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目的了解云南省女性性服务者中性传播感染者最近1年性传播感染的就医方式,为促进女性性服务者选择正确就医行为提供依据。方法选择目前从事商业性性服务女性为调查对象,采用问卷方式进行面对面调查,调查其中最近1年内出现过性传播感染(STIs)相关症状患者的就医方式。结果798名女性性服务者患STIs者就医时,43.0%选择自己买药治疗,24.9%选择综合医院就诊,17.9%到私人诊所就诊。女性性服务者性传播感染者不同年龄(χ2=11.419,P=0.010)、不同服务场所(χ2=6.007,P=0.050)、户口所在地(χ2=4.810,P=0.028)和民族(χ2=4.296,P=0.038)选择综合医院就诊比例差异有统计学意义。结论大多数女性性服务者STIs感染后存在不正规就医行为,缺乏正确就医方式的认知,应该加强药店处方药物和性病私人诊所行业的规范化管理。
Objective To understand the ways of medical treatment of STIs among female sex workers in Yunnan Province in the last year and to provide basis for promoting the selection of correct medical treatment for female sex workers. Methods The women who are currently engaged in commercial sexual services were selected as the survey subjects and conducted a face-to-face survey using a questionnaire to investigate the ways in which patients with STIs related symptoms were found in the recent one year. Results Of the 798 female sex workers who received STIs, 43.0% chose to buy their own medicine, 24.9% chose general hospitals and 17.9% went to private clinics. (Χ2 = 11.419, P = 0.010), different service places (χ2 = 6.007, P = 0.050), household location (χ2 = 4.810, P = 0.028) and ethnicity (χ2 = 4.296 , P = 0.038) The difference in the proportion of general hospitals selected was statistically significant. Conclusions Most female sex workers have irregular medical treatment after STIs infection and lack of cognition of proper medical treatment. The standardized management of pharmacy prescription drugs and STD private clinics should be strengthened.