目的 了解泉州市丰泽区低档场所女性性工作者(FSW)艾滋病防治知识知晓率及行为学特征,探索有效的干预模式,控制艾滋病性病的流行和蔓延。方法 抽取200名FSW采用问卷调查方法收集调查对象的人口学和行为学特征,采集静脉血检测艾滋病和梅毒血清学抗体。结果 2018年200名丰泽区FSW外来人口占78.5%、初中及以下文化程度占96.5%、未婚占85.0%。艾滋病防治知识知晓率为86.0%,最近一次与客人发生性行为时安全套使用率为74.0%,最近一年性传播疾病(STD)患病率41.0%,梅毒抗体阳性率为9.0%,HIV抗体阳性率为0。艾滋病知识获取来源以“电视”(占79.5%)、“网络”(占47.5%)、“免费宣传材料”(占46.0%)为主。结论 低档场所FSW安全性行为意识差,应加强对该人群性病、艾滋病防治知识的健康教育与行为干预力度。

Objective To understand the awareness rate and behavioral characteristics of AIDS prevention and treatment among low-grade female sex workers (FSW) in Fengze District of Quanzhou City,and to explore effective intervention models to control the spread of AIDS and sexually transmitted diseases. Methods The demographic and behavioral characteristics of 200 FSW subjects were collected by questionnaire,and the blood samples were collected to detect the serological antibody of AIDS and syphilis. Results In 2018,78.5% of the 200 FSW were migrants in Fengze District,96.5% had junior high school education or below,and 85.0% were unmarried.The awareness rate of AIDS prevention and control knowledge was 86.0%.The condom use rate of the last sexual intercourse with a guest was 74.0%.The prevalence rate of sexually transmitted diseases (STD) in the last year was 41.0%,the positive rate of syphilis antibody was 9.0%,and the positive rate of HIV antibody was 0.The main sources of AIDS knowledge acquisition are TV (79.5%),Internet (47.5%),and free publicity materials (46.0%). Conclusion FSW has poor awareness of safe sexual behavior in low-grade places,the health education and behavioral interventions should be strengthened for them.