CAJ | 학술논문

目的分析越南跨境流动低档暗娼在5年干预条件下HIV相关高危性行为和HIV感染率变化情况,为后续干预工作提供科学依据.方法重复横断面调查,调查对象为2009-2013年期间中越边境云南省某县固定场所的越南籍跨境流动暗娼,连续5年持续开展双语同伴教育、艾滋病相关培训讲座、参与式游戏、免费发放安全套干预服务等.每年均由经培训懂双语外展人员进行问卷调查和访谈,收集人口学特征、高危性行为等,同时采血进行HIV血清学检测.结果 5年来,最近一个月安全套坚持使用率分别为1.5％、36.0％、67.7％、86.5％、90.3％(P＜0.05),最近一次安全套使用率为89.5％、44.8％、86.6％、92.5％、99.0％(P＜0.05).HIV阳性检出率分别为7.5％、3.6％、5.9％、4.0％、3.1％(P＞0.05).结论经过5年干预,跨境流动暗娼商业性行为时安全套使用率显著提高,HIV感染率仍保持较高水平,应提高跨境流动暗娼与固定性伴的安全套使用,加强对嫖客的宣传干预及培训.
목적 분석월남과경류동저당암창재5년간예조건하HIV상관고위성행위화HIV감염솔변화정황,위후속간예공작제공과학의거.방법 중복횡단면조사,조사대상위2009-2013년기간중월변경운남성모현고정장소적월남적과경류동암창,련속5년지속개전쌍어동반교육、애자병상관배훈강좌、삼여식유희、면비발방안전투간예복무등.매년균유경배훈동쌍어외전인원진행문권조사화방담,수집인구학특정、고위성행위등,동시채혈진행HIV혈청학검측.결과 5년래,최근일개월안전투견지사용솔분별위1.5％、36.0％、67.7％、86.5％、90.3％(P＜0.05),최근일차안전투사용솔위89.5％、44.8％、86.6％、92.5％、99.0％(P＜0.05).HIV양성검출솔분별위7.5％、3.6％、5.9％、4.0％、3.1％(P＞0.05).결론 경과5년간예,과경류동암창상업성행위시안전투사용솔현저제고,HIV감염솔잉보지교고수평,응제고과경류동암창여고정성반적안전투사용,가강대표객적선전간예급배훈.
Objective To understand the prevalence of high risk sex behaviors and HIV infection status among the female sex workers (FSWs) from Vietnam in Yunnan province during a 5 year intervention project and provide evidence for the improvement of the behavior intervention among this population.Methods The survey was conducted annually among Vietnamese FSWs sampled in a county near China-Vietnam border to collect the information about their demographic characteristics,high risk sex behaviors and HIV test results through questionnaire and in-depth interview by bilingual outreach team.The behavior intervention included peer advise,training,lectures,interactive games,free condom distribution.The database was set up with Excel 2003 and the results were analyzed with SPSS 16.0.Results The condom use rates among the Vietnamese FSWs at commercial sex in last month were 1.5％,36.0％,67.7％,86.5％ and 90.3％ (P＜0.05) respectively;and the condom use rates at the latest sex were 89.5％,44.8％,86.6％,92.5％ and 99.0％ respectively (P＜0.05).The HIV antibody positive rates were 7.5％,3.6％,5.9％,4.0％ and 3.1％ respectively (P＞0.05).Conclusion The condom use rate of Vietnamese FSWs at commercial sex increased by more than 90％ after the 5 year intervention project.However,the HIV-infection rate was still high.It is necessary to promote condom use among FSWs from Vietnam and their regular sex partners and strengthen the health education among clients.