CAJ | 학술논문

目的：评价广东省女性性工作者（FSW）中梅毒防控工作效果，为后期工作调整干预措施及策略提供理论依据。方法对2009年1月-2013年12月广东省皮肤性病防治系统性病艾滋病高危人群干预工作中的 FSW的梅毒感染检测结果进行分析。结果2009-2013年广东省共检测 FSW 34338人次，其中高档 FSW 23816人次（69．36％），中档8811人次（25．66％），低档1711人次（4．98％）。2009年高、中、低档 FSW 的梅毒感染率分别为2．60％、7．36％、10．54％，2013年分别为1．45％、2．75％、21．88％；χ2趋势检验结果显示，2009-2013年期间，高档及中档 FSW 中的梅毒感染率均呈下降趋势（χ2值分别为12．807、52．333，均 P ＜0．001），而低档 FSW 中的梅毒感染率则一直保持在较高状态（χ2＝0．027，P ＝0．87）。2013年不同档次 FSW 之间的梅毒感染率差异存在统计学意义（χ2＝190．64，P ＜0．001）；珠三角、粤东、粤西及粤北3个片区之间的 FSW 梅毒感染率差异无统计学意义（χ2＝5．24，P ＝0．07）。结论不同档次的 FSW 之间梅毒感染率存在较大差异；低档 FSW 中存在较高的梅毒感染率，且梅毒检测覆盖人数较少。
목적：평개광동성녀성성공작자（FSW）중매독방공공작효과，위후기공작조정간예조시급책략제공이론의거。방법대2009년1월-2013년12월광동성피부성병방치계통성병애자병고위인군간예공작중적 FSW적매독감염검측결과진행분석。결과2009-2013년광동성공검측 FSW 34338인차，기중고당 FSW 23816인차（69．36％），중당8811인차（25．66％），저당1711인차（4．98％）。2009년고、중、저당 FSW 적매독감염솔분별위2．60％、7．36％、10．54％，2013년분별위1．45％、2．75％、21．88％；χ2추세검험결과현시，2009-2013년기간，고당급중당 FSW 중적매독감염솔균정하강추세（χ2치분별위12．807、52．333，균 P ＜0．001），이저당 FSW 중적매독감염솔칙일직보지재교고상태（χ2＝0．027，P ＝0．87）。2013년불동당차 FSW 지간적매독감염솔차이존재통계학의의（χ2＝190．64，P ＜0．001）；주삼각、월동、월서급월북3개편구지간적 FSW 매독감염솔차이무통계학의의（χ2＝5．24，P ＝0．07）。결론불동당차적 FSW 지간매독감염솔존재교대차이；저당 FSW 중존재교고적매독감염솔，차매독검측복개인수교소。
Objective To analyze effect of the syphilis prevention and control work among female sex workers(FSWs), and provide reference data for target intervention in Guangdong province.Methods Syphilis prevalence among FSWs from 2009 to 2013 were analyzed statistically based on the data from Guangdong Provincial high-risk groups in sexually transmit-ted infection(STI)control program.Results A total of 34 338 FSWs were detected,including 23 816(69.36%)FSWs at the high-tier venues,8 811(25.66%)middle-tier,and 1 711(4.98%)low tier.The syphilis prevalence of FSWs at high-, middle-,and low-tier venues in 2009 was 2.60%,7.36%,and 10.54% respectively,and in 2013 was 1.45%,2.75%,and 21.88% respectively.Chi-square test showed a downward trend in the prevalence of syphilis among the high and middle tier FSWs in 2009-2013(χ2 =12.807,52.333 respectively,both P <0.001),and remained high among FSWs at low-tier venues(χ2 =0.027,P =0.87).The difference in syphilis prevalence in 2013 among FSWs from different types of venues was statistically significant (χ2 =190.64,P <0.001 ).No significant difference in syphilis prevalence was found among FSWs from Pearl River Delta,eastern,western and northern Guangdong(χ2 =5.24,P =0.07).Conclusion Significant difference is found in prevalence of syphilis among FSWs from different types of settings.FSWs from low-tier settings have a relatively lower syphilis testing rate but with higher infection rate.