Analysis Of Related With Knowledge, Behavior And Disease Serology Of HIV Surveillance Surveys Among Female Sex Workers Of Qinghai Province From2009to2010

Objective To analyze behavioral changes related to HIV/AIDS and trends of HIV、Syphilis HCV epidemic among female sex workers (FSWs) of Qinghai Province, and to provide information for integrated HIV prevention and evaluation of interventions.Methods Continuous surveillance was provided in2sites from2009to2010, cross-sectional surveys were conducted among institution-based and street based female sex workers, and blood samples were tested.Result(1) The rate of using condoms in the last commercial sex activities among the surveyed FSWs was:84.3%and83.8%in the2years from2009to2010; while the rate of consistently using condoms in sex with clients during the last month was:75.8%and69.9%. Female sex workers who had injecting drug use were identified in one surveillance sites in2009.(2) The rate of awareness of HIV/AIDS transmission among the FSWs was81.6%and75.8%, respectively. The proportion of the FSWs who attended HIV VCT services was41.1%and44.3%, respectively. The proportion of the FSWs who received intervention service within the last year was77.2%and80.1%, respectively. Based on X2-test analysis, the awareness of HIV information is significant differences between2009and2010, the results of2010is lower than2009.(3) The HIV detection rate was0.0%and0.25%,during the2years; the syphilis detection rate was1.6%and1.8%, and the HCV detection rate was0.5%and0.1%, respectively. Based on Continuity Correction test analysis, the HIV detection rate and HCV detection rate is no significant differences between2009and2010. Syphilis detection rate has no differences in2009and2010which tested by Chi-square analysis.Conclusion(1) Rate of condom using and HIV awareness need to be further enhanced among female sex workers. The proportion of female sex workers who have received intervention service tends to increase:the coverage of behavioral intervention, voluntary counseling and testing and public education is increased gradually.(2) HIV prevalence rate among female sex workers is generally low. High risk behaviors.such as unprotected sex and injecting drug use are not uncommon among FSWs. All this means that behavioral intervention is a long-term tough task, and to ensure its effectiveness and sustainability integrated HIV/AIDS prevention and control program will be needed.