【摘要】 目的了解江西省不同类型低档暗娼的构成特征、行为和性病、获得性免疫缺陷综合征(艾滋病)知识及感染现状,探讨性病、艾滋病预防控制对策。方法采用分层抽样法,对江西省的站街女暗娼与固定低档场所暗娼的性病、艾滋病相关知识知晓情况、安全套使用情况、接受相关服务情况及性病、艾滋病患病情况进行调查,并采用SPSS19.0软件进行统计分析。结果共调查543名低档暗娼,其中站街女暗娼233人,固定低档场所暗娼310人。与站街女暗娼比较,固定低档场所暗娼呈现文化程度高、未婚者多、本省所占比例大(均P<0.01)。两类暗娼的艾滋病知识总体知晓率比较差异无统计学意义(P>0.05)。固定低档场所暗娼"最近一次"和"最近一个月"与客人发生性行为时使用安全套的频率均高于站街女暗娼(均P<0.05)。站街女暗娼接受预防艾滋病的宣传教育、培训等活动和生殖健康等方面知识的教育、培训的所占比例均高于固定低档场所暗娼(均P<0.05),但接受同伴宣传艾滋病知识和发放安全套所占比例低于固定低档场所暗娼(P<0.05)。两类暗娼最近一年出现性病相关症状后的就诊流向和性病患病率比较差异均无统计学意义(均P>0.05)。结论宜以安全套免费发放和性病、艾滋病知识教育、同伴教育等干预服务为重点,加强对站街女暗娼的干预,提倡安全性行为,提升安全套使用频率,有效抑制性病、艾滋病的发生与传播。更多还原

【Abstract】 Objective To understand the characteristics and behavior of different types of lowgrade female sex workers(FSWs)in Jiangxi Province and the current situation of sexually transmitted disease(HIV)/acquired immune deficiency syndrome(AIDS)knowledge and infection,and to provide a reference for STD/AIDS prevention and control.Methods Using stratified sampling method,a survey was conducted on STD/AIDS-related knowledge,condom use,access to related services and prevalence of STD/AIDS among street and fixed place low-grade FSWs.The statistical analysis was performed using SPSS19.0.Results A total of 543 low-grade FSWs were surveyed,including 233 street FSWs and 310 fixed place FSWs.Compared with street FSWs,the educational level,number of unmarried people,and proportion of native people significantly increased in fixed place FSWs(P<0.01).There was no difference in the overall awareness rate of STD/AIDS knowledge between street FSWs and fixed place FSWs(P>0.05).Street FSWs had less condom use than fixed place FSWs at the time of "the last" and "the last month" when they had sex with clients(P<0.01).Compared with fixed place low-grade FSWs,the proportion of people receiving publicity,education and training of AIDS prevention and reproductive health increased,but the proportion of people receiving peer education about AIDS awareness and condom distribution decreased in street FSWs(P<0.01).No differences were found between street FSWs and fixed place FSWs in the behavior of seeking medical treatment after appearing STD-related symptom,as well as in the prevalence of STD(P>0.05).Conclusion The emphasis for preventing the occurrence and spread of STD/AIDS should be laid on the free distribution of condoms,STD/AIDS knowledge education,peer education and other intervention services to strengthen the intervention on street FSWs,promote safe sexual behavior,and enhance the frequency of condom use.更多还原