钦州市区女性性工作者安全套使用情况及其影响因素分析

发布时间：2018-04-30 12:06

本文选题：艾滋病 + 性病　；参考：《中国卫生事业管理》2017年09期

【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,P0.001;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,P0.001);女性性工作者来源场所档次低(OR=2.853,95%CI:1.835-4.434,P0.001)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。
[Abstract]:Objective: to investigate the condom use among female sex workers and its influencing factors in Qinzhou City, and to provide evidence for the prevention and treatment of STD / AIDS in urban areas. Methods: cluster sampling was used to investigate female sex workers in different places in Qinzhou City. Results: a total of 400 female sex workers were investigated, with an average age of 27.79 卤7.71 years, an average age of 26.7 卤0.33 years for the first time having commercial sex, 69.889 / 400% for junior high school students and below, 44.55% 178400% for unmarried persons and 512044% / 400 for married persons. The awareness rate of AIDS knowledge is 98.75 / 400%. The percentage of respondents who used condoms each time in commercial sex in the past month was 59, with fixed sex associated with none at all ages. There were statistically significant differences among different grades and different working hours (蠂 ~ (27.653) P _ (0.022); 蠂 ~ (2 +) 2.811) P ~ (0.035); 蠂 ~ (2 +) ~ (2) (26.743) P _ (0.001); 蠂 ~ (2) ~ (2) 6.518 (P ~ (0.038); the rate of consistently using condom in every commercial sexual intercourse was higher than that with a fixed sex partner. The difference was statistically significant (蠂 ~ (2 / 2) 139.989 / P _ (0.001), and the lower grade of female sex workers' place of origin was 2.853 ~ 95% CI: 1.835-4.434 / P 0.001), which was a risk factor for condom use in the course of commercial sexual service. Conclusion: the proportion of female sex workers who persist in condom use is low in Qinzhou urban area, and there are differences among different types of sex partners. Low condom use among female sex workers comes from low-grade sex workers.
【作者单位】：广西医科大学公共卫生学院·广西艾滋病防治研究重点实验室;钦州市疾病预防控制中心;桂林医学院公共卫生学院;
【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)
【分类号】：R512.91;R759

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