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[目的]了解娱乐场所女性服务人员生存现况、行为方式、生理及心理健康状况,探讨与健康相关的危险因素,为制定干预策略提供依据。[方法]在辖区内某镇的45家娱乐场所(其中大场所6家,小场所39家)中,采用整群抽样的方法随机抽取4家大型娱乐场所和18家小型娱乐场所,共对128名女性服务人员进行了面对面调查,收集有效问卷125份。问卷内容主要包括:人口学信息,生活状况,性行为情况,健康和健康行为,艾滋病性病检测、诊疗情况等,并结合临床和实验室资料进行分析。[结果]被调查的女性服务人员平均年龄为(28.00±7.17)岁;文化程度低,中小学及以下文化程度占84.0%;首次性行为平均年龄为(20.0±2.3)岁;性服务平均年限较长,为(18.6±19.1)个月;最近一次商业性行为安全套使用率为87.2%;43.2%的人曾经有过一种以上妇科疾病症状,实验室检测一项及以上阳性的占12.0%;36.8%的女性服务人员抑郁总分大于6分。多因素分析结果显示,生殖健康与固定性伴保持时间长短有关,心理健康与首次结婚年龄有关。[结论]娱乐场所女性服务人群存在不良生活行为,同时肩负较重的生活负担,生理和心理健康问题均不容乐观,健康状况的主要影响因素为固定性伴保持时间和首次结婚年龄。
[Objective] To understand the living conditions, behavior patterns, physiological and mental health conditions of female service staff in entertainment venues, explore the risk factors related to health, and provide the basis for the formulation of intervention strategies. [Method] Among 45 entertainment venues in a town (including 6 large establishments and 39 small establishments) in the area, four large-scale entertainment venues and 18 small-scale entertainment venues were randomly selected by cluster sampling, Female service personnel conducted a face-to-face investigation and collected 125 valid questionnaires. The contents of the questionnaire include: demographic information, living conditions, sexual behavior, health and health behavior, HIV / AIDS testing, diagnosis and treatment, etc., combined with clinical and laboratory data analysis. [Results] The average age of the female service workers surveyed was (28.00 ± 7.17) years old. The educational level was low with 84.0% of primary and secondary education and below. The mean age of first sexual act was (20.0 ± 2.3) years. The mean age of sexual service (18.6 ± 19.1) months; the rate of condom use in the last commercial activity was 87.2%; 43.2% had more than one symptom of gynecological diseases, and 12.0% of them had one or more laboratory tests positive 36.8% female service staff had a total depression score greater than 6 points. Multivariate analysis showed that reproductive health and fixed sexual partners to maintain the length of time, mental health and the first marriage age. [Conclusion] Female service people in entertainment venues have unhealthy life behaviors and heavy burden of life, and their physical and mental health problems are not optimistic. The main influencing factors of health status are fixed sexual partners’ keeping time and the first marriage age.