摘要
目的了解广东省性病就诊者发生付费性行为情况并探讨其影响因素。方法 2016年7~12月在东莞和中山共7家医院招募性病就诊者,收集一般人口学特征、性行为史及付费性行为情况,性病实验室检测等信息,并采用非条件Logistic回归模型分析付费性行为的影响因素。结果 1 976名性病就诊者中,有付费性行为者259人(13.1%),男性中该比例高于女性(X^2=129.173,P<0.001)。有付费性行为的人群中,最近一次性行为安全套使用、就诊时分别和同时检测人类免疫缺陷病毒(human immunodeficiency virus,HIV)和梅毒抗体的比例、HIV感染率均高于无付费性行为人群(均有P<0.05)。多因素Logistic回归显示,性别、月收入、居住状态、既往性病史与付费性行为事件的发生存在关联。结论广东省性病就诊者付费性行为的比例较高。月收入低于3 000元、独居、既往无性病的男性可能更容易发生付费性行为。
Objective To investigate the characteristics and associated factors of commercial sexual contacts among attendees at the sexually transmitted disease（ STD） clinics in Guangdong Province. Methods We recruited attendees at the STD clinics in Dongguan and Zhongshan cities,and collected the information on demographic characteristics,history of commercial sex behavior,and STDs testing. The Logistic regression model was applied to analyze possible associated factors. Results In total,259（ 13. 1%） attendees reported a history of commercial sex in the past six months. The prevalence of commercial sex in men was higher than that among women（ X^2= 129. 173,P 0. 001）. The proportions of condom use at last sex intercourse,the rates of testing for human immunodeficiency virus（ HIV） and syphilis separately and simultaneously,and the rate of HIV tested positive for people who pay for sex were all higher than those among people without commercial sex（ all P 0. 05）. Gender,monthly income,habitation status,and STD history were associated with commercial sex behavior. Conclusions The prevalence of commercial sex behavior among attendees at the STD clinics in Guangdong Province was high. Males,especially those with lower income,or without a STD history,or live alone,may tend to have commercial sexual contacts.
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2017年第11期1136-1140,共5页
Chinese Journal of Disease Control & Prevention
基金
广东省科技计划项目(2015A020210067)
