山东省青岛市2006－2015年暗娼人群行为变化及流行因素研究

廖玫珍; 朱晓艳; 黄鹏翔; 姜珍霞; 张西江; 张宁; 王国永; 钱跃升; 陶小润; 康殿民

文章摘要

廖玫珍,朱晓艳,黄鹏翔,姜珍霞,张西江,张宁,王国永,钱跃升,陶小润,康殿民.山东省青岛市2006－2015年暗娼人群行为变化及流行因素研究[J].中华流行病学杂志,2017,38(12):1660-1664

山东省青岛市2006－2015年暗娼人群行为变化及流行因素研究

Studies on behavior change and related factors among female sex workers in Qingdao city of Shandong province, between 2006 and 2015

收稿日期:2017-05-25 出版日期:2017-12-26

DOI：10.3760/cma.j.issn.0254-6450.2017.12.016

中文关键词: 暗娼梅毒吸毒行为监测流行因素

英文关键词: Female sex workers Syphilis Synthetic drug use Surveillance Epidemiologic factors

基金项目:山东省医药卫生科技发展计划（2013WS0160）

作者	单位	E-mail
廖玫珍	250014 济南, 山东省疾病预防控制中心艾滋病防制所
朱晓艳	250014 济南, 山东省疾病预防控制中心艾滋病防制所
黄鹏翔	250014 济南, 山东省疾病预防控制中心艾滋病防制所
姜珍霞	266000 青岛市疾病预防控制中心
张西江	266000 青岛市疾病预防控制中心
张宁	266000 青岛市健康服务中心
王国永	250014 济南, 山东省疾病预防控制中心艾滋病防制所
钱跃升	250014 济南, 山东省疾病预防控制中心艾滋病防制所	qianyuesheng@163.com
陶小润	250014 济南, 山东省疾病预防控制中心艾滋病防制所
康殿民	250014 济南, 山东省疾病预防控制中心艾滋病防制所

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中文摘要:

目的分析山东省青岛市暗娼人群行为变化特征和艾滋病性病流行因素，为制订艾滋病防治对策和干预措施提供依据。方法 2006-2015年在哨点监测期4-7月按《全国艾滋病哨点监测实施方案》要求收集当地暗娼人口学特征及相关行为信息，并采集静脉血进行艾滋病、梅毒检测。结果连续10年调查样本显示，年龄≥ 30岁、已婚/同居和应召暗娼所占比例呈增长趋势；梅毒感染率从2006年1.0%（4/420）上升至2015年13.3%（53/400）（趋势χ²=54.22，P<0.001）；吸食合成毒品率在12.0%（48/400）和55.5%（222/400）之间波动；最近1个月与客人发生性行为坚持安全套使用率呈下降趋势（趋势χ²=170.62，P<0.001）；艾滋病知识得分≥ 6（趋势χ²=152.96，P<0.001）和最近1年做过艾滋病检测比例（趋势χ²=114.87，P<0.001）呈上升趋势；2009-2015年分年度分层分析，吸食毒品与不吸食毒品的暗娼相比有更高的梅毒感染率和不安全性行为（P<0.05），应召暗娼梅毒感染率高于场所招募暗娼（P<0.05）。结论青岛地区暗娼人群梅毒感染率呈上升趋势，吸食合成毒品是影响青岛市性病艾滋病传播重要危险因素，建议加强对吸毒暗娼人群监测力度，开展有针对性干预措施。

英文摘要:

Objective This study aimed to analyze the behavior change and related factors regarding HIV/STD epidemics among female sex workers (FSWs) in Qingdao city.Methods According to the requirements set by the "National HIV/AIDS sentinel surveillance program", information on demographics, sexual and drug use behaviors, and HIV-related services among female sex workers (FSWs) was collected from ten consecutive annual cross-sectional surveys from 2006 to 2015. Blood samples were drawn for serological tests on both HIV and syphilis antibodies.Results Data from the sampled FSWs over the ten years, a higher proportion of participants who were aged 30 or more, married or cohabited and on-call FSW were followed. The prevalence of syphilis increased significantly from 1.0% (4/420) in 2006 to 13.3% (53/400) in 2015 (trend χ²=54.22, P<0.001). Rates on illicit drug use were ranging from 12.0% (48/400) and 55.5% (222/400) while the rate on consistent condom use with clients in the last month showed decreasing, with trend χ²=170.62, P<0.001. The proportion of HIV-related knowledge score ≥ 6 (trend χ²=152.96, P<0.001), or ever been tested for HIV (trend χ²=114.87, P<0.001) were both significantly increased over the last ten years. Between 2009 and 2015, results from the annual stratified analysis showed that the FSWs who used drugs were more likely than the FSWs who were non-drug users less consistently using condoms with clients in last month and being syphilis positive (P<0.05). On-call FSWs were more likely to be syphilis positive (P<0.05) than the non on-call FSWs.Conclusions The prevalence of syphilis among FSWs in Qingdao city had been rising over the last ten years, with synthetic drug abuse as an important risk factor. Better targeted surveillance and intervention efforts among those drug-using FSWs seemed important to reduce the epidemics.

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