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目的了解娱乐场所暗娼对性传播感染(sexually transmitted infections,STI)/艾滋病(acquired immun-odeficiency syndrome,AIDS)的知识、态度、行为特征及其感染状况,为实施干预措施提供依据。方法随机抽取24家涉性娱乐场所,对暗娼采取匿名方式进行知识、态度及行为特征问卷调查,并采集血样和宫颈分泌物,检测HIV及衣原体感染情况。结果 211名暗娼中,56.4%的调查对象年龄在20岁以下、82.4%的调查对象文化程度为初中及以下、81.5%的调查对象来自农村、74.9%的调查对象在当前场所工作不超过6个月、86.7%的调查对象是在当前场所开始的性服务,对AIDS预防措施知晓率为71.3%,最近1周47.4%发生过商业性性行为,在商业性性关系中每次均使用安全套的仅34.1%,与固定性伴仅7.9%,有17.5%对使用安全套持反对或无所谓态度;实验室检测未发现抗-HIV阳性,衣原体感染率为9.3%。结论为遏制艾滋病经性途径传播,应加强农村健康教育与性道德教育工作,初中阶段应开设性病艾滋病防治课程,对娱乐场所暗娼的宣传教育应更具针对性,实施娱乐场所干预措施刻不容缓。
Objective To understand the knowledge, attitudes, behavior characteristics and status of sexually transmitted infections (sexually transmitted infections, sexually transmitted infections, AIDS) among sex workers in entertainment venues and provide the basis for the implementation of interventions. Methods A total of 24 entertainment venues were selected randomly to investigate the knowledge, attitude and behavioral characteristics of female sex workers in anonymous manner. Blood samples and cervical secretions were collected to detect HIV and chlamydial infection. Results Among the 211 female sex workers, 56.4% of the respondents were under 20 years of age, 82.4% of the respondents had junior high school education and below, 81.5% of the respondents came from rural areas, 74.9% of the respondents did not work more than 6 Month, 86.7% of the respondents said they started sexual services at the current location. The rate of awareness of AIDS prevention measures was 71.3%. Commercial sexual behaviors occurred in 47.4% of the last week, and condoms were used in commercial sexual relationships Only 34.1%, and only 7.9% with fixed partners, 17.5% opposed or incontroverted the use of condoms; laboratory tests found no anti-HIV positive Chlamydia infection rate of 9.3%. Conclusion In order to curb the sexual transmission of HIV / AIDS, rural health education and sexual morality education should be strengthened. During the junior high school stage, HIV / AIDS prevention and treatment courses should be set up. Publicity and education of commercial sex workers should be more targeted. It is urgent to implement entertainment interventions.