目的 了解麻城市女性性工作者人类免疫缺陷病毒、梅毒、丙型肝炎病毒感染状况,并探讨其艾滋病危险行为特征。方法 2018年5~7月,抽取麻城市女性性工作者400人,采用统一的调查问卷,调查艾滋病防治知识知晓水平,高危行为安全套使用情况,抽取静脉血采用ELISA进行HIV抗体、HCV抗体检测,梅毒抗体首次检测采用梅毒螺旋体明胶颗粒凝集试验(TPPA),再用快速血浆反应速环状卡片试验(RPR)复核。结果 400 名女性性工作者平均年龄28岁,未婚占71.8%,已婚占28.2%;本省占86.3%,外省占13.7%;居住本地少于1年者占74.5%;80.0%的女性性工作者初中文化;梅毒抗体阳性3例,阳性率0.8%,未发现HIV抗体及HCV抗体阳性者;艾滋病防治知识知晓率为77.5%;最近一次与客人发生性行为安全套使用率为98.5%。结论 麻城市女性性工作者以育龄女性及未婚女性居多,艾滋病防治知识知晓率低,存在梅毒感染。

Objective To investigate the infection status of HIV,syphilis and hepatitis C virus among female sex workers in Macheng City,and to explore the risk behavior characteristics of AIDS. Methods During May to July in 2018,random selecting 400 female sex workers were asked for the knowledge level of AIDS prevention and control and high-risk behavior condom use by a unified questionnaire,and venous blood was drawn to detect the antibodies for HIV,HCV by ELISA,and the antibodies of Syphilis was detected for TPPA with RPR. Results The average age of 400 FSWs was 28,and those unmarried and married accounted for 71.8% and 28.2%respectively,and those from Hubei province and other province accounted for 86.3% and 13.8% respectively.The majorities who had lived in local less than 1 year accounted for 74.5%,and received only junior high school education accounted for 80.0%.The positive for syphilis antibody have three,and accounted for 0.8%,but none of the cases was positive for HIV or HCV antibody.The awareness rate of AIDS related knowledge accounted for 77.5%,and the rate of condom use recently accounted for 98.5%. Conclusion The majority of FSWs were child bearing age and unmarried women,and had low awareness of AIDS prevention knowledge.The presence of syphilis were infected among FSWs.