我国3城市女性性工作者性病求医意向与行为分析

发布时间：2019-05-24 14:10

【摘要】：目的了解我国女性性工作者(FSW)人群中的求医意向、行为及其影响因素。方法在广州、武汉、兰州等地FSW活动场所招募FSW进行问卷调查,并取宫颈拭子标本检测淋球菌和沙眼衣原体核酸检测。结果共调查1 033名FSW,210人淋球菌或沙眼衣原体核酸检测阳性,感染率为20.3%。如果出现性病相关症状,787人(76.2%)会到综合医院、专科医院、妇幼医院就诊;109人(10.6%)会首选自己买药治疗或不做处理。近1年322人曾有过性病相关症状,其中29人(9.0%)未去医院就诊。有症状未就医的FSW性病感染率为13.8%(4/29),与有症状就诊的FSW性病感染率19.1%(56/293)差异无统计学意义。多因素Logistic回归分析结果显示,自觉无性病艾滋病感染风险、与客人未坚持使用安全套,与不当求医行为有关。结论中国FSW人群中有性病相关症状却不就医现象较为普遍,应通过加强对处方药物销售的监管和建立转介机制等方式,多渠道引导正确求医行为。
[Abstract]:Objective to investigate the intention, behavior and influencing factors of seeking medical treatment in (FSW) population of female sex workers in China. Methods FSW was recruited in FSW activity sites in Guangzhou, Wuhan, Lanzhou and other places for questionnaire survey, and cervical swabs were taken to detect Neisseria gonorrhoeae and Chlamydia trachomatis nucleic acid. Results the nucleic acid of Neisseria gonorrhoeae or Chlamydia trachomatis was positive in 1033 FSW,210 patients, and the infection rate was 20.3%. If STDs related symptoms occurred, 787 people (76.2%) would go to general hospitals, specialized hospitals, maternal and child hospitals, 109 patients (10.6%) would first buy their own drugs or not for treatment. In the past year, 222 people had STD-related symptoms, of which 29 (9.0%) did not go to the hospital. The infection rate of FSW venereal diseases with symptoms was 13.8% (4 鈮，

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