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目的比较广东省某市场所暗娼与街头暗娼在艾滋病感染相关性行为方面的差别,并探索安全套使用的影响因素,为制定针对暗娼的安全套推广策略提供科学的依据。方法在广东省某市采用同伴推动抽样法(RDS)招募社区内场所暗娼和街头暗娼,采用统一的问卷表以面对面的方式进行定量调查,收集暗娼的艾滋病感染相关性行为等信息。结果本次研究分别招募场所暗娼和街头暗娼241和77名。街头暗娼与场所暗娼相比,文化程度低、为家庭提供经济支持的比较较高、从事商业性行为的时间较长、对商业性性行为的收费较低、商业性性伴数较多、与商业性性伴的安全套使用率较低、上一次与固定性伴的安全套使用率较低。多因素Logistic回归模型分析显示,街头暗娼、有固定性伴、以及有非商业性临时性伴是不坚持使用安全套的独立危险因素。结论街头暗娼比场所暗娼具有更高的艾滋病感染相关危险行为,应是今后艾滋病干预的重点。对暗娼干预时要考虑暗娼的经济压力和覆盖其非商业性性伴。
Objective To compare the differences of sexual behaviors between commercial sex workers and commercial sex workers in a market in Guangdong Province and to explore the influencing factors of the use of condoms so as to provide a scientific basis for the development of condom promotion strategies for commercial sex workers. Methods Using peer promotion sampling (RDS) in a certain city in Guangdong Province to recruit female sex workers and street female sex workers in the community. The questionnaires were used to conduct face - to - face quantitative investigation and to collect the information about HIV infection related behaviors of sex workers. Results This study recruited 241 and 77 CSW and FSW respectively. Compared with commercial sex workers, street sex workers have lower education level, higher financial support for families, longer commercial activities, lower fees for commercial sex activities and more commercial sexual partners, and Commercial sexual partners have lower rates of condom use and lower rates of condom use the previous time with established partners. Multivariate logistic regression analysis showed that FSWs, regular partners and non-commercial temporary partners were independent risk factors for not using condom. Conclusion STDs have higher risk behaviors related to HIV infection than FSWs and should be the focus of HIV / AIDS intervention in the future. Interventions for female sex workers should take into account the economic pressure on female sex workers and cover their non-commercial sexual partners.