学术论文

      南京地区固定场所女性性服务人员体检结果分析

      Results of physical examination of female sex workers in fixed venues in Nanjing

      摘要:
      目的:通过常规体检,了解固定场所女性性服务人员(FSW)的健康隐患.方法:提供上门妇科健康体检服务,采集分泌物和血液送临床检验中心,对体检和检测结果进行汇总分析.结果:347例FSW接受了体检服务,其平均年龄(23.56±3.34)岁,平均入职时间(25.73±15.05)月.妇科检查发现有宫颈和分泌物问题,以及尖锐湿疣、霉菌、衣原体感染等.血清检测未检出HIV阳性者,梅毒筛查阳性4.0%,疱疹病毒Ⅱ型IgG阳性38.33%.乙型肝炎测定84.7%全阴,大三阳1.4%,小三阳1.75%.宫颈柱状上皮异位与衣原体感染和阴道分泌物清洁度状态有关;阴道清洁度与阴道霉菌、衣原体感染及疱疹病毒Ⅱ型IgG阳性具有相关性.结论:健康体检作为一项健康干预措施可以初步预测女性性服务人员的生殖感染风险,同时应该关注该群体的生殖器疱疹预防和乙肝疫苗的预防接种.
      Abstract:
      Objectives:To understand the health risks of female sex workers (FSW) in fixed venues through routine physical examination.Methods:Door to door gynecologic check-up was provided.Subjects' secretion and blood samples were collected and delivered to a clinical center.Analytical screening and lab results were analyzed.Results:Among 347 FSWs,who received physical screening service,the average age was 23.56 ± 3.34 and the average working time was 25.73 ± 15.05 months.Gynecological screening found abnormalities in cervical and vaginal secretions.Condyloma acuminata,mold and Chlamydia trachomatis infection were found.No HIV infection was detected through serum test.However,the positive syphilis screening rate was 4.0%.Herpes virus type Ⅱ IgG positive rate was 38.33%.84.7% were found with negative results of hepatitis B.HBsAg,HBeAg and Anti-HBc positive rate was 1.4%.HBsAg,Anti-HBe and Anti-HBc positive rate was 1.75%.Cervical erosion correlated with chlamydia trachomatis infection and vaginal cleanliness.Vaginal cleanliness had a positive correlation with vaginal mold,chlamydia and herpes virus type Ⅱ IgG.Conclusion:Physical examination as a health intervention can be used for preliminary forecasting reproductive infection risk of female sex workers.Genital herpes prevention and hepatitis B vaccine inoculation both are important intervention strategies.
      作者: 汪富蓉 [1] 罗长萍 [1] 梁丽 [1] 李澜 [1] 朱小凤 [2] 曹宁校 [2]
      Author: WANG Furong [1] LUO Changping [1] LIANG Li [1] LI Lan [1] ZHU Xiaofeng [2] CAO Ningxiao [2]
      作者单位: 江苏你我健康服务中心,南京,210019 中国医学科学院,北京协和医学院皮肤病医院,南京210042
      刊 名: 中国性科学 ISTIC
      年,卷(期): 2017, 26(11)
      分类号: R752.5+3
      在线出版日期: 2017年12月22日