合肥市457名工厂、饭店、娱乐场所打工妹性与生殖健康现状分析

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[目的]了解合肥市工厂、饭店、娱乐场所打工妹性行为和生殖健康现状。[方法]本研究为现况调查。选取合肥市1家工厂、6家饭店和6家娱乐场所共457名16~24岁未婚、在合肥市打工、无合肥市户口的女性青少年为研究对象,其中工厂女工175名、饭店服务员138名、娱乐场所服务员144名。采用自编问卷评估其性行为和安全套使用状况、生殖健康状况、规范卫生服务利用状况。[结果]工厂、饭店、娱乐场所打工妹性行为的报告率分别5.1%,19.6%,86.8%,最近两个月的性行为中有时或从不使用安全套的报告率分别为77.8%,66.7%,36.0%。工厂、饭店、娱乐场所打工妹报告有生殖系统感染史分别为0.6%,8.0%,51.4%,报告有流产史的分别为2.3%、5.1%、43.7%。研究对象最近一次生殖系统感染和流产时规范卫生服务利用率分别是66.0%、71.2%。[结论]合肥市工厂、饭店打工妹性行为报告率和安全套坚持使用率均低于娱乐场所服务员,娱乐场所服务员生殖健康状况和卫生服务利用状况低下。根据不同职业的打工妹人口学特征和生殖健康状况的不同给予相应的健康支持和干预措施,提高工厂、饭店打工妹避免性行为和安全套使用的自我效能,增加娱乐场所打工妹生殖健康知识,增强其自我保护意识,宣传规范卫生服务利用等有利于打工妹生殖健康促进和艾滋病性病防治。 [Objective] To understand the current situation of sexual behavior and reproductive health of migrant workers in factories, restaurants and entertainment venues in Hefei. [Method] This research is the current situation investigation. A total of 457 16 to 24-year-old unmarried women workers who work in Hefei and without Hefei are enrolled in this study. Among them, there are 175 women workers in the factory and 138 hotel attendants , 144 entertainment attendants. Self-compiled questionnaires to assess their sexual behavior and condom use, reproductive health status, regulate the utilization of health services. [Results] The reported rates of sex workers in factories, restaurants and entertainment places were 5.1%, 19.6% and 86.8%, respectively. The reported rates of condom in the last two months were 77.8% and 66.7% respectively, , 36.0%. The history of reproductive system infections reported by workers at factories, restaurants and entertainment venues was 0.6%, 8.0% and 51.4% respectively. The reported history of miscarriage was 2.3%, 5.1% and 43.7% respectively. The prevalence of the prevalence of reproductive system infections and standardized health services during abortion were 66.0% and 71.2% respectively. [Conclusion] The report rates of sexual behavior and condom use rate of working women in factory and hotel in Hefei were all lower than those in entertainment venues. Reproductive health status and hygienic utilization of health service in entertainment venues were low. According to the demographic characteristics and reproductive health status of different occupational migrant workers to give the appropriate health support and intervention measures to improve factory workers in restaurants to avoid self-efficacy of sex and condom use, increase reproductive health knowledge of migrant workers in entertainment venues, enhance Its awareness of self-protection, advocacy and standardization of health service utilization are beneficial to reproductive health promotion of working girl workers and AIDS prevention and treatment.
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