内科

【摘要】目的分析广西来宾市945名低档暗娼的艾滋病感染状况及其影响因素，为制定干预措施提供决策依据。方法对来宾市辖区的945名低档暗娼进行问卷调查，收集调查对象的社会人口学资料、艾滋病知识知晓率、性行为等基本信息，采集调查对象的血样，检测HIV抗体。结果来宾市低档暗娼平均年龄（38.2±7.6）岁，以小学及小学以下文化为主（89.2%）；最近一次性行为安全套使用率为93.2%，最近1个月性行为时坚持使用安全套比例为88.4%；HIV抗体阳性检出率为2.6%；多因素logistic回归分析结果显示，最近1个月使用安全套频率是HIV感染的保护因素。结论来宾市低档暗娼年龄偏大，文化程度低，与客人发生商业性行为时坚持使用安全套频率不高，艾滋病危害意识淡薄，应加强对低档暗娼人群进行艾滋病宣传教育，提高其安全意识。

【Abstract】ObjectiveTo analyze the HIV prevalence and AIDSrelated risk factors among 945 lowgrade female sex workers in Laibin city, thereby to provide decisionmaking for making intervention measures. MethodsQuestionnaire was usesd to investigate 945 lowgrade female sex workers in Laibin city, the demographic data, information of AIDS knowledge, sexual behavior were gathered, and HIV antibody was tested. ResultsThe average age of the respondents was (38.2±7.6)years old, the educational level of the subjects major in primary school and below (89.2%); the rate of condom use during the last sexual intercourse was 93.2%, the rate of consistent condom use during commercial sex behavior was 88.4% in recent one month; the HIV antibody positive rate was 2.6%; the logistic regression analysis showed that the frequency of condom use in recent one month was the protective factor for HIV infection. ConclusionsOlder, low educational level, low rate of condom use, low awareness of AIDS are the characteristics of lowgrade female sex workers in Laibin city, the popularization of AIDS knowledge need to be strengthened among lowgrade female sex workers to improve their safety awareness.

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