论文部分内容阅读
目的了解新疆部分城市低档场所女性性工作者(FSWs)对暴露前预防(Pr EP)、暴露后预防(PEP)和女用安全套的接受意愿和影响因素。方法采用方便抽样法对新疆部分城市低档娱乐场所和站街的1 116名女性性工作者开展问卷调查。结果调查对象Pr EP、PEP和女用安全套的知晓率较低,分别为7.35%、6.00%和20.70%,接受率分别为61.65%、73.21%和60.93%。Pr EP和PEP的安全性、女用安全套的价格因素是影响调查人群是否能够接受的重要原因。多因素分析表明:汉族、非本市的调查对象对Pr EP和PEP的接受意愿较高,未婚、离异/丧偶者对女用安全套的接受意愿较高。不能每次都说服客人用安全套者对Pr EP和女用安全套的接受意愿较高,有HIV感染风险意识者、有联系人者对PEP和女用安全套的接受意愿较高。而每次都用安全套、接受过安全套推广者对3种预防措施的接受意愿均较高。结论在推广PEP、Pr EP和女用安全套前,要开展有针对性的宣传动员。少数民族、流动、无联系人的女性性工作者是推广工作的重点;加强安全套推广和发放及同伴教育干预,提高自我保护和风险意识同样会提高对这3种预防措施的接受程度。
Objective To understand the willingness and influence factors of pre-exposure prophylaxis (PrEP), post-exposure prophylaxis (PEP) and female condoms on female sex workers (FSWs) in low-grade places in some cities of Xinjiang. Methods A questionnaire survey was conducted on 1,116 female sex workers in low-grade entertainment venues and station streets in some cities in Xinjiang using the convenience sampling method. Results The awareness rates of Pr EP, PEP and female condom were low, which were 7.35%, 6.00% and 20.70% respectively. The acceptance rates were 61.65%, 73.21% and 60.93% respectively. The safety of Pr EP and PEP and the price factor of female condoms are the important reasons that influence the survey population’s acceptability. Multivariate analysis showed that Han and non-city respondents were more willing to accept Pr EP and PEP, and those who were unmarried and divorced / widowed were more willing to accept condoms. Each time you convince your guests that condom recipients are more likely to accept Pr EP and condoms, those with a risk of HIV infection and those with contacts are more likely to accept PEP and condoms. Each time a condom was used, those who received condom promotion had a higher willingness to accept the three preventive measures. Conclusion Before promoting PEP, Pr EP and female condom, we must carry out targeted publicity and mobilization. Female sex workers who are minority, mobile and non-contact are the focus of promotion efforts. Strengthening condom promotion and peer education interventions and improving self-protection and risk awareness will also increase the acceptance of these three preventive measures.