摘要
目的:了解钦州市区内女性性工作者安全套使用情况及其影响因素,为制定城市市区内性病/艾滋病的防治策略提供依据。方法:采取整群抽样方法对钦州市区内的不同档次场所的女性性工作者进行面对面无关联匿名问卷调查。结果:共调查400名女性性工作者,平均年龄(27.79±7.71)岁,首次发生商业性行为的平均年龄为(26.7±0.33)岁,初中及以下文化程度占69.8%(279/400);未婚者占44.5%(178/400),在婚者占51%(204/400);户籍以本省为主,艾滋病知识知晓率为98.75%(395/400)。调查对象中在过去一个月商业性行为中每次都使用安全套的比例为59%,该比例在不同年龄,固定性伴有无,不同档次场所和不同从业时间之间差异均有统计学意义(χ~2=7.653,P=0.022;χ~2=4.811,P=0.035;χ~2=26.743,P<0.001;χ~2=6.518,P=0.038);调查对象每次商业性性行为都坚持使用安全套的比例高于与固定性伴的比例,差异有统计学意义(χ~2=139.989,P<0.001);女性性工作者来源场所档次低(OR=2.853,95%CI:1.835-4.434,P<0.001)是商业性服务过程中安全套使用的危险因素。结论:钦州市区的女性性工作者每次性行为中坚持使用安全套的比例较低,且安全套使用在不同类型性伴之间存在差异。女性性工作者来源于低档场所是安全套使用率低的影响因素。
Objective To investigate the rate of condoms use and its influencing factors among fcmale sex workers （FSWs） in Qinzhou city, and provide evidences for the prevention and control of STD/AIDS in urban areas. Methods A cross - sectional study using cluster sampling to recruit 400 FSWs coming from different level workplaces was conducted in 2014 in Qinzhou city, China. The participants were interviewed face - to - face using unrelated anonymous questionnaires. Results FSWs＇ mean age of was 27. 79 （SD =7.71 ） , and the mean age of the first commercial sexual intercourse was 26. 70 （SD = 0. 33）. 69. 8% of them re- ceived junior middle school education or below; 44. 5% were unmarried, and 51.0% were married. The rate of AIDS awareness was 98.75% （395/400）. The proportion of FSWs who persistently versus not persistently used condoms for commercial sexual be- havior in the past month was 59% and 41% respectively, and were significantly different among different age, fixed or unfixed sex- ual partners, various sources of working venue and working time （X2 = 7.65, P = 0. 022 ; X2 = 4. 81, P = 0. 035 ;X2 = 26. 74, P 〈0. 001;X2 = 6. 52, P =0. 038, respectively）. The proportion of condom persistently use with clients was significantly higher than those with fixed sexual partners （X2 = 139.99, P 〈0. 00! ）. The low level of working venue were the risk factor of condom u- sing in commercial services （ OR = 2. 853, 95% CI ： 1. 835 - 4. 434, P 〈 0. 001 ）. Conclusion The proportion of FSWs using con- dom in per sexual intercourse was still low in Qinzhou City, and had significant differences between different sexual partners. Low - level places where FSWs come from are associated with the lower rate of condom use.
出处
《中国卫生事业管理》
北大核心
2017年第9期707-711,共5页
Chinese Health Service Management
基金
广西自然科学基金资助项目:基于数理模型研究中国广西和越南北部HIV-1耐药影响因素及其传播规律(编号:2016GXNSFBA380189)
2014年广西科学研究技术开发计划:艾滋病新型诊断技术
治疗方案及预防干预新模式集成技术体系的研究与开发(编号:桂科技字[2014]124号)
2016广西高校高发疾病预防与控制重点实验室开放课题:基于数学模型研究中国广西和越南北部HIV-1耐药影响因素及其传播网络规律(A类)(编号:02402214003-1601)
