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目的了解社区女性性工作者商业性行为中影响安全套使用的社会、经济和文化因素,为制定社区性病艾滋病的防制策略提供依据。方法对广东省中部某镇的FSW采取面对面的定量问卷调查,收集调查对象的人口学特征、性行为、安全套使用等情况。结果共调查201名社区FSW,主要来自发廊、洗脚屋、出租屋等处,平均年龄21.8±5.31岁,89.4%为初中及初中以下文化程度,97%来自外省。FSW在商业性行为中安全套使用的阻力主要来自于嫖客以及FSW自身的侥幸心理。“首次性行为特征因子”和“最近半年是否做过性病检查”是社区FSW商业性行为中安全套使用的影响因素。结论提高社区FSW在商业性行为中安全套的使用率的行为干预应主动增加针对嫖客的干预工作内容,同时应不断改良及研发新型安全套,提高其被接受的程度;严格规范化性病门诊的建设,提高性服务人群性病艾滋病的早期诊断,提高商业性行为中安全套的使用率。
Objective To understand the social, economic and cultural factors that affect the use of condoms among commercial sex workers in community and provide a basis for the development of strategies for prevention and control of STD / AIDS in community. Methods The FSW of a town in central Guangdong Province was used to conduct a face-to-face quantitative questionnaire to collect the demographic characteristics, sexual behaviors and condom use of the surveyed subjects. Results A total of 201 community FSWs were surveyed, mainly from hair salons, foot bathhouses and rental houses. The average age was 21.8 ± 5.31 years old, with 89.4% of them having junior high and junior high school education and 97% coming from other provinces. The resistance of FSW to condom use in commercial sex mainly comes from clients and FSW’s own fluke. “First-time sexual behavior factors” and “Has STDs been checked in the last six months?” Are factors that influence the use of condoms in commercial FSW practices. Conclusion Behavior interventions to increase the use of condoms in commercial sex in community FSW should increase the content of intervention for clients. At the same time, new condoms should be improved and developed to be acceptable. Strict standardization of STD clinics should be improved Early diagnosis of sexually transmitted diseases (STDs) in HIV / AIDS patients and increase the rate of condom use in commercial sex.