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目的了解天津市女性性服务者(FSW)艾滋病病毒(HIV)、梅毒、丙型肝炎病毒(HCV)的流行现状及影响因素,为在该人群中开展相关防治工作提供依据。方法参照《全国艾滋病哨点监测实施方案操作手册》的要求,在2012-2014年随机抽取4个区县,在每年的4-6月对FSW进行问卷调查和血清学检测。结果共监测FSW4738人,HIV、梅毒和HCV阳性检出率分别为0.06%、3.6%和0.6%。多因素分析表明,年龄[比值比(OR)=1.447,95%可信区间(CI):1.157~1.809]、民族(OR=0.405,95%CI:0.236~0.694)、场所档次(OR=0.525,95%CI:0.394~0.699)、最近一次与客人发生性行为安全套使用情况(OR=0.583,95%CI:0.388~0.876)、最近一年被诊断患性病的情况(OR=2.858,95%CI:9.272~32.758)、最近一年接受有关艾滋病的干预服务或者咨询检测服务情况(OR=0.466,95%CI:0.317~0.684),与梅毒感染关系有统计学意义。同时多因素分析表明,年龄(OR=1.361,95%CI:1.133~1.634)、民族(OR=0.395,95%CI:0.234~0.668)、场所档次(OR=0.546,95%CI:0.412~0.723)、最近一年接受有关艾滋病的干预服务或者咨询检测服务情况(OR=0.471,95%CI:0.332~0.668),与HCV感染关系有统计学意义。结论天津市FSW HIV、梅毒与HCV感染率较低,但是与客人发生性行为时安全套使用比例较低,接受有关艾滋病的干预服务或者咨询检测服务的比例较低,感染与传播性病艾滋病的风险较高。
Objective To understand the prevalence and influencing factors of HIV, syphilis and hepatitis C virus (HCV) in female sexual service workers (FSW) in Tianjin and provide the basis for their prevention and control in this population. Methods According to the “Operation Manual of National Sentinel Monitoring Program for AIDS”, four districts and counties were randomly selected from 2012 to 2014, and questionnaires and serological tests were conducted on FSW from April to June every year. Results A total of 4738 FSWs were monitored. The positive rates of HIV, syphilis and HCV were 0.06%, 3.6% and 0.6% respectively. Multivariate analysis showed that age (odds ratio = 1.447, 95% CI: 1.157-1.809), ethnicity (OR = 0.405, 95% CI: 0.236-0.694) (OR = 0.583, 95% CI: 0.388-0.876), and the most recent cases of STDs were sexually diagnosed (OR = 2.858, 95% CI: 0.394-0.699) CI: 9.272 ~ 32.758). In the recent year, the number of intervention services or counseling and testing services (OR = 0.466, 95% CI: 0.317-0.684) about AIDS were statistically significant. At the same time, multivariate analysis showed that age (OR = 1.361, 95% CI: 1.133-1.634), ethnicity (OR = 0.395, 95% CI: 0.234-0.668) ). In the last year, the number of intervention services or counseling and testing services (OR = 0.471, 95% CI: 0.332-0.668) on HIV / AIDS was statistically significant for HCV infection. Conclusions HIV, syphilis and HCV prevalence in FSW are lower in Tianjin, but the proportion of condom use in sexual behaviors is lower than that in FSW. The proportion of HIV / AIDS patients receiving HIV / AIDS intervention or counseling services is lower than that of HIV / AIDS patients. high.