In 2009 Female Sex Workers In Shanxi Province Aids Sentinel Surveillance Analysis

Objective:1. To investigate the socialogical features, the characters of commercial sexual behavior and drugs use, the prevalence of sexually-transmitted diseases among female sex workers in Shanxi Province.2. To understand the prevalence of HIV, syphilis and HCV of female sex workers.3. To provide a basis for the effective AIDS intervention programs among the FSW community.Method:1. After mapping, extraction of investigation places, samping of objective crowd.14 places were selected as survey points of FSW in Shanxi province, sample size was 400 in every point.2. With questionnaire provided by Chinese CDC, Sociological characters, awareness rate of knowledge related to AIDS, sexual bahavior and condom usage etc. were studied.5513 serum were collected and antibodies of HIV, TP and HCV were detected.3. Database was sorted out with Microsoft office Excel 2003, and SPSS 16.0 software was used for statistical analysis including descriptive statistics and inferential statistics.Result:1.5514 FSW were investigated, including 88.63% from mid-to-high grade places and 11.37% and low-grade places. FSW were mainly young people, most of which were at 20～30. Compared mid-to-high grade places with low-grade places, age distribution had no significant difference (P=0.583). The majority of FSW (54.06%) were unmarried, two places of the marital status composition had a statistical difference (P=0.002), the unmarried were more in mid-to-high grade places places,however, the married were relatively more. Most of FSW were from Shanxi province, but mainly in low grade places, FSW in mid-to-high grade places were more from other provinces (P<0.001). Generally education degree of FSW were low. And two places with a statistical difference (P<0.001). FSW in mid-to-high grade places had higher education degree. FSW in mid-to-high grade places tended to from one place to the other place, however, FSW in low grade places tended to stay some place longer time (P<0.001).2. The status of FSW awareness related to the knowledge of AIDS of the research sample was 84.86%. Compared to the non-transmit route of AIDS, the awareness rate of transmission route was much higher. The status of awareness in different places had no statistical difference (P=0.204)3.82.87% of FSW used condoms during the last commercially sexual behavior, the usage of condoms of FSW was lower in mid-to-high grade places than in low grade places. In the recent month, the proportion of using condoms during every time in low grade places were higher than that in mid-to-high grade places.4. In the investigation,4.23% of FSW had tried drugs before, and 4 FSW had intravenous drug abuse, who all worked in mid-to-high grade places. A FSW ever shared injection, but hadn't shared in the past half a year.5.49 FSW were diagnosed sexually transmitted diseases in the recent year. The prevalence rate of sexually transmitted diseases among FSW had no statistical difference (P=0.548)6. Recently a year,34.28% had been provided prevetive survice related to HIV/AIDS. FSW in low grade places were supplied more survice than in mid-to-high grade places.7.29.01% of FSW had been detectde HIV antibody, of which 91.50% had knewn test results. The pertentage of detection and knew test results FSW in low grade places were higher than in mid-to-high grade places (P<0.001, P<0.001).8.5513 serum were sampled The infection rate of HIV, syphilis and HCV were 0.54%, 7.26% and 6.53%, respectively.4 positives to HIV antibody all worked in mid-to-high grade places, the positive rate to Syphilis and HCV had no statistical difference (P=0.784,P=0.270)Conclusion:The most FSW in Shanxi province were young women of childbearing age, their culture were low and liquidity was strong, who could not understand own infection risk to HIV. A few with drug use, and widespreadly unsafely sexual behavior, it meant FSW had risk to infect and spread HIV, syphilis and HCV. The survey found most of FSW were in mid-to-high grade places, bigger liquidity, lower awareness rate of knowledge to AIDS prevention and control, high proportion of unprotected intercourse, existence of shared injection behavior, seldom acceptence to AIDS prevention services, lower attention to their own health condition, especially to HIV infection, they were the key crowd to HIV infection and spread. We should further improve the understanding, according to various risk factors, to take positively effective measures to control HIV/AIDS.