摘    要:目的：了解杭州市某区FSW人群的AIDS感染现状及知识行为特征并分析相关因素，为控制FSW人群中AIDS及相关性病的流行、制定有效防治措施提供合理科学根据。

对象与方法：通过监测三步抽样法，对FSW人群进行问卷调查和血清学检测，描述FSW人群的AIDS感染现状及知识行为特征，并2检验来比较低层场所和中高层场所的各因素。

结果： 两层次场所婚姻构成、户籍、文化差异、本地工作时间、前一个工作地有差异（P<0.001，P<0.001，P<0.001，P<0.001，P<0.001）。最近一次发生性交易时避孕套使用率为88.75％，低层FSW较低（P<0.001）。AIDS防治知识知晓率为97.00%，中高层较高（P=0.010）。最近一年曾检测过HIV抗体者占18.75%，低层FSW较高（P<0.001）。400份血样中HIV抗体无阳性，TP抗体和HCV抗体阳性率分别为2.25%和0.25%。

结论：FSW人群是HIV感染和传播扩散的重点人群。需加强对此人群干预，尤其是对低层FSW人群。加强宣教和行为阻断，针对性有效防控。

关键词：暗娼人群； 艾滋病； 知晓率； 行为特征； 分析

Abstract:Objective: To understand the status of AIDS infection and knowledge and behavior of FSW population in a certain district of Hangzhou and to analyze related factors, to provide reasonable scientific basis for controlling the prevalence of AIDS and related sexually transmitted diseases in FSW population and formulating effective prevention and treatment measures.

Method: By monitoring the three-step sampling method, questionnaires and serological tests were conducted on the FSW population to describe the status of AIDS infection and knowledge and behavior of the FSW population, and the Chi-square test was used to compare the factors in the low-level places and high-rise places. In the past year, 18.75% of the HIV antibodies were detected, and the low-level FSW was higher (P<0.001).

Result: There were differences in the marriage constitution, household registration, cultural differences, local working hours, and previous workplace in two levels of sites (P<0.001, P<0.001, P<0.001, P<0.001, P<0.001). Condom use was 88.75% in the most recent sexual transaction and low-level FSW was lower (P<0.001). The awareness rate of AIDS prevention and control knowledge was 97.00%, higher in the middle and high levels (P=0.010). 400 HIV-positive blood samples were not positive, and the positive rates of TP antibody and HCV antibody were 2.25% and 0.25%, respectively.

Conclusion: The FSW population is a key group for HIV infection and spread. There is a need to step up intervention in this population, especially for low-level FSW populations. Strengthen education and behavioral blocking, and effectively prevent and control targeted issues.

Keyword: Female sex workers；AIDS；Awareness Rate；Behavior characteristics；Analysis

目录

前 言 3

1. 对象与方法 4

1.1监测对象 4

1.2监测点的设置 4

1.3监测内容 4

1.4血样采集与检测 5

1.5质量控制和考评 5

1.6监测数据的收集、分析 5

2. 结 果 6

2.1样本分布 6

2.2社会人口学特征 6

2.3艾滋病相关知识知晓情况 9

2.4避孕套使用与找客情况 10

2.5吸毒行为特征 10

2.6性病史 11

2.7接受预防艾滋病干预服务情况 11

2.8最近一次进行艾滋病检测情况 11

2.9艾滋病、梅毒和丙肝感染状况 12

3. 讨 论 12

3.1一般人口学特征 13

3.2AIDS防治知识知晓情况 13

3.3行为学特征 13

3.4 HIV、TP和HCV感染状况 15

4. 结 论 15

参考文献 16

致 谢 18

杭州市某区暗娼人群艾滋病感染现状及知识行为特征分析

前 言

艾滋病 （获得性免疫缺陷综合征，acquired immunodeficiency syndrome，AIDS），是由艾滋病病毒，亦称为人类免疫缺陷病毒（human immunodeficiency virus，HIV）感染引起的，以T细胞免疫功能缺陷为主的一种混合性免疫缺陷病[1]。AIDS主要传播途径有三种（血液、性、母婴），这种传染病的致病死率极高，目前的医疗界还没有找到以治愈AIDS的药物和方法，但是积极的预防是最有效的措施。