中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2014年
5期
510-513
,共4页
付笑冰%王冰娜%李艳%杨春%林观喜%林鹏
付笑冰%王冰娜%李豔%楊春%林觀喜%林鵬
부소빙%왕빙나%리염%양춘%림관희%림붕
艾滋病病毒%性传播疾病%女性性工作者%危险因素
艾滋病病毒%性傳播疾病%女性性工作者%危險因素
애자병병독%성전파질병%녀성성공작자%위험인소
Human immunodeficiency virus%Sexually transmitted disease%Female sex workers%Risk factors
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感染率为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。
目的:瞭解廣東省某經濟欠髮達地區中低檔女性性工作者(FSW)感染HIV和性傳播疾病(STD)的狀況併分析其危險因素。方法橫斷麵調查,通過繪製分佈圖,採用等比例等概率抽樣方法,對抽中的中低檔FSW進行調查,穫取人口學特徵、性行為、吸毒行為等信息,併抽取5 ml靜脈血進行HIV、梅毒及單純皰疹病毒2型(HSV-2)檢測。結果該地區中低檔FSWs的HIV感染率為0.3%(2/575);STDs感染率為32.2%(185/575),其中梅毒感染率為4.9%(28/575),HSV-2感染率為30.6%(176/575)。多因素非條件logistic分析結果顯示使用毒品(OR=3.91,95%CI:1.17~13.03)為感染STDs的危險因素;接受過榦預服務(OR=0.14,95%CI:0.04~0.52)、教育程度高(OR=0.40,95%CI:0.19-0.83)、中檔(相對于低檔)(OR=0.27,95%CI:0.09~0.79)為感染STD的保護性因素。結論廣東省某經濟欠髮達地區中低檔FSW均存在不同程度HIV/STD感染及危險行為,低檔FSW更為嚴重,需加彊對該類人群的宣傳榦預,預防噹地HIV/STD傳播。
목적:료해광동성모경제흠발체지구중저당녀성성공작자(FSW)감염HIV화성전파질병(STD)적상황병분석기위험인소。방법횡단면조사,통과회제분포도,채용등비례등개솔추양방법,대추중적중저당FSW진행조사,획취인구학특정、성행위、흡독행위등신식,병추취5 ml정맥혈진행HIV、매독급단순포진병독2형(HSV-2)검측。결과해지구중저당FSWs적HIV감염솔위0.3%(2/575);STDs감염솔위32.2%(185/575),기중매독감염솔위4.9%(28/575),HSV-2감염솔위30.6%(176/575)。다인소비조건logistic분석결과현시사용독품(OR=3.91,95%CI:1.17~13.03)위감염STDs적위험인소;접수과간예복무(OR=0.14,95%CI:0.04~0.52)、교육정도고(OR=0.40,95%CI:0.19-0.83)、중당(상대우저당)(OR=0.27,95%CI:0.09~0.79)위감염STD적보호성인소。결론광동성모경제흠발체지구중저당FSW균존재불동정도HIV/STD감염급위험행위,저당FSW경위엄중,수가강대해류인군적선전간예,예방당지HIV/STD전파。
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.