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目的:了解广东省某市暗娼人群对艾滋病相关知识的知晓情况和危险行为,探讨安全套使用的影响因素,为制定针对暗娼人群的干预措施提供依据。方法:采用时间空间抽样法招募社区内暗娼305名,采用统一的问卷面对面访谈的方式进行调查,采集血液进行梅毒螺旋体和HIV抗体的检测,采用Logistic回归分析法探索影响安全套使用的危险因素。结果:艾滋病知识的总知晓率为55.4%。最近一次与商业性性伴安全套使用率为89.4%,与固定性伴和临时性伴的安全套使用率低于商业性性伴,未发现HIV抗体阳性者,梅毒感染率为1.0%,经济收入高是与商业性性伴不使用安全套的危险因素,获得艾滋病干预服务是安全套使用的保护因素。结论:广东省某市暗娼安全套使用率较高,HIV和梅毒感染率低,针对暗娼人群的干预服务可有效提高与商业性性伴的安全套使用率。
Objective: To understand the AIDS-related knowledge and risk behaviors among FSWs in a city in Guangdong Province, and to explore the influencing factors of condom use and to provide the basis for formulating interventions targeting FSWs. Methods: A total of 305 commercial sex workers were recruited in a time-space sampling method. The questionnaires were interviewed by face-to-face interviews. The blood samples were collected for the detection of Treponema pallidum and HIV antibodies. Logistic regression analysis was used to explore the risk factors influencing condom use. Results: The total awareness rate of AIDS was 55.4%. The most recent condom use rate was 89.4% for commercial sex partners, condom use rates for both regular partners and adolescent partners were lower than those for commercial sex partners, and no positive HIV antibody was found, with a syphilis infection rate of 1.0% and high incomes Is a risk factor for non-use of condoms with commercial sex partners. Access to HIV services is a protective factor in the use of condoms. Conclusion: The prevalence of condom use by female sex workers in a city in Guangdong Province is high, and the prevalence of HIV and syphilis is low. Intervention services targeting female sex workers can effectively increase the rate of condom use among commercial sex workers.