云南省边境地区暗娼艾滋病高危行为现况分析

发布时间：2018-06-17 11:45

本文选题：边境地区 + 暗娼　；参考：《中国公共卫生》2015年12期

【摘要】：目的了解云南省边境县暗娼艾滋病高危行为现况,为制定干预政策提供依据。方法采用社区概率抽样方法和普查法对云南省8个边境州(市)暗娼进行横断面调查,通过一对一问卷调查,收集人口学及高危行为等相关信息,采用SPSS 17.0进行统计学分析。结果共调查12 445人。艾滋病总知晓率为97.5%,边境县较非边境县低(χ2=66.746,P0.01);边境县暗娼中,外国籍暗娼较中国籍低(χ2=149.038,P0.01)。最近1个月商业性行与每次都使用安全套的总比率为94.9%,边境县较非边境县低(χ2=21.543,P0.01);多因素logistic回归分析表明,未坚持使用安全套的主要危险因素有:年龄30岁(OR=2.03)、少数民族(OR=0.782)、初中以下文化程度(OR=1.425)、中低档暗娼(OR=1.098,1.395)、不知晓艾滋病知识(OR=6.672)、有吸毒行为(OR=1.915);不使用安全套的主要原因是对方不愿意使用,占55.3%。暗娼总体吸毒率为1.7%,注射吸毒比率为0.8%。最近1年内被诊断患性病的总比率为0.8%,生殖道沙眼衣原体感染居首位。结论需加强边境县中在华外国籍、年龄较小、少数民族、文化程度较低且对艾滋病知识不知晓暗娼的干预,重点加强吸毒暗娼的干预。
[Abstract]:Objective to investigate the prevalence of HIV / AIDS high-risk behaviors among prostitutes in Frontier County, Yunnan Province, and to provide evidence for the formulation of intervention policies. Methods Community probabilistic sampling method and census method were used to carry out cross-sectional investigation in 8 border prefectures (cities) of Yunnan Province. The demographics and high risk behaviors were collected by one-to-one questionnaire, and SPSS 17.0 was used for statistical analysis. Results A total of 12 445 persons were investigated. The total awareness rate of AIDS was 97.5%, the border county was lower than that of the non-border county (蠂 2 / 66.746% P 0.01), and the foreign nationality secret sex workers were lower than the Chinese nationality (蠂 2 / 149.038 / P 0.01). The total rate of condom use in commercial sex trade and every time in the last month was 94.9, and the border county was lower than that in non-border county (蠂 ~ 2 ~ 2 ~ (21.543) P _ (0.01). Multivariate logistic regression analysis showed that, The main risk factors for not persisting in condom use were: 30 years old, 0.782, below junior middle school education level, 1.0981.395, no knowledge of AIDS, OR1.9152, OR1.91515. The main reason for not using condom was that the other side was unwilling to use it. 55.3. The total drug use rate of CSW was 1.7%, and the rate of injecting drug use was 0.8%. The total rate of STDs diagnosed in the last year was 0.8. Chlamydia trachomatis infection was the first in the genital tract. Conclusion it is necessary to strengthen the intervention of foreign nationality in border counties in China, younger age, minority nationality, lower education level and unknown knowledge of AIDS among prostitutes, with emphasis on the intervention of drug addicts and prostitutes.
【作者单位】：昆明医科大学公共卫生学院;云南省疾病预防控制中心;
【分类号】：R512.91

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