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目的了解越南跨境暗娼出租与非出租期间高危性行为及影响因素,为针对性干预提供依据。方法 2012年12月云南省河口县固定营业场所为调查点,目的抽样方式纳入115名调查对象。培训双语调查人员进行问卷调查,收集出租与非出租期间高危性行为及其影响因素资料。结果出租与非出租期间,近6个月未坚持使用安全套比例分别为53.91%及32.17%(P<0.001)。出租与非出租期间,感觉较大经济压力、雇主影响变化是发生高危性行为的危险因素(P<0.001),同时,出租期间较低汉语水平和不能接受卫生干预服务成为高危性行为发生的危险因素(P<0.001)。结论出租形成的经济压力及被强化的雇主影响,导致越南籍跨境暗娼原来存在的危性行为及相关危险因素被进一步放大。出租期间汉语水平低下及缺少卫生干预服务增加了高危性行为发生风险。建议强化出租前后双方雇主参加提供相关卫生服务。
Objective To understand the high-risk behaviors and their influencing factors during cross-border sex workers ’cross-border sex workers’ renting and non-renting, and to provide basis for targeted interventions. Methods In December 2012, Hekou County, Yunnan Province, a fixed place of business as a survey point, the purpose of sampling included 115 respondents. Bilingual researchers were trained to conduct questionnaires to collect information on high-risk behaviors and their influencing factors during rental and non-letting periods. Results During the rental and non-letting periods, the proportion of non-condom users insisting on condom use for the past 6 months was 53.91% and 32.17% respectively (P <0.001). During the leasing and non-leasing period, it was felt that the economic pressure and employers’ influence were the risk factors of high-risk sexual behaviors (P <0.001), meanwhile, the lower Chinese proficiency during the leasing period and the unavailability of health intervention services became the risk of high-risk sexual behaviors Factors (P <0.001). Conclusions The economic pressure on leasing and the impact on employers strengthened by the employers led to the original enlargement of the number of cross-border female sex workers in Vietnam and the related risk factors. The low level of Chinese during the rental period and the lack of health intervention services increase the risk of high-risk sexual behavior. It is suggested to strengthen the employers of both parties before and after the rental to provide related health services.