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目的研究公共娱乐场所服务人员性病艾滋病求医行为影响因素。方法以公共娱乐场所为基数,随机抽取50%的场所作为调查场所,对3 679名符合条件的女性服务人员进行问卷调查。结果调查对象中58.03%的人有生殖道感染症状;生殖道感染症状和危害知晓平均得分分别为50.48和40.61;在有性生活者中42.51%有2个以上的性伴,53.11%有商业性性行为,26.52%有非意愿性行为,24.35%在性生活时不能每次都使用安全套;应就医而未就医率达69.41%,主动求询率只有36.88%,接受健康教育率83.37%,在医疗保障方面自费医疗达77.58%,只有28.16%的人参加各类医保。结论娱乐场所女性服务人员性病艾滋病防治知识知晓率低,医疗服务处于高需求状态,医疗服务利用率较低;避孕套使用、流产史、性生活及性伴多少、非意愿性性行为对生殖道感染发生有显著影响;知识知晓评分和医疗补偿途径对应就诊而未就诊有显著影响。
Objective To study the influencing factors of seeking medical treatment for STD / AIDS in public entertainment places. Methods Based on public entertainment venues, 50% of the venues were randomly selected as survey sites, and 3,679 women service workers who met the criteria were surveyed. Results The survey showed that 58.03% of the respondents had symptoms of genital tract infection; mean symptom and hazard awareness of reproductive tract infections were 50.48 and 40.61 respectively; 42.51% of sex life had 2 or more partners and 53.11% were commercial Sexual behavior, 26.52% non-consensual behavior, 24.35% can not use condoms every time during sexual life; 69.41% should get medical treatment but only 36.88% seek medical consultation, 83.37% receive health education; Medical care at their own expense 77.58% of medical care, only 28.16% of people participate in various types of health insurance. Conclusions There is a low awareness rate of HIV / AIDS prevention and treatment of female service staff in entertainment establishments, high demand for medical services and low utilization rate of medical services. Condom use, history of abortion, sexual and sexual partners, reproductive tract Infection had a significant impact; knowledge-aware score and medical compensation corresponding to treatment without treatment had a significant impact.