摘要
目的了解天津市低档场所女性性服务者(FSW)人类免疫缺陷病毒(HIV)、梅毒螺旋体(TP)、丙型肝炎病毒(HCV)的流行现状及影响因素。方法 2013—2014年每年的4—6月对天津市3个区县采用分层多阶段整群抽样方法,对低档场所FSW进行问卷调查和血清学检测。结果共监测1 377人,平均年龄为(33.20±8.755)岁,艾滋病知识知晓率为60.7%(836/1 377),最近1个月与客人发生性行为时每次均使用安全套的比例为81.4%(1 121/1 377),最近1年接受检测比例仅为27.3%(295/1 081);HIV、TP和HCV阳性检出率分别为0.1%(2例)、7.6%(104例)和1.4%(19例)。汉族(OR=0.261,95%CI=0.141~0.486)与最近1个月与客人发生性行为时每次均使用安全套(OR=0.491,95%CI=0.314~0.769)为FSW感染TP的保护因素,最近1年被诊断患过性病(OR=8.120,95%CI=2.815~23.423)为感染TP的危险因素。结论天津市低档场所FSW接受HIV检测的比例较低,艾滋病知识知晓率低,感染性病艾滋病的风险较大。
Objective To examine prevalences of human immunodeficiency virus （HIV）,Treponema pallidum （TP）,and hepatitis C virus （HCV） infection and their associated factors among female sex workers （FSWs） in low-grade entertainment venues in Tianjin city.Methods With stratified multistage cluster sampling,two waves of questionnaire survey and serological detection were conducted among 1 377 FSWs recruited from low-grade entertainment venues in 3 districts and county between April to June in 2013 and 2014.Results The average age of the FSWs surveyed was 33.20±8.755 years.Among the FSWs,the awareness of AIDS-related knowledge was 60.7% and the proportion of condom use in every commercial sex during the latest month was 81.4%;the ratio of receiving HIV test during the previous one year was only 27.3%;and the positive rate of HIV,TP,and HCV infection were 0.1%,7.6%,and 1.4%,respectively.The results of binary logistic regression analysis showed that the protective factors of TP infection among the FSWs included Han nationality （odds ratio [OR]=0.261,P〈0.001）,using condom in every commercial sex during the latest month （OR=0.491,P=0.002）;while being diagnosed with sexually transmitted disease during the previous one year was a risk facotr （OR=8.120,P〈0.001）.Conclusion The FSWs in low-grade entertainment venues in Tianjin city had low AIDS-related knowledge and low HIV detection rate,suggesting that the FSWs are at a high risk of HIV infection.
作者
郭燕
张天璐
周宁
GUO Yan ZHANG Tian-lu ZHOU Ning(Department of AIDS/STD Control and Prevention, Tianjin Municipal Center for Disease Control and Prevention, Tianjin 300011 ,China)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2017年第3期373-376,共4页
Chinese Journal of Public Health
