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目的了解小型服务场所女性商业性行为者的安全套使用情况及其影响因素。方法采用《女性商业性行为人群艾滋病行为监测问卷》,随机调查杭州市下城区100家小型服务场所所有女性商业性行为者,了解发生商业性行为时的安全套使用情况,并对年龄、从业时间、婚姻、文化程度、艾滋病基本知识得分等共13个因素与安全套使用的关系采用单因素分析和多因素Logistic回归分析。结果共调查326名女性商业性行为者,平均年龄(24.89±5.55)岁,从业时间不到一年占47.85%,初中文化及以下占84.36%;发生商业性行为时,最近一次使用安全套比率占85.28%,最近一个月每次使用安全套比率占53.68%;多因素Logistic回归分析显示:从业时间≥3年、艾滋病基本知识得分≥8分、为预防艾滋病,愿意使用安全套、如果客人多出钱,表示不可以不用安全套的女性商业性行为者每次安全套使用率较高,OR值分别是1.99(95%CI:1.17～3.41),2.01(95%CI:1.04～3.86),4.01(95%CI:1.18～13.61),2.95(95%CI:1.84～4.72)。结论小型服务场所女性商业性行为者从业时间不长,文化程度偏低,安全套使用率不高;从业时间、艾滋病基本知识得分等是安全套使用的主要影响因素。
Objectives To understand the situation and influencing factors of condom use by female commercial sex workers in small service establishments. Methods A questionnaire on HIV / AIDS behavior among female commercial sex workers was used to survey all female commercial sex workers in 100 small service establishments in Xiacheng District of Hangzhou to understand the use of condoms during commercial sex. The age, employment duration, A total of 13 factors such as marital status, educational attainment and HIV / AIDS basic knowledge score were analyzed by univariate and multivariate logistic regression analysis. Results A total of 326 female commercial sex workers were surveyed, with an average age of (24.89 ± 5.55) years, accounting for 47.85% less than one year of working experience and 84.36% of junior middle school students or below. In the case of commercial sex, the latest condom use rate 85.28%. The rate of using condoms in each month was 53.68%. Multivariate Logistic regression analysis showed that when working for more than 3 years, the basic knowledge of AIDS was ≥8 points. It was HIV / AIDS prevention and would be willing to use condoms. If more money was paid out, The odds ratios for condom use were higher in female commercial sex workers who did not use condoms, ORs were 1.99 (95% CI: 1.17-3.41), 2.01 (95% CI: 1.04-3.86), 4.01 (95% CI : 1.18 ~ 13.61), 2.95 (95% CI: 1.84 ~ 4.72). Conclusion Female commercial sex workers in small service establishments do not take up long time, low educational level and low rate of condom use. Employment time and HIV / AIDS basic knowledge scores are the main influencing factors of condom use.