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目的了解既往采供血艾滋病感染为主地区娱乐场所女性性工作者艾滋病、性病感染现状及防治知识知晓水平、高危行为特征,为防治策略的制定提供依据。方法 2009-2013年对信阳市娱乐场所女性性工作者开展问卷调查、干预和采样监测。结果连续5年共调查娱乐场所女性服务人员2 152人次,平均年龄为23岁,与客人发生商业性行为时每次使用安全套的比例仅为63.45%,检出HIV阳性2人,梅毒49例,丙肝阳性10例,艾滋病、梅毒、丙肝感染率分别为0.09%、2.28%、0.46%。结论信阳市娱乐场所女性性工作者已经有艾滋病、梅毒、丙肝的流行,对艾滋病防治相关知识的认识水平参差不齐,存在不安全性行为,加强对暗娼人群艾滋病防治知识的宣传教育和行为干预,控制艾滋病经性途径传播工作十分必要。
Objective To understand the status of HIV / AIDS and STD infection in entertainment venues and the level of knowledge on prevention and treatment, and the characteristics of high-risk behaviors in entertainment venues in the past, mainly to provide the basis for prevention and treatment strategies. Methods From 2009 to 2013, questionnaires, interventions and sampling monitoring were conducted on female sex workers in entertainment venues in Xinyang City. Results A total of 2 152 female service staffs were enrolled in entertainment venues for a total of 5 years. The average age was 23 years old. Only 63.45% of them used condoms when they were engaged in commercial activities. Two HIV positive persons, 49 syphilis cases, 10 cases of hepatitis C positive, AIDS, syphilis, hepatitis C infection rates were 0.09%, 2.28%, 0.46%. Conclusions Female sex workers in entertainment venues in Xinyang City have had epidemics of AIDS, syphilis and hepatitis C, and the level of awareness on HIV / AIDS prevention and treatment is variable. There are unsafe sex behaviors and publicity, education and behavioral interventions on HIV / AIDS prevention and treatment among FSW population It is very necessary to control the spread of AIDS through sexual transmission.