新疆女性性工作者艾滋病暴露前预防用药使用意愿调查

发布时间：2018-01-06 20:12

  本文关键词：新疆女性性工作者艾滋病暴露前预防用药使用意愿调查　出处：《新疆医科大学》2011年硕士论文　论文类型：学位论文

  更多相关文章： 获得性免疫缺陷综合症 女性性工作者 暴露前预防用药 定性调查 可接受性

【摘要】：目的：了解新疆女性性工作者(FSWs)对艾滋病的认知、态度及安全套使用的基本情况；了解新疆FSWs艾滋病预防措施的认知、参与艾滋病干预活动及艾滋病咨询检测等的基本情况；了解并分析新疆FSWs对暴露前预防用药(PrEP)预防艾滋病的接受程度及其影响因素。方法：采用定量研究与定性研究的方法分别对新疆乌鲁木齐市和克拉玛依市娱乐场所自愿参加调查的FSWs进行一对一的匿名问卷调查及个人深入访谈。结果：(1)定性访谈共50人,访谈显示FSWs对艾滋病基本知识掌握较好、对艾滋病病人/感染者歧视现象仍然存在、发生商业性行为(阴道交)时安全套的使用情况(47/50)较好,但口交安全套的使用(7/10,)较低；与非商业性性伴之间发生无安全套性行为的现象仍较严重,且有可能成为感染艾滋病风险的另一主要原因；(2)FSWs对艾滋病预防措施认知比较薄弱,参与艾滋病干预活动不积极。50人以前从未听说过PrEP,32人(50人)表示愿意使用PrEP;(3)问卷调查共762人,673人(88.32%)以前从未听说过PrEP,528人(69.29%)表示愿意使用PrEP,145人(19.03%)不愿意服用药物,89人(11.68%)表示很有可能会使用。高、中、低档场所工作的FSWs对PrEP使用意愿未见明显不同(P=0.285)。愿意使用PrEP的FSWs主要关注药物的安全性、效果和费用等方面；不愿意使用PrEP的原因主要是认为自己没有感染艾滋病的风险、怀疑药物的效果、担心药物的副反应。非条件Logistic回归分析结果显示,艾滋病基本知识量化总分越高FSWs越愿意使用PrEP (OR=1.102, P=0.009)、高中及以上文化程度者PrEP使用意愿是小学文化程度的0.558倍(OR=0.558,P=0.042)、不歧视艾滋病病人/感染者PrEP使用意愿是歧视艾滋病病人/感染者的1.568倍(OR=1.568,P=0.030)。结论：新疆FSWs艾滋病基本知识掌握较好,对PrEP的接受意愿较好,文化程度、艾滋病基本知识的掌握程度及对艾滋病病人/感染者态度是影响FSWs使用PrEP的主要因素,PrEP在今后推广应用中应主要关注安全性、效果和费用等方面。
[Abstract]:Objective: to understand the Xinjiang female sex workers (FSWs) on the basic situation of AIDS awareness, attitude and condom use; understand Xinjiang FSWs awareness of preventive measures, the basic situation of participation in AIDS intervention and AIDS counseling and testing; understanding and analysis of Xinjiang FSWs on pre exposure prophylaxis (PrEP) AIDS prevention acceptance factors and influence. Methods: using quantitative and qualitative research methods respectively in Xinjiang Urumqi city and Karamay City Entertainment voluntarily participated in the study FSWs asked one anonymous questionnaire survey and in-depth interviews. Results: (1) a total of 50 qualitative interviews, interviews show that FSWs is better for the AIDS basic knowledge of. AIDS / HIV discrimination still exists, commercial sexual behaviors (vaginal) use condom (47/50) better, but oral sex The use of condoms (7/10) is relatively low; and between the non commercial sex without condom sex phenomenon is still serious, and there may be another main reason for the risk of HIV infection; (2) FSWs awareness of AIDS prevention measures is relatively weak, do not actively participate in AIDS intervention activities before.50 heard of PrEP, 32 people (50) said they are willing to use PrEP; (3) survey a total of 762 people, 673 people (88.32%) had never heard of PrEP, 528 people (69.29%) said they are willing to use PrEP, 145 people (19.03%) do not like taking medicine, 89 people (11.68%) said that most likely use. High, low-grade places of work of the FSWs on the intention to use PrEP was significantly different (P=0.285). FSWs mainly focus on drug safety is willing to use PrEP, effect and cost etc; why not want to use the PrEP is that they do not risk of HIV infection, pregnant Suspected drug effects, fear of adverse drug reaction. Non conditional Logistic regression analysis showed that the basic knowledge of AIDS to quantify the higher scores of FSWs more likely to use PrEP (OR=1.102, P=0.009), the high school education level and above PrEP usage intention is 0.558 times of the primary school education (OR=0.558, P=0.042), not to discriminate against AIDS patients / willingness to use PrEP infection is 1.568 times of discrimination against HIV / AIDS (OR=1.568, P=0.030). Conclusion: Xinjiang FSWs AIDS basic knowledge of PrEP is better, the willingness to accept good education, grasp the main factors and the degree of AIDS basic knowledge on HIV / AIDS attitude is the effect of FSWs using PrEP. PrEP should pay attention to safety in the future application, effects and costs.

【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R183.9

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