浦东新区低中档暗娼HIV和梅毒感染情况及安全套使用影响因素

发布时间：2018-08-22 13:01

【摘要】：目的了解影响浦东新区低中档暗娼人群(FSW)安全套使用的因素,及艾滋病病毒(HIV)、梅毒的感染情况,为调整该人群的干预方案提供依据。方法将浦东新区按照合并前的两个行政区划分为南片(原南汇区)和北片(原浦东新区)。用方便抽样,分别在南、北片低中档高危场所内招募FSW,参加一对一、面对面的问卷调查(包括人口学特征、行为、干预等信息)和HIV及梅毒螺旋体的血清学检测。结果南、北片各有400名和406名FSW完成问卷调查及血清学检测。北片FSW的平均年龄为(31.8±7.5)岁,南片为(34.9±7.9)岁;北片FSW的文化程度在初中及以上者占80.0%,南片为61.3%;北片未婚者比例为27.6%,南片为15.0%。FSW来自低档场所的比例,南片为70.8%,北片为55.9%。此次调查中,有1名FSW为HIV抗体阳性,24名FSW(南、北片分别为18人和6人)感染梅毒。南、北片FSW近一个月商业性行为坚持用套的比例分别是55.3%和61.1%。在调查前30天商业性行中,北片FSW坚持使用安全套的可能性是南片FSW的2.783倍[95%可信区间(CI):1.696~4.566];接受外展干预次数较多的FSW更可能坚持用安全套[比值比(OR)=2.097,95%CI:1.450~3.034];且接受干预平均时间在5分钟以上的FSW,更可能在商业行中坚持使用安全套(OR=1.351,95%CI:1.137~2.658)。结论浦东新区中低档FSW的HIV、梅毒呈低流行,但安全套使用比例仍有待提高;片区和干预是影响FSW安全套使用的重要因素,FSW的社区干预需兼顾社区、片区特点。
[Abstract]:Objective to investigate the factors affecting (FSW) condom use and HIV / AIDS (HIV), syphilis infection among low and middle class prostitutes in Pudong New area, and to provide evidence for adjusting the intervention scheme. Methods Pudong New area was divided into two administrative regions: Nanping (former Nanhui) and Beiping (former Pudong New area) according to the two administrative districts before the merger. Using convenience sampling, FSWs were recruited in low-middle risk sites in the north and south, and participated in one-to-one, face-to-face questionnaire survey (including demographic characteristics, behavior, intervention information), serological detection of HIV and Treponema pallidum (Treponema pallidum). Results there were 400 and 406 FSW patients in the south and north respectively completed the questionnaire and serological examination. The average age of FSW was (31.8 卤7.5) years and (34.9 卤7.9) years, the educational level of FSW was 80.010 in junior middle school and above, 61.3 in south, 27.6in north, 70.88in south and 55.9in north. In this survey, 1 FSW was HIV antibody positive and 24 FSW (18 in the south and 6 in the north) were infected with syphilis. In the last month, 55.3% and 61.1% of the FSW in the south and the north respectively insisted on using the bushing. 30 days before the survey, North FSW was 2.783 times more likely to insist on condom use than Southern FSW [95% confidence interval (CI): 1.696 4.566]; FSW with more outreaching intervention was more likely to insist on condom use than (OR) 2.09795% CI: 1.450,3.034; and FSWs with average intervention time of more than 5 minutes were more likely to adhere to condom use. They are more likely to stick to condoms in business (ORX 1.351C 95 CI: 1.137U 2.658). Conclusion there is a low prevalence of syphilis in middle and low grade FSW in Pudong New area, but the proportion of condom use still needs to be improved.
【作者单位】：浦东新区疾病预防控制中心复旦大学浦东预防医学研究院;
【基金】：上海市卫生和计划生育委员会科研项目(201540408) 浦东新区疾病预防控制中心卫生科技项目(PDCDC-2015-23)~~
【分类号】：R512.91;R759.1

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