河池市2011—2015年女性性工作者安全套使用的影响因素
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梁冰玉

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R512.91

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国家自然科学基金(81360259);广西自然科学基金(2016GXNSFBA380189);广西高校高发疾病预防与控制重点实验室开放课题项目(02402214003-1601);传染病预防控制国家重点实验室开放课题(2014SKLID305);南宁市青秀区科技局科技项目[南青科(2013)22号]


Influencing factors for condom use among female sex workers in Hechi City from 2011 to 2015
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    摘要:

    目的了解河池市女性性工作者安全套使用情况及其影响因素,为制定艾滋病防控策略和措施提供依据。方法对河池市辖区内不同场所档次女性性工作者进行匿名问卷调查,采用卡方检验和KruskalWallis H检验推断安全套使用情况,用logisitic回归分析对安全套使用状况的影响因素进行分析。结果共调查2011—2015年河池市女性性工作者10 867人,艾滋病相关知识总知晓率95.69%,2011—2015年艾滋病知识知晓率随场所档次提高而增大(趋势χ2=53.72,P<0.01)。安全套使用频率影响因素分析显示,来自高档场所(OR=3.034,95.0%CI=2.410~3.818)和中档场所(OR=1.807,95.0%CI=1.639~1.992)者较低档场所者坚持使用安全套的可能性较大,文化程度为高中及以上者(OR=1.403,95.0%CI=1.183~1.665)较初中及以下者坚持使用安全套的可能性较大。另外,艾滋病知识作答全对(OR=2.521,95.0%CI=2.291~2.773)、接受过安全套宣传和发放/艾滋病咨询与检测服务(OR=2.019,95.0%CI=1.568~2.599)、接受过同伴教育(OR=1.538,95.0%CI=1.365~1.733)均为安全套使用的促进因素。而年龄在40岁以上(OR=0.835,95.0%CI=0.737~0.945)则为影响安全套使用的危险因素。 结论安全套的使用主要受调查对象自身文化程度及其对艾滋病相关知识知晓程度等因素的影响,加强针对低档场所以及中年女性性工作者艾滋病知识宣传教育和行为干预,有利于提高安全套的使用率。

    Abstract:

    ObjectiveTo understand the condom use and its influencing factors among female sex workers(FSWs) in Hechi City, provide evidence for formulating prevention and control measures on acquired immunodeficiency syndrome(AIDS). MethodsAnonymous questionnaire survey was conducted among FSWs in different grades of locations in Hechi City. Chisquare test and KruskalWallis H test were used to analyze status of condom use, influencing factors for condom use were analyzed by logisitic regression analysis. ResultsFrom 2011 to 2015, a total of 10 867 FSWs in Hechi City were surveyed, the total awareness rate of AIDSrelated knowledge was 95.69%, awareness rate of AIDS knowledge enhanced with the increase of location grades (trend χ2=53.72, P<0.01). Analysis on influencing factors for condom use frequency showed that the possibility of condom use in higher grade locations (OR=3.034, 95.0%CI=2.410-3.818) and middle grade locations (OR=1.807, 95.0%CI=1.639-1.992) were higher than that in low grade locations. FSWs with high school and higher education(OR=1.403, 95.0%CI=1.183-1.665) were more likely to use condom than those with junior middle school and lower education. In addition, completely correct response to AIDS knowledge items (OR=2.521, 95.0%CI=2.291-2.773), receiving condom publicity and distribution/AIDS counselling and testing services (OR=2.019, 95.0%CI=1.568-2.599), and receiving peer education (OR=1.538, 95.0%CI=1.365-1.733) were all factors for promoting condom use, while age over 40 years (OR=0.835, 95.0%CI=0.737-0.945) was a risk factor for influencing condom use. ConclusionCondom use is mainly influenced by education degree of surveyed subjects, awareness on AIDSrelated knowledge and so on, strengthening publicity and education on AIDS knowledge as well as performing behavioral intervention in lowgrade locations and middleaged FSWs are beneficial to improving condom use rate.

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引用本文

韦罗唯, 韦兴强, 叶力,等.河池市2011—2015年女性性工作者安全套使用的影响因素[J]. 中国感染控制杂志,2018,17(6):467-473. DOI:10.3969/j. issn.1671-9638.2018.06.002.
WEI Luowei, WEI Xingqiang, YE Li, et al. Influencing factors for condom use among female sex workers in Hechi City from 2011 to 2015[J]. Chin J Infect Control, 2018,17(6):467-473. DOI:10.3969/j. issn.1671-9638.2018.06.002.

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  • 收稿日期:2017-08-29
  • 最后修改日期:2017-10-12
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  • 在线发布日期: 2018-06-28
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