目的了解性服务场所妇女在性行为中男用安全套的使用情况及其对女用安全套的接受程度,为制定以性服务场所为基础的性病、艾滋病防控措施提供依据。方法采用横断面调查的方法,抽取海南两个乡镇在性服务场所中工作、有性行为的妇女进行面对面的问卷调查。结果共有178名对象参加了调查,回收有效问卷158份,对艾滋病三种传播途径即经血液、性及母婴传播回答正确率分别为91.72%,86.21%,84.83%,在过去一个月的性行为中,每次都使用男用安全套的比例为42.41%,每次都不用的比例为22.15%。在听说过女用安全套的29人当中,有75.86%认为女用安全套能预防性病,72.41%认为能预防艾滋病;回答曾用过女用安全套的占6.90%(2/29)。158人中,有80.4%认为女用安全套比男用安全套更好;93.0%表示自己喜欢女用安全套,因为它能够预防性病;90.0%表示自己喜欢女用安全套,因为它能够避孕。结论相当部分海南省乡镇性服务场所妇女在性行为中男用安全套使用率仍旧较低,提示可以在该人群中尝试推广女用安全套。 Objective To understand the use of male condoms and their acceptance of female condoms during sexual activities in sexual service establishments and to provide the basis for the development of sexually transmitted diseases and AIDS prevention and control measures based on sexual service establishments. Methods By means of cross-sectional survey, women from two villages and towns in Hainan who had sex work place and sexual activity were interviewed by face-to-face questionnaire. Results A total of 178 subjects participated in the survey and 158 valid questionnaires were collected. The correct answers to the three routes of transmission of AIDS, namely blood, sex and mother-to-child transmission were 91.72%, 86.21% and 84.83%, respectively, in the past month Behavior, male condom use every time the ratio was 42.41%, each without the proportion of 22.15%. Among the 29 people who have heard of female condoms, 75.86% think that female condoms can prevent STDs, 72.41% think it can prevent AIDS; and 6.90% (2/29) of them have used female condoms. Of the 158 people, 80.4% thought that female condoms were better than male condoms; 93.0% said they liked female condoms because they were able to prevent sexually transmitted diseases; 90.0% said they like female condoms because they can be contraceptives. Conclusion A significant proportion of women in rural sexual service establishments in Hainan Province are still using low rates of male condoms in their sex activities, suggesting that they may try to promote female condoms in this population group.