摘要
目的了解吸毒严重地区暗娼接受过HIV自愿检测情况和检测结果告知意愿及影响因素。方法于2004年12月-2005年1月在四川省西昌市从社区中招募暗娼，调查其社会人口学、高危行为特征、接受过HIV自愿检测情况和检测结果告知配偶或固定性伴的意愿情况。结果19．8％（68／343）的暗娼接受过HIV自愿检测，多因素Logistic回归模型分析结果显示：参加过艾滋病防治项目（OR=3．59；95％CI：1．98～6．52）、农村户口（OR=0．50；95％CI．0．28～0．90）和近1个月与客人100％使用安全套（OR=3．06；95％CI：1．66～5．61）与暗娼接受过HIV自愿检测的关系有统计学意义。62．2％（130／209）的暗娼愿意将HIV检测结果告知配偶或固定性伴，多因素Logistic回归模型分析结果显示：接受过HIV自愿检测（OR=2．54；95％CI：1．13～5．71）、每月与客人性交次数〈15次（OR=1．90；95％CI：1．05～3．43）和汉族（OR=3．10；95％CI：1．16～8．27）与暗娼HIV检测结果告知意愿的关系有统计学意义。结论暗娼HIV自愿检测率低，需开展健康教育与干预活动来提高其HIV自愿检测以及接受检测结果告知意愿。
Objective To investigate the status of HIV Voluntary Counseling and Testing （VCT） and desirability to sex partner notification, and contributed factors among female sex workers （FSWs） in Xichang of Sichuan province, China. Methods From December, 2004, to January, 2005, a community - based baseline survey was conducted to recruit FSWs in Xichang County of Sichuan Province, China, and to investigate sociodemographic, sexual behavioral characteristics, HIV VCT, and desirability to spouse or regular sex partner notification. Results Among 343 subjects, there were 19.8% （68/343） subjects who had received HIV VCT. Multivariate Logistic regression model revealed that AIDS/HIV control and prevention program participation （OR, 3.59; 95% CI： 1.98～6.52）, rural registered permanent residence （OR, 0.50; 95% CI： 0.28～0.90）, and protected sex intercourse with clients past one month （OR, 3.06; 95% CI： 1.66～5.61） were independently associated with HIV VCT participation. 62.2% （130/209） subjects were willing to notify HIV test results to their spouse or regular sex partner. Multivariate Logistic regression model indicated that HIV VCT participation （OR, 2.54; 95% CI： 1.13～5.71）, the frequency of sex intercourse with clients every month 〈 15 times （OR, 1.90; 95% CI： 1.05～3.43） and Hanedmics （OR, 3.10; 95% CI： 1.16～8.27）wereindependently associ - ated with desirability to sex partner notification. Conclusion Our study results show that the rate of HIV Voluntary Counseling and Testing is low among FSWs in Xichang city. Integrative education and intervention should be urgent to promote the VCT and sex partner notification.
出处
《中国自然医学杂志》
CAS
2006年第3期176-180,共5页
Chinese Journal of Natural Medicine
基金
国家十五科技攻关课题项目(2004BA719A01
2004BA719A02)
国家自然科学基金项目(30571612
10501052)
全球基金第四轮中国艾滋病项目应用性研究项目(2005GF4RW002)
关键词
暗娼
HIV
自愿咨询检测
性伴告知
Female Sex Workers （FSWs）
HIV
Voluntary consulting testing （VCT）
Sex Partner Notification
