摘要
目的了解清远市女性性工作者(FSW)艾滋病相关知识知晓情况和相关行为状况,为对该人群制定行为干预方案提供科学依据。方法采用整群随机抽样和方便抽样相结合的方法,对清远市清城区、清新县夜总会、桑拿沐足、卡拉OK、发廊、出租屋等场所的FSW进行匿名问卷调查,问卷内容包括一般人口学特征、性病/艾滋病相关知识、态度和行为,同时采集5mL静脉血样进行HIV及梅毒抗体检测。采用单因素和多因素非条件logistic回归方法对艾滋病知识知晓率的影响因素进行分析。结果共调查333名FSW,艾滋病知识的总知晓率为68.47%。多因素非条件logistic回归分析结果显示,文化程度小学以下(OR=0.08)、月收入在1000元及以下(OR=0.17)、3001～5000元(OR=0.36)的FSW知晓率较低,而既往接受过艾滋病干预服务(OR=9.59)的FSW知晓率较高。19.24%(61/317)的FSW觉得自己可能有感染艾滋病病毒的危险;近1个月与商业性伴发生性行为时每次使用安全套的比例为76.28%(254/333);近1周与临时性伴、固定性伴发生性行为时每次使用安全套的比例分别为51.82%(57/110)、20.85%(54/259)。33.63%(112/333)的调查对象曾尝试过毒品。HIV检测结果均为阴性,梅毒感染率为7.51%(25/333)。结论清远地区部分FSW对艾滋病相关知识知晓率及安全套使用率均较低,因此全面推广安全套使用,加强艾滋病健康教育和行为干预是当务之急。
Objective To understand HIV/AIDS-related knowledge and behavior in female sex workers （FSWs） in Qingyuan for informing their behavior intervention. Methods In Qingcheng District and Qingxin County, FSWs from night clubs, saunas, KTVs, barbershops, and rental residences were surveyed anonymously with questionnaires through cluster randomized sampling followed by convenience sam- pling. Collected information included general demographic characteristics and HIV/AIDS-related knowledge, attitude, and behavior. 5 mL of venous blood was collected from each FSW for testing syphilis- and HIV-antibodies. Univariate and multivariate （unconditional logistic regression） analyses were performed to identify correlates of HIV/AIDS knowledge. Results Of all sampled FSWs （333）, 68.47% correctly answered at least 6 out of 8 HIV/AIDS-related questions. Through multivariate analysis, less HIV/AIDS knowledge was related to under primary school education （ OR = 0. 08 ） and lower monthly income （ ≤ 1 000 RMB ： OR = 0. 17,3 001 - 5 000 RMB ： OR = 0. 36 ）, but receiving HIV/AIDS intervention services before was related to more knowledge （OR =9. 59）. 19. 24% （61/317） reckoned being at risk for HIV. Before the interview, in 30 d, 76. 28% （ 254/333 ） always used condoms during commercial sex, and in 7 d, 51.82% （57/110） and 20. 85% （54/259） did so with their casual or stable sex partners, respectively. 33. 63% （112/333） tried illicit drugs before. Of all subjects, 25 （7. 51% ） were positive for anti-syphilis, while the figure for anti-HIV is 0. Conclusion The awareness level of relevant HIV/AIDS knowledge is low in FSWs in Qingyuan, so is the frequency of condom use. Therefore, HIV/AIDS health education and behavior intervention including condom use promotion should be strengthened urgently.
出处
《华南预防医学》
2010年第4期18-21,共4页
South China Journal of Preventive Medicine
基金
第六轮中国全球基金艾滋病项目(GD-GF6-09-25)
