广州市卖淫嫖娼收教人员性病感染情况调查分析.docVIP

广州市暗娼嫖客收教人员性病感染趋势分析 何婉苹( 汤少开 叶兴东( 杨谦 高可羡 李锦亮 刘颖 广东省广州市，510095，广州市皮肤病防治所 [摘要] 目的 了解广州市暗娼嫖客收教人员的性病感染情况。方法 选取2005-2011年间广州市公安局收容教育所共3076名暗娼嫖客收教人员，调查其人口学特征，进行HIV、淋病、梅毒等性病的临床和实验室检查。结果 3076名学员共检出333人（10.83%）患1种或合并2种及以上性病，其中，患2种及以上性病者9人（0.29%），均为女性。共检出各类性病343例（11.15%），其中，梅毒感染率最高，为186例（6.05%），其次为尖锐湿疣72例（2.34%）和滴虫感染41例（1.33%），同时发现HIV阳性6例（0.19%）。186例梅毒中，96.24%为隐性梅毒。男女性病检出率分别为48例（4.17%）和295例（15.32%），差别有统计学意义（χ2=90.24，P<0.01）。2005-2011年性病检出率总体呈稳中下降的趋势，2011年检出率较2005年下降了56.95%。结论 广州市暗娼嫖客性病感染率总体呈稳中下降的趋势，但仍较普通人群增高，以梅毒的疾病控制负担最为严重。 [关键词] 暗娼；嫖客；性病；调查 Analysis of sexually transmitted infections among female sex workers（FSWs） and their clients in Guangzhou city HE Wan-ping，TANG Shao-kai，YE Xing-dong，YANG Qian，GAO Ke-xian，LI in-liang，LIU Ying. Guangzhou Institute of Dermatology，Guangzhou 510095，ChinaCorresponding author：YE Xing-dong，Email：their clients in Guangzhou. Methods A total of 3076 FSWs and their clients were selected from Guangzhou Public Security System ，from 2005 to 2011. The demography information about them was collected，and some clinical and laboratory tests for HIV and other sexually transmitted diseases were carried out on them. Results Among the 3076 subjects，333 persons（10.83%） suffered from at least one kind of STDs，including the 9 multiple infected ones（0.29%），all of whom were women. 343 STDs cases（11.15%）were detected，of which the highest prevalence was syphilis，involving 186 cases（6.05%），followed by 72 cases（2.34%）of Condyloma acuminatum and 41 cases（1.33%）of trichomonas vaginalis infection. There were also 6 cases（0.19%）of HIV-positive founded out. Of the 186 syphilis cases，latent syphilis cases accounted for 96.24%. The STDs cases of men and women were 48（4.17%）and 295（15.32%）respectively，which had significant differences statistically（χ2=90.24，P<0.01）. The STDs prevalence among FSWs and their clients was declining steadily overall during 2005 to 2011，and the incidence rate in 2011 decreased by 56.95% comparing to that in 2005. Conclusion The STDs preva