rate was 7.7 %. There existed certain discrepancies in the age, home address, culture level among 364 CSWs. Some samples didn＇t recognize the danger of AIDS and HIV infection. The condom use rate each time was higher with their commercial sex partners but lower with boy-friends or husbands. Among the interviewed samples, the largest number of partners were 15 per day and 35 per week. The percentage of the first sex behavior under aged 16 was 13.5%, while 4.4% for those serving as commercial. 22 % had suffered from STD in the past one year. Conclusions Different strategies should be developed for intervention. Condoms were used to prevent disease, not to mean the deftnition of commercial sex or unintemate. Condoms should be used in any cases no matter what the relation of the two were.
出处
《疾病控制杂志》
2005年第6期580-583,共4页
Chinese Journal of Disease Control and Prevention
关键词
性行为
艾滋病
危机干预
Sex behavior
Acquired immunodeficiency syndrome
Crisis intervention
