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目的对不同档次暗娼性病艾滋病感染情况进行调查分析。方法对不同档次暗娼进行问卷调查并同时采血进行HIV及梅毒血清学检测,采宫颈拭子进行淋病及生殖道沙眼衣原体(简称:衣原体)感染检测。结果高档暗娼梅毒感染率1.795%、HIV感染率0.256%、淋病感染率1.113%、衣原体感染率21.469%;中档暗娼梅毒感染率2.989%、HIV感染率0.230%、淋病感染率4.813%、衣原体感染率12.300%;低档暗娼梅毒率18.000%、HIV感染率0.000%、淋病感染率6.122%、衣原体感染率8.163%;各档次暗娼梅毒感染率差异有统计学意义(=67.751,P<0.001)、衣原体感染率差异有统计学意义(=8.171,P=0.017),HIV感染率差异无统计学意义(=0.372,P=0.831),淋病感染率差异无统计学意义(=5.034,P=0.081),娱乐场所越低档其平均年龄越大,而文化程度越低、未接受健康服务比例高、安全套使用率低,梅毒等性病感染率高。结论各档次暗娼梅毒、衣原体感染率存在较大差异,性病艾滋病感染与健康行为特征和安全套的使用率间存在一定的关系。
Objective To investigate the prevalence of STD and AIDS among commercial sex workers in different grades. Methods A questionnaire survey of female sex workers at different grades was conducted. At the same time, blood samples were collected for HIV and syphilis serological tests. Cervical swabs were used for infection of Chlamydia trachomatis (referred to as Chlamydia trachomatis) in gonorrhea and genital tract. Results The prevalence of syphilis was 1.795%, HIV infection rate was 0.256%, gonorrhea infection rate was 1.113%, infection rate of chlamydia was 21.469%. The syphilis infection rate was 2.989%, HIV infection rate was 0.230%, gonococcal infection rate was 4.813% 12.300%. The prevalence of syphilis in low-grade CSWs was 18.000%, HIV infection rate was 0.000%, gonorrhea infection rate was 6.122%, and infection rate of chlamydia was 8.163%. There was significant difference in syphilis infection rate among CSWs (= 67.751, P <0.001) There was no significant difference in the rates of HIV infection between the two groups (= 8.171, P = 0.017). There was no significant difference in HIV infection rates (= 0.372, P = 0.831) The lower the location, the higher the average age. The lower the education level, the higher the proportion of unacceptable health services, the lower the rate of condom use, and the high prevalence of STDs such as syphilis. Conclusion There is a big difference in the prevalence of syphilis and chlamydia among sex workers in each grade. There is a certain relationship between the infection rate of STD and health behaviors and the condom use rate.