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[目的]了解娱乐场所女性服务人员对艾滋病感染者的歧视状况及其对艾滋病防治服务依从性的影响。[方法]随机抽取嘉定菊园新区126名娱乐场所女性服务人员为调查对象,采用项目统一设计的问卷进行社会人口学、行为学、艾滋病相关知识认知和艾滋歧视状况的调查,并采集静脉血、尿液进行艾滋病病毒(HIV)、单纯疱疹病毒Ⅱ型(HSV-2)、梅毒、淋球菌和沙眼衣原体检测。[结果]126名被调查者中,来自较大型歌厅(KTV)者占31.75%、小发廊者占62.70%、小足浴店者占2.38%、小浴室者占3.17%。未发现HIV抗体阳性者;性病感染率为22.22%。艾滋歧视平均得分(4.19±1.61)分,最低1分,最高7.5分。艾滋病知识知晓程度低,则艾滋歧视水平高(χ2=5.184,P=0.023)。曾经做过HIV抗体检测者仅占23.81%,由于不相信会感染或不知道去哪里检测是未检测的主要原因;在过去一个月中曾出现过性病相关症状者占61.90%,其中,去医院就诊者占70.51%;50.00%在过去一年中参加性病常规检查,平均(1.79±0.99)次;最后一次发生商业性行为时安全套使用率为96.83%,与固定性伴的安全套使用率为45.74%;曾经自然流产者占11.11%,曾经人工流产者占65.87%,其人工流产次数为1~7次(中位数为1.00次);采取避孕措施者占97.62%,其中采用安全套避孕者占66.67%。艾滋歧视水平高,HIV抗体检测比例低(χ2=5.936,P=0.015),性病感染率高(χ2=4.829,P=0.028)。[结论]娱乐场所女性服务人员艾滋歧视普遍存在,艾滋病防治服务依从性不容乐观,歧视对艾滋病防治服务依从性有一定影响。
[Objective] To understand the situation of discrimination against HIV-positive persons among female servants in entertainment venues and their influence on AIDS compliance. [Methods] A total of 126 female service staff in entertainment venues in Jiading New Area of Jiading were randomly selected for the survey. Socio-demographic, behavioral, AIDS-related knowledge and HIV / AIDS discrimination were surveyed using the questionnaire designed by the project. Venous blood , Urine for HIV, herpes simplex virus type 2 (HSV-2), syphilis, Neisseria gonorrhoeae and Chlamydia trachomatis. [Results] Among the 126 respondents, 31.75% came from larger KTVs, 62.70% from small hair salons, 2.38% from small footbaths and 3.17% from small baths. HIV-positive people were not found; STD infection rate was 22.22%. AIDS discrimination average score (4.19 ± 1.61) points, the lowest 1 point, the highest 7.5 points. AIDS awareness is low, the high level of AIDS discrimination (χ2 = 5.184, P = 0.023). Only 23.81% of the people who had ever done HIV antibody test did not believe it would infect or did not know where to go for the test, which was the main reason of not being tested. In the past month, 61.90% had STD-related symptoms, of which, go to the hospital 70.51% of the patients were diagnosed; 50.00% of them participated in the routine examination of STD in the past year, with an average of 1.79 ± 0.99; the rate of condom use was 96.83% in the last commercial activity and 45.74% %; Former natural abortion accounted for 11.11%, once induced abortion accounted for 65.87%, the number of abortion 1 to 7 times (median 1.00); contraceptive measures accounted for 97.62%, of which the use of condoms contraception accounted for 66.67%. HIV / AIDS was high, HIV antibody test was low (χ2 = 5.936, P = 0.015), and STD infection rate was high (χ2 = 4.829, P = 0.028). [Conclusion] AIDS discrimination among female service staffs in entertainment venues is ubiquitous. The compliance with HIV / AIDS prevention and treatment services is not optimistic. Discrimination has a certain impact on AIDS compliance.