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目的了解暗娼人群的梅毒感染状况及安全套使用的影响因素,为制定或完善暗娼干预措施提供科学依据。方法采用分层随机抽样的方法抽取钦州市城区内407名暗娼进行面对面问卷调查,并采集静脉血样本检测梅毒抗体;通过单因素和多因素logistic回归分析安全套使用的影响因素。结果 407名暗娼平均年龄(28.94±5.92)岁,艾滋病知识知晓率为85.01%,最近1个月坚持每次商业性行为使用安全套率为71.01%,梅毒感染率为9.58%。多因素分析结果显示,性服务场所档次、是否提供包夜服务、与同1名嫖客性交易次数及近1个月性交易前2h内嫖客是否喝过酒是暗娼商业性行为安全套使用的影响因素。结论钦州市暗娼人群安全套使用率低,梅毒感染率高,影响安全套使用的因素较多,应针对不同因素开展有效干预,防止性传播疾病扩散。
Objective To understand the status of syphilis infection among the sex workers and the influencing factors of the use of condoms so as to provide a scientific basis for formulating or improving the interventions of female sex workers. Methods A total of 407 commercial sex workers in Qinzhou city were sampled by stratified random sampling to conduct face-to-face questionnaires. Blood samples were collected to detect syphilis antibody. The influencing factors of condom use were analyzed by single factor and multivariate logistic regression. Results The mean age of 407 female sex workers (28.94 ± 5.92) years old was 85.01%. The rate of condom use was 71.01% and the rate of syphilis infection was 9.58%. The results of multivariate analysis showed that sexual service places grade, whether to provide night service, with the same number of clients and 1 month before the transaction within 1h before 2h clients drink alcohol is the impact of commercial sex workers use of sex workers. Conclusion There are many factors affecting the use of condoms among female sex workers in Qinzhou City. The rate of syphilis infection is high, and effective interventions should be made according to different factors to prevent the spread of sexually transmitted diseases.