我国西部四省区女性性工作者HIV 检测现况及其影响因素研究.docVIP

我国西部四省区女性性工作者HIV检测现况及其影响因素研究 黄 璜1，田考聪1，钟晓妮1，张 燕1， 彭 斌1，梁 浩2，邹云峰3，罗锦昆4，彭鸿斌4，黄爱龙5 (400016重庆，重庆医科大学：公共卫生学院卫生统计学教研室1，感染性疾病分子生物学教育部重点实验室5; 530021 南宁，广西医科大学公共卫生学院：流行病与卫生统计学教研室2，毒理学教研室3; 637000 四川 南充，南充市顺庆区疾病预防控制中心4) [摘要] 目的 了解我国西部地区女性性工作者(female sex workers, FSWs) HIV检测现况及其影响因素。方法 对四川、重庆、广西、新疆4地区的女性性工作者进行问卷调查，调查完成问卷1 463份，有效问卷1 437份（98.22%）HIV检测情况等。结果 我国西部FSWs HIV检测率为62.63%，其中主动进行HIV检测的人数仅为HIV检测总人数的26.67%。Logistic回归分析显示：HIV检测的影响因素主要有婚姻状况(OR=2.51，P0.0001)(OR=1.50，P=0.0035)(OR=1.96，P=0.0027)获得性免疫缺陷综合症（acquired immune deficiency syndrome，AIDS）(OR=1.29，P=0.0355)(OR=1.70，P=0.0018)AIDS免费咨询(OR=11.61，P0.0001)(OR=1.76，P=0.0)、半年内与固定性伴发生性行为频次（OR=1.33，P=0.0358）。结论 我国西部地区FSWs的自我危险意识较低，进行HIV检测的比例不高，特别是主动进行HIV检测的比例较低，仍需加强HIV检测的宣传与干预，吸引该人群主动进行HIV检测，提高该人群HIV检测率。 [关键词] 女性性工作者；HIV检测；影响因素 [中图法分类号］ [文献标志码] A Research on HIV testing situation and its influencing factors among female sex workers in western China Huang Huang1, Tian Kaocong1, Zhong Xiaoni1, Zhang Yan1, Peng Bin1, Liang Hao2, Zou Yunfeng3, Luo Jinkun4, Peng Hongbin4, Huang Ailong5(Department of Medical Statistics, School of Public Health, Chongqing Medical University, Chongqing 400016, China; 2. Department of Epidemiology and Medical Statistics， School of Public Health， Guangxi Medical University, Nanning 530021, China; 3. Department of Toxicology, School of Public Health, Guangxi Medical University, Nanning 530021, China; 4. Sichuan Nanchong Shunqing District Center of Disease Control and Prevention，Nanchong 637000China; 5. Key Laboratory of Molecular Biology for Infectious Diseases of Ministry of Education, Chongqing Medical University, Chongqing 400016, China) [Abstract] Objective To investigate the HIV testing situation of female sex workers and explore its influencing factors. Methods FSWs selected from Sichuan, Xinjiang and Guangxi were surveyed with questionnaires. A total of 1463 questionnaires were completed, among which 1437 ( 98