广东省中低档女性性工作者艾滋病病毒/性传播疾病感染状况及危险因素分析

付笑冰; 王冰娜; 李艳; 杨春; 林观喜; 林鹏

Abstract

付笑冰,王冰娜,李艳,杨春,林观喜,林鹏.广东省中低档女性性工作者艾滋病病毒/性传播疾病感染状况及危险因素分析[J].Chinese journal of Epidemiology,2014,35(5):510-513

广东省中低档女性性工作者艾滋病病毒/性传播疾病感染状况及危险因素分析

Prevalence of HIV and sexually transmitted diseases as well as related associated risk factors among middle/low level female sex workers in a city in Guangdong province

Received:November 28, 2013

DOI：10.3760/cma.j.issn.0254-6450.2014.05.009

KeyWord: 艾滋病病毒性传播疾病女性性工作者危险因素

English Key Word: Human immunodeficiency virus Sexually transmitted disease Female sex workers Risk factors

FundProject:中美艾滋病防治合作项目(03020)

Author Name	Affiliation	E-mail
Fu Xiaobing	Guangdong Provincial Center for Disease Control and Prevention, Guangzhou 511430, China
Wang Bingna	Jinan University
Li Yan	Guangdong Provincial Center for Disease Control and Prevention, Guangzhou 511430, China
Yang Chun	Zhanjiang City Center for Disease Control and Prevention
Lin Guanxi	Zhanjiang City Center for Disease Control and Prevention
Lin Peng	Guangdong Provincial Center for Disease Control and Prevention, Guangzhou 511430, China	gdcdclp@21cn.com

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Abstract:

目的了解广东省某经济欠发达地区中低档女性性工作者（FSW）感染HIV和性传播疾病（STD）的状况并分析其危险因素。方法横断面调查，通过绘制分布图，采用等比例等概率抽样方法，对抽中的中低档FSW进行调查，获取人口学特征、性行为、吸毒行为等信息，并抽取5 ml静脉血进行HIV、梅毒及单纯疱疹病毒2型（HSV-2）检测。结果该地区中低档FSWs的HIV感染率为0.3% （2/575）； STDs感染率32.2%（185/575），其中梅毒感染率为4.9% （28/575），HSV-2感染率为30.6% （176/575）。多因素非条件logistic分析结果显示使用毒品（OR＝3.91，95%CI： 1.17～13.03）为感染STDs的危险因素；接受过干预服务（OR＝0.14，95%CI： 0.04～0.52）、教育程度高（OR＝0.40，95%CI：0.19-0.83）、中档（相对于低档）（OR＝0.27，95%CI： 0.09～0.79）为感染STD的保护性因素。结论广东省某经济欠发达地区中低档FSW均存在不同程度HIV/STD感染及危险行为，低档FSW更为严重，需加强对该类人群的宣传干预，预防当地HIV/STD传播。

English Abstract:

Objective To explore the prevalence of HIV，sexually transmitted diseases(STDs) and associated factors among medium/low level female sex workers(FSWs) in an under-developed city in Guangdong province. Methods FSWs were reached by probability proportionate to size sampling through mapping. A cross-sectional survey was conducted to investigate data on demographic characteristics, sexual behaviors, condom use and drug use. 5 ml blood samples were collected to test for human immunodeficiency virus(HIV), syphilis and HSV-2. Results The prevalence rates of HIV, syphilis and HSV-2 were 0.3%(2/575), 4.9%(28/575) and 30.6%(176/575） respectively, and 32.2%(185/575) for STDs. Results from multivariate unconditional logistic regression model indicated that drug use(OR＝3.91, 95%CI:1.17-13.03) was the independent risk factor for STDs infection. Risks as ever accepted intervention program (OR＝0.14, 95%CI:0.04-0.52), with higher education level(OR＝0.40, 95%CI:0.19-0.83) and medium-fee charged FSWs(OR＝0.27, 95% CI:0.09-0.79) were protective factors for STDs. Conclusion Sources of STDs and related risk factors were comprehensive among medium/low FSWs, especially for the latter, whith all calling for multi-sector cooperation to explore the effective intervention program in this population.

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