凌红, 范惠琍, 宋琴, 吴健, 袁家麟, 吴建华, 潘启超, 刘娟, Robert Remis. 娱乐场所女性服务人员安全套知信行及其主要障碍分析[J]. 环境与职业医学, 2011, 28(10): 652-655.
引用本文: 凌红, 范惠琍, 宋琴, 吴健, 袁家麟, 吴建华, 潘启超, 刘娟, Robert Remis. 娱乐场所女性服务人员安全套知信行及其主要障碍分析[J]. 环境与职业医学, 2011, 28(10): 652-655.
LING Hong , FAN Hui-li , SONG Qin , WU Jian , YUAN Jia-lin , WU Jian-hua , PAN Qi-chao , LIU Juan , Robert Remis . Investigation on the Knowledge, Attitude and Practice of Condom Use among Female Entertainment Workers and its Main Obstacles[J]. Journal of Environmental and Occupational Medicine, 2011, 28(10): 652-655.
Citation: LING Hong , FAN Hui-li , SONG Qin , WU Jian , YUAN Jia-lin , WU Jian-hua , PAN Qi-chao , LIU Juan , Robert Remis . Investigation on the Knowledge, Attitude and Practice of Condom Use among Female Entertainment Workers and its Main Obstacles[J]. Journal of Environmental and Occupational Medicine, 2011, 28(10): 652-655.

娱乐场所女性服务人员安全套知信行及其主要障碍分析

Investigation on the Knowledge, Attitude and Practice of Condom Use among Female Entertainment Workers and its Main Obstacles

  • 摘要: 目的 了解娱乐场所女性服务人员安全套使用的知识、态度、使用情况以及存在的主要障碍,为进一步推广使用安全套提供依据。

    方法 随机抽取上海市卢湾区4家大型娱乐场所和18家小场所的124名女性服务人员进行面对面问卷调查,内容包括人口学资料、安全套使用的知识、态度以及相关行为,预防艾滋病的知识来源等。

    结果 娱乐场所女性服务人员平均年龄(29.44& #177;7.10)岁,初中及以下文化程度者占80.6%;安全套的知识和态度得分较低,劝说嫖客使用安全套的技巧得分较低;最后三次商业性性接触时坚持使用安全套的比例仅36.6%。安全套观点总分较高者、安全套使用的自我效能总分较高者、月收入越高者使用安全套的频率越高,OR值依次为3.023、2.887和1.623。安全套可及性得分高;但通过专业机构获取预防艾滋病信息的比例很低。

    结论 娱乐场所女性服务人员安全套使用频率较低,不安全性行为频繁,可产生潜在的艾滋病传播机会。影响安全套使用的主要障碍有:该人群文化程度较低,安全套的认知匮乏,劝说嫖客使用安全套的技能差,场所经理对使用安全套的态度不明了,社会宣传力度不够。应针对以上障碍加大力度进行安全性行为的宣教和推广使用安全套,对女性服务人员与嫖客同时进行干预以提高控制性病艾滋病的效果。

     

    Abstract: Objective To understand the knowledge, attitude and practice(KAP)of condom use among the female entertainment workers (FEWs)and analyze its obstacles to provide the practice for spreading the usage of condom.

    Methods Four large entertainment venues and eighteen small venues in Luwan District of Shanghai were selected randomly, and 124 FEWs were included. Their demographic characteristics, condom-related KAP and the information source of preventing HIV/AIDS were collected using the standardized questionnaires.

    Results The mean age of FEWs was (29.44& #177;7.10) years old and 80.6% of them had only an education at or below junior middle school level. The scores of knowledge and attitude, and the skills to persuade whoremaster to use condom were low. The proportion of using condom in the last three commercial sex behaviors was just 36.6%. The availability of condom was high, but the proportion of getting information about AIDS prevention from professional institutions was low. Three risk factors were statistically significant, i.e. opinion, self-efficiency of condem use and monthly income.

    Conclusion The frequency of condom use and safe sexual behaviors among FEWs are low, which is very risky for the occurrence and spreading of AIDS. The main obstacles influencing condom use among FEWs include lower education level, insufficient knowledge of condom, low skills to persuade whoremaster to use condom, the poor attitude from managers, and insufficient propaganda from society. So the propaganda about safe sexual behaviors and expanding the usage of condom should be strengthened with the simultaneous interventions to both the FEWs and the whoremaster to improve the control effects.

     

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