影响商业性服务提供/受供人群AIDS/HIV危险行为的社会心理个人因素

Social-Psychological-personal factors related to AIDS/HIV risk behaviors among commercial sex providers/receivers

目的 广泛探讨影响商业性接触中艾滋病 /艾滋病病毒 (AIDS/HIV)危险行为发生的社会、心理和个人经历等因素。方法 采用自我设计的封闭式匿名问卷 ,于 1998年 7月对 70 2名女性商业性服务提供者和 16 5名男性受供者进行调查。结果 单因素分析结果显示 ,男性在商业性行为中不能坚持使用安全套与经济收入高、安全套知识得分低、终生商业性伴数多、自己不主动提出使用安全套以及无性病求医史等因素有关 ,女性则与未婚、AIDS/HIV知识得分低、安全套知识得分低、在消费档次较高的场所从事商业性服务、保持有非商业性关系以及无性病史和无人工流产史等因素有关。Logistic多因素分析结果显示 ,男性在商业性关系中发生AIDS/HIV危险性行为与经济收入高、安全套知识得分低、终生商业性伴数多和无性病史等有关 ,而女性则与其它性病知识得分低、在消费档次较高的场所从事商业性服务、无性病史、无人工流产史、不以安全套作为避孕措施、自己不主动提出使用安全套以及有兼职等有关。结论 商业性服务中HIV危险性行为的发生与参与人群对相关知识的了解以及个人经历关系密切。今后在针对该人群的HIV/AIDS健康教育中注意从这些方面设计宣传教育的内容和方式。

Objective To identify the social,psychological and personal factors related to AIDS/HIV risk behaviors in commercial sex services.Methods Self-administrated structure anonymous questionnaires were used in 702 female prostitutes and 165 male clients detained in a re-education center.The Logistic univariable and multi-variable analysis were used to analyze the final results.Results The results of univariable analysis showed that non-consistent condom use in prostitutes was closely related with their state of marriage,scores of HIV/AIDS knowledge and condom use knowledge,STD history,sites where they engaged in sex services,status of non-commercial partners and history of induced abortion,while for men clients their economic incomes,scores of condom use knowledge,number of regular commercial sex partners,passive attitude to condom use and STD history were related with frequency of condom use.Logistic multi-variable analysis showed that non consistent condom use among female commercial sex workers was correlated with scores of STD knowledge,sites of engaging in sex work,STD history, induced abortion history,contraception tools,passive attitude to condom use and part time sex service,while that among male clients was correlated with their economic incomes,scores of condom use knowledge,number of regular commercial sex partners and STD history.Conclusions Personal experience and knowledge level are important factors related with HIV risk-behaviors in commercial sex providers and receivers.These may help to design the contents and specific methods in HIV-related health education.