长宁区娱乐场所女性服务人员安全套使用影响因素分析
Analysis of Influencing Factors of Condom Usage among FEWs in Changning District, Shanghai
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摘要:
目的 了解上海长宁区娱乐场所女性服务人员(female entertainment workers,FEWs)与不同性伴安全套使用情况,探讨影响FEW最近一个月每次使用安全套的可能因素。 方法 按照大:小场所比例为3:7的原则在长宁区随机选择125名FEWs。采用一对一现场问卷调查,问卷内容包括一般人口统计学变量、与不同性伴性行为特征和安全套使用情况等。 结果 只有48.8%的FEWs最近一个月每次性行为都使用安全套,与固定性伴不安全性行为普遍存在。多因素非条件logistic回归分析结果显示,文化程度越高,安全套使用率越高。已婚女性安全套使用率较未婚同居女性为高。 结论 长宁区FEWs的安全套使用率在不同性伴间的差异及文化程度和婚姻状况呈一定的相关性,针对该人群的艾滋病干预工作是遏制艾滋病经性途径传播的关键,需根据场所及人群特征的不同开展安全性行为的宣教,推广100%使用安全套。 Abstract:Objective To know the condom usage among female entertainment workers (FEWs) in Changning District of Shanghai when they have sex with different types of sexual partners, and to explore the possible factors which may affect their condom usage in last month. Methods According to the general proportion of FEWs from large scale and small scale venues of 3:7, a total of 125 FEWs were randomly selected and given one-to-one questionnaire survey. The questionnaire involved general demographic information, sexual behavior traits with different sexual partners, condom usage and so on. Results Only 48.8% FEWs used condom every time last month when they had sex. The unsafe sexual behaviors were common when they had sexual with regular sexual partners. Logistic regression analysis showed that the usage rate was higher in high education group, and married FEWs had higher condom usage rate than single FEWs. Conclusion Type of sexual partners, educational level and marital status are related to FEWs' condom usage. Providing intervention programs which are targeted on this group of people are the key to preventing HIV transmission through sex. It is necessary to give health education on safe sexual behaviors according to the traits of different places and people in order to reach the goal of 100% condom usage rate.
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