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目的通过了解大冶市女性性工作者安全套使用率及其影响因素,为下步制定防治策略提供依据。方法按国家艾滋病综合监测方案要求,采取整群抽样的方法,调查400名从事商业性服务的女性性工作者,调查数据采用SPSS 15.00软件进行分析。结果女性性工作者最近1次与客人发生性行为时安全套使用率为97.50%(390/400),其中低、中、高档场所安全套使用率[分别为93.28%(125/134)、99.47%(186/187)、100.00%(79/79)]的差异有统计学意义(χ2=14.762,P<0.01)。过去1个月内与客人发生性行为时安全套每次都用的比例为69.75%(279/400)。多因素logistic分析显示,女性性工作者最近1次与客人发生性行为安全套使用率受文化程度和前1个工作地点的影响,文化程度越高,安全套使用率越高。结论低档娱乐场所是艾滋病防治工作的重点,应进一步思考和探讨提高低档暗娼人群安全套使用率的新措施、新方法。
Objective To understand the utilization rate of condoms of female sex workers in Daye City and its influencing factors so as to provide the basis for formulating prevention and control strategies in the next step. Methods According to the requirements of National Comprehensive AIDS Surveillance Program, a cluster sampling method was used to investigate 400 female sex workers engaged in commercial services. The survey data were analyzed by SPSS 15.00 software. Results The rate of condom use among female sex workers was 97.50% (390/400) when they had sex with their clients in the last time, among which 93.28% (125/134) and 99.47% 186/187), 100.00% (79/79)], there was significant difference (χ2 = 14.762, P <0.01). Condom use was 69.75% (279/400) each time you had sex with your guests in the past month. Multivariate logistic analysis showed that the rate of condom use among sex workers who had sex with their clients during the last visit was significantly affected by their education level and the first place of work. The higher the educational level, the higher the rate of condom use. Conclusion Low-end entertainment is the focal point of AIDS prevention and control. New measures and methods should be further considered and explored to improve the rate of condom use among low-grade FSWs.