摘要
目的调查暗娼人群梅毒血清学阳性及其相关因素情况,为针对性开展高、中、低档暗娼梅毒防控活动及实施防治性病对预防艾滋病的策略提供科学依据。方法 2009年7月至2010年1月,开展桑拿、发廊、站桩点和餐厅陪吃点等场所的外展活动,使用中国性病控制中心编制的《国家科技重大专项课题暗娼调查表》对各档次准入暗娼(CSWs)进行问卷调查并同时作梅毒血清学检测。结果暗娼人群中特异性梅毒血清学(ELISA)检测总阳性率6.69%,非特异性梅毒血清学(TRUST)检测总阳性率3.85%,其中高、中、低档暗娼特异性和非特异性梅毒血清学检测阳性率分别为4.80%和3.14%、5.97%和1.49%、18.28%和9.68%;暗娼总梅毒血清学阳性多因素Logistic回归分析中结果P值<0.10的分别为年龄、民族、文化程度、户籍、最近1月安全套使用频率;高档暗娼结果P值<0.10的为文化程度;低档暗娼结果P值<0.10的为过去1年是否出现过性病症状、最近1月安全套使用频率。结论暗娼是梅毒高发人群且各档次暗娼梅毒感染率存在较大差异,暗娼梅毒感染与社会人口学和行为特征间存在一定的关系。
Objective To investigate commercial sex workers（CSWs） positive of syphilis serum and its related factors,for the implementation of the prevention of AIDS and STD and treatment strategies to provide a scientific basis.Methods From July 2009 to January 2010,depending on the outreach activities in sauna,hair salon and restaurant,free testing and treatment for HIV and syphilis were carried on;STDs and HIV voluntary counseling testing was used to finish the questionnaire survey and blood syphilis was tested.Results The total CSWs Syphilis ELISA positive rate was 6.69%,TRUST positive rate was 3.85%.ELISA-and TRUST positive rate among high-tier,mid-tier and low-tier CSWs were 4.80% and 3.14%,5.97% and 1.49%,18.28% and 9.68%,respectively.In multi-factors Logistic regression analysis of total CSWs positive of syphilis serum,the P value of age,ethnicity,education,household registration,the past month condom use frequency was less than 0.10,high-tier CSWs results of P value less than 0.10 for educational level,low-tier CSWs results of P value less than 0.10 for whether there had been symptoms of STDs and the past month condom use frequency.Conclusion CSWs is in a high risk of syphilis and there is a big difference among various grades of CSWs syphilis preval-ence,CSWs syphilis infection has a relationship with social-demographic and behavioral characteristics.
出处
《青岛医药卫生》
2011年第5期321-324,共4页
Qingdao Medical Journal
基金
国家十一五科技重大专项"防治性病对预防艾滋病的作用研究"(2008ZX10001-005)基金
作者简介
吴志周（1966），本科，从事性病检查与预防工作
