四川省某市街头暗娼及其顾客艾滋病相关行为研究

Study on HIV/AIDS related behaviors among street-based FSWs and their male clients in a city of Sichuan province

目的了解街头暗娼及其顾客的社会人口学特征、艾滋病相关行为及其影响因素。方法以站桩点(街头暗娼聚集地)为调查现场,由街头暗娼同伴教育者识别对象,调查员主动接近并面对面匿名调查街头暗娼和男性顾客,运用SPSS 12.0进行统计分析。结果100名性服务男性顾客平均38.03岁;在街头的性交易频率为16次/年;最近1年商业性性交易中坚持使用安全套的比例14%,与艾滋病知识得分呈正相关(OR=2.25);36%的男性顾客最近1次商业性行为中使用了安全套,与年龄(OR=1.45)和艾滋病知识得分(OR=4.54)呈正相关。43名街头暗娼平均35.03岁,吸毒者比例较大(37.21%),平均每周接待客人14.07次,其服务对象多为工地工人、老年人和农民。结论街头商业性性交易频率高,安全套使用率低,应主动对街头暗娼及其顾客采取针对性干预措施。

Objective To study social demographic characteristics,HIV/AIDS related behaviors and influential factors of street-based female sex workers（FSWs） and their male clients.Methods In the working sites of street-based FSWs, peer educators were selected as volunteers to help to identify male clients, while the investigators took initiative to approach FSWs and their clients to make investigation anonymously. The collected data were analyzed with SPSS 12.0. Results Aver age age of male clients was 38.03 years, the frequency of street-based commercial sex trades was 16 cases per year, and the rate of condom use per sex in the last one year was 14 %, which was positively correlated with the score of HIV/ AIDS knowledge （ OR = 2.25） ; 36 % of male clients used condoms in their last commercial sex trades, which was positively correlated with age （OR = 1.45） and the score of HIV/AIDS knowledge （OR = 4.54）. Average age of street- based FSWs was 35.03 years,and the proportion of IDU among them was comparatively high （37.21%）, they served 14.07 male clients per week averagely, and most of their clients were construction workers, old folks and farmers.Conclusion Frequency of street-based commercial sex trades is high, and the condom use rate is low, Thus, relevant interventions should be taken actively for street-based FSWs and their male clients.