广西基层社区性服务妇女1年女套干预后使用者的特征和影响因素

发布时间：2018-03-10 14:57

  本文选题：女用安全套　切入点：女性性工作者　出处：《中国艾滋病性病》2017年05期 　论文类型：期刊论文

【摘要】：目的在广西一市两镇(PX市和BZ、LT镇)性服务妇女(FSW)常规预防服务中,加入为期1年的女用安全套(简称女套)干预后,分析女套的接受性,不同水平女套使用者的特征和背景影响因素。方法于外展工作中开展女套知识、使用技能教育,免费发放丽薇女套(PX市同时发放少量凤康女套),并在基线、干预后6个月和12个月开展横断面调查,比较两阶段干预后女套的使用水平(从未使用过、使用过一次、使用一次以上)以及相关因素。结果三次调查分别包括419、301、300名合格的调查对象,干预前各现场分别有46.1%、53.9%、48.4%的FSW自报在近30天坚持使用安全套,干预12个月后该比例为64.7%、57.7%、79.7%。基线时13.8%的FSW自报使用过女套,干预后6个月及12个月后的调查中该比例分别提高至58.1%和55.3%;在听说过女套的FSW中,两阶段干预后分别有45.9%和50.2%曾使用过一次以上女套。无序多分类Logistic回归分析显示,控制研究现场的影响,与从未使用过女套的FSW相比,在自主经营类场所(出租屋)工作[比值比(OR)=5.27]、参加女套相关活动5次以上(OR=3.14~5.13)的FSW,更可能多次使用女套。结论女套接受性低于男套,但在FSW中仍有一定的使用意愿。接受多次干预和在自主经营类场所工作,是女套接受程度比较高的FSW的特征。
[Abstract]:Objective to analyze the acceptability of sex service women (FSWs) after the intervention of female condom (female condom) for one year in one city, two towns in Guangxi, PX city and BZLT town. Methods the knowledge of women sets and skills education were carried out in outreach work, and a small number of Fengkang women's sets were distributed free of charge in PX City, and at the baseline. A cross-sectional survey was conducted 6 and 12 months after intervention to compare the level of use of the two phases of intervention (never used, once, Results 419,301,300 eligible subjects were included in the three surveys. Before the intervention, 46.1% of the FSW (48.4%) reported insisting on condom use in the past 30 days. After 12 months of intervention, the proportion was 64.7% and 57.77.70.The proportion of FSW self-reported using women was 58.1% in baseline and increased to 58.1% and 55.3 in FSW after 12 months of intervention; in FSW who had heard of women, the proportion increased to 58.1% and 55.3 respectively in the survey of 6 months and 12 months after intervention. 45.9% and 50.2% women had been used more than once after the two stages of intervention. Disordered multiple classification Logistic regression analysis showed that control of the impact of the study site, compared with FSW, which had never been used, FSWs working in self-managed premises (rental houses) were more likely to use women's suits than men's ones when they participated in more than 5 times of women's suit related activities. Conclusion the acceptance rate of women's sets is lower than that of men's ones, and the FSWs are more likely to be used in self-employed premises (rental houses). However, there is still a certain willingness to use in FSW. Accepting multiple interventions and working in autonomous management sites are the characteristics of FSW, which has a higher degree of acceptance.
【作者单位】： 中国医学科学院基础医学研究所北京协和医学院基础学院流行病学教研室;上海市浦东新区疾病预防控制中心;广西壮族自治区疾病预防控制中心;广西凭祥市疾病预防控制中心;广西南宁市宾阳县疾病预防控制中心;广西南宁市宾阳县黎塘卫生院;
【基金】：科技部十二五传染病重大专项(2012ZX10001001-014) 中国全球基金(CSO-2012-研40)~~
【分类号】：R181.3;R512.91
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