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目的了解上海市闸北区暗娼安全套使用率及影响安全套使用的因素,为相关部门开展干预提供科学依据。方法采用立意抽样方法对闸北区部分娱乐场所的167名暗娼进行安全套使用情况调查。结果暗娼第一次提供商业性服务的平均年龄为(24.77±5.34)岁;在167名应答的调查对象中,过去一个月暗娼每次性行为都使用安全套的比例为68.9%,过去一周的比例为75.6%,最近一次使用的比例为92.7%,且差异有显著性(χ2=62.161,P=0.000);与顾客每次都使用安全套的比例高于她们与固定性伴(主要是男朋友或丈夫)的比例,差异有显著性(χ2=53.513,P=0.000);月收入高低、有否其他非顾客男性性伴是安全套使用的影响因素。结论暗娼安全套使用率随周期延长有下降趋势,且安全套使用在不同性伴间存在差异,应进一步采取有效干预措施,提高安全套坚持使用率。
Objective To understand the occupational rate of condom use and the factors influencing the use of condoms in ZhaBei District of Shanghai and to provide scientific basis for the intervention of relevant departments. Methods The condom use survey of 167 female sex workers in some places of entertainment in Zhabei District was conducted by means of deliberate sampling method. Results The average commercial sex service provision of female sex workers for the first time was (24.77 ± 5.34) years old. In the 167 respondents, the proportion of female sex workers who used condoms in the past month was 68.9% (Χ2 = 62.161, P = 0.000). The proportion of patients who use condoms every time was higher than that of regular partners (mainly boyfriends or Husband), the difference was significant (χ2 = 53.513, P = 0.000); monthly income, whether there are other non-customer male partners is the influencing factors of condom use. Conclusions The rate of condom use among female sex workers decreases with the increase of cycle duration. There are differences in the use of condoms among different sexual partners. Effective interventions should be taken to improve condom use rate.