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目的 了解北京市房山区女性性工作者(FSW)人群艾滋病认知水平、行为特征和HIV、梅毒感染情况,为开展预防控制工作提供依据.方法 通过问卷调查对237名女性性工作者进行艾滋病防治知识与行为调查;采集静脉血标本,检测HIV、梅毒螺旋体抗体.结果 女性性工作者艾滋病知识知晓率89.03％,同居和在婚女性的知晓率高于未婚和离异(丧偶)女性(x2=10.407,P＜0.05),在本地工作时间≥1年的女性高于工作时间＜1年的女性(x2=13.330,P＜0.01);艾滋病、梅毒咨询接受率26.16％,31 ～40岁女性咨询接受率高于其他人群(x2=8.260,P＜0.05);在婚和同居女性高于未婚和离异(丧偶)人群(x2=12.083,P＜0.05);在本地工作时间≥1年的女性高于1～12个月的女性(x2=11.220,P＜0.05);安全套使用率37.97％,未婚、在婚女性安全套使用率高于其他人群(x2=12.979,P＜0.05),外地户籍高于本地户籍(x2 =4.715,P＜0.05).梅毒阳性5例,检出率2.11％.结论 该区女性性工作者艾滋病、梅毒知识咨询接受率、安全套使用率偏低,应加强对该人群的管理,大力推广安全套的使用.“,”Objective To understand the level of AIDS awareness,behavior characteristics,HIV and syphilis infection among female sex workers (FSW) in Fangshan District of Beijing City,and to provide evidence for prevention and control.Methods Two hundred and thirty seven female sex workers were investigated with a questionnaire to investigate the knowledge and behavior of AIDS related knowledge and behavior.Blood samples were collected to detect the antibodies of HIV and syphilis.Results The awareness rate of AIDS knowledge among female sex workers was 89.03％,with higher rate in cohabitation of women and more than one year local working time than unmarried women (divorced and widowed) (x2 =10.407,P ＜0.05) and that of less than 1 years of women (x2 =13.330,P ＜0.05);AIDS syphilis consultation acceptance rate was 26.16％,31-40 year old female with higher consulting acceptance rate than other groups (x2 =8.260,P ＜0.05),so as marriage and cohabitation of women than the unmarried and divorced (widowed) population (x2 =12.083,P ＜0.05);in the women with more than 1 years local working time had higher consultation acceptance rate than those with 1 to 12 months local working time (x2 =11.220,P ＜0.05);the condom use rate was 37.97％.Unmarried women had higher condom use rate than other groups in married female condoms (x2 =12.979,P ＜0.05),nonlocal resident with higher use rate than the local residence (x2 =4.715,P ＜0.05).Five cases were tested positive in Syphilis with 2.11％ positive detection rate.Conclusion The management of the female sex workers in this area should be strengthened and the use of condoms should be promoted among females sex workers.