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目的了解四川省攀枝花市商业性性工作者(CSW)安全套使用变化趋势及相关影响因素,为制定本地的艾滋病预防干预措施提供科学依据。方法依据《国家级HIV综合监测点监测方案》,2010-2013每年在全市分层整群抽样和方便抽样,对CSW进行重复横断面问卷调查,了解该人群的社会人口学特征、艾滋病知识知晓、安全套使用情况及干预服务接受情况等,采用SPSS19.0统计软件分析。结果 2010-2013年共调查CSW 3 200人,CSW人群最近1次商业性行为安全套使用率,分别为64.3%、89.8%、93.9%、93.5%。最近1个月每次商业性行为坚持每次使用安全套的比例,分别为43.3%、61.8%、69%、70.8%,差异均有统计学意义(χ2=386.04,P<0.01;χ2=225.42,P<0.01);促进安全套使用的因素主要是:文化程度、接受宣传检测干预、知识知晓。结论 2010-2013年攀枝花市CSW使用安全套比例逐年提高,但坚持每次使用安全套比例需进一步提高,今后还需加强推广安全套及发放宣传材料,并注重艾滋病防治知识宣传。
Objective To understand the trend of CSW condom use and its related factors in Panzhihua City, Sichuan Province, and to provide a scientific basis for the development of local AIDS prevention interventions. Methods Based on the “National HIV Monitoring Point Monitoring Plan”, 2010-2013, we conducted a cluster sampling and convenient sampling every year in the city. We conducted repeated cross-sectional questionnaire survey on CSW to understand the population’s socio-demographic characteristics, knowledge of HIV / AIDS, Condom use and intervention service acceptance, using SPSS19.0 statistical software analysis. Results From 2010 to 2013, a total of 3 200 CSWs were surveyed. The utilization rate of the most recent commercial sex condom in CSW population was 64.3%, 89.8%, 93.9% and 93.5% respectively. The proportion of condom use in each commercial activity in the last month was 43.3%, 61.8%, 69% and 70.8%, respectively, with significant differences (χ2 = 386.04, P <0.01; χ2 = 225.42, P <0.01). The main factors that promote the use of condoms are: educational level, acceptance of publicity and testing intervention, knowledge and knowledge. Conclusion The proportion of condom use in CSW in Panzhihua City increased year by year from 2010 to 2013. However, the proportion of condom users who use condoms should be further improved. In the future, the promotion of condoms and dissemination of promotional materials should be stepped up and awareness of HIV / AIDS prevention and treatment should be emphasized.