论文部分内容阅读
目的了解湖州市暗娼人群安全套的使用情况,分析安全套使用的影响因素,为下一步的暗娼人群性病艾滋病的干预工作提供依据。方法 2014-2015年,每年在湖州市高、中、低档性服务场所分层抽取400名暗娼,进行面对面的问卷调查,了解其商业性行为过程中安全套的坚持使用情况,采用多因素Logistics回归分析影响安全套使用的因素。结果共调查暗娼800人。最近一个月商业性行为安全套的坚持使用率为65.38%,多因素Logistic回归分析结果显示,暗娼商业性行为安全套坚持使用与暗娼的婚姻状况[比值比(OR)=1.73,95%可信区间(CI):1.24~2.40]、知晓艾滋病知识(OR=3.93,95%CI:2.31~6.70)、接受过同伴教育(OR=6.33,95%CI:1.51~12.27)及HIV检测服务(OR=1.71,95%CI:1.02~2.92)有关。结论湖州市暗娼人群商业性行为时安全套坚持使用率较低,需要继续加强艾滋病防治知识宣传,积极推广同伴教育,扩大暗娼人群艾滋病病毒检测,提高安全套的坚持使用率。
Objective To understand the use of condoms among sex workers in Huzhou and to analyze the influencing factors of the use of condoms so as to provide the basis for the intervention of HIV / AIDS among the female sex workers in the next step. METHODS: From 2014 to 2015, 400 female sex workers were randomly selected from high, medium and low-grade service establishments in Huzhou City to conduct a face-to-face questionnaire survey to find out their consistent use of condoms during their commercial sex activities. Multi-factor Logistics regression analysis Factors that affect the use of condoms. Results A total of 800 FSWs were investigated. The prevailing rate of commercial sexual condom use was 65.38% in the most recent month. Multivariate logistic regression analysis showed that commercial sex condoms of sex workers insisted on marital status with commercial sex workers [OR = 1.73, 95% confidence interval (OR = 6.33, 95% CI: 1.51-12.27) and HIV testing services (OR = 1.71, CI: 1.24-2.40), knowledge of AIDS (OR = 3.93,95% CI: 2.31-6.70) , 95% CI: 1.02 ~ 2.92). CONCLUSIONS: The occupational sex of commercial sex workers in Huzhou City persists in the low usage rate of condom. It is necessary to continue to strengthen knowledge of HIV / AIDS prevention and control, actively promote peer education, increase HIV testing among sex workers and increase the condom use rate.