目的　了解暗娼人群的生存状况 ,为实施有效的性病艾滋病干预措施提供依据。方法　采用小组访谈和个人深入访谈相结合 ,逐步深入的社会学调查方法 ,在四川和云南省的 6个地区分别抽取 90名和 91名暗娼进行小组访谈 ,抽取 13 5和 156名暗娼进行个人深入访谈。结果　暗娼年龄多在 18～ 3 0岁之间 ,以初中文化为主 ,多数未婚 ,来自外地 ;暗娼人群社会经济地位普遍较低 ,最关心和最常谈论的话题是如何挣钱 ,如何穿着打扮及玩耍等 ;暗娼之间很少有交流待客经验和交流使用安全套经验及防病知识的情况 ;性行为的主要方式是阴道交 ,很少有人每次性行为都坚持使用安全套 ,暗娼对性病艾滋病的预防方法还存在错误认识 ;暗娼中存在吸毒行为 ,其中多数 (4/ 5)与他人共用注射器吸毒的行为。结论　在性病艾滋病健康教育工作中 ,应把文化较低的外来打工妹和无业闲杂人员作为干预重点 ;在向暗娼人群灌输正确性病艾滋病预防知识的同时 ,应纠正她们的错误认识 Objective To understand the survival status of sex workers and provide evidence for the implementation of effective interventions for STD and AIDS. Methods Using group interviews and personal in-depth interviews, a step-by-step approach to sociological investigations, 90 and 91 interviewees were interviewed in six districts in Sichuan and Yunnan provinces, and 13 5 and 156 interviewers were interviewed for personal in-depth interviews. . As a result, the sex workers were mostly between 18 and 30 years of age. Most of them were junior high school culture. Most of them were unmarried and were from other places. The socioeconomic status of sex workers is generally low. The most concerned and most talked topic is how to make money and how to dress. And play, etc.; there is little exchange between hospitality experience and the use of condoms experience and knowledge of disease prevention; the main way of sexual intercourse is vaginal sex, few people insist on using condoms every time sex, sex workers on sexually transmitted diseases There are still misunderstandings in HIV prevention methods; there are drug abuse behaviors among sex workers, and most of them (4/5) share drug use with syringes. Conclusion In the work of sexually transmitted diseases and HIV/AIDS health education, foreign students who are relatively low-educated and unemployed workers should be the focus of intervention. When instiling correct sex, HIV, and AIDS prevention knowledge into the sex workers, they should correct their misunderstandings.