中国南方三个乡镇性服务妇女杀微生物剂可接受性研究

Acceptability of a microbicide among female sex workers(FSWs)in three rural towns of sourthern China

目的分析中国南方3个乡镇性服务妇女对虚拟杀微生物剂的接受性,分析接受性不同的性服务妇女的人口学及性伴关系等特征。方法采用横断面调查,在3个乡镇的性服务场所,采用配额抽样法招募300名性服务妇女。通过接受性量表测量她们对虚拟杀微生物剂的接受性,用聚类方法分析接受性量表。结果按接受性量表的聚类分析,将性服务妇女分为3组,即对杀微生物剂不接受组、低接受性组和高接受性组。与其他两组相比,高接受性组妇女的平均年龄较大(27.9±8.2)岁,更多的是由出租屋招募来的、有过婚姻经历(分别占41.7%、57.4%)。90.0%的该组妇女的性伴类型里有商业性伴,在过去30天里她们与主要性伴和客人的平均安全套使用率最低(分别为23.7%、71.3%);她们中更多的人使用过一些阴道产品,更可能经常做阴道灌洗。结论性服务妇女的性伴类型、男用安全套使用率以及既往阴道产品使用经历,都与"杀微生物剂"这类阴道使用产品的接受性有关。

Objective To measure potential acceptability of a hypothetical microbicide among femal sex workers （FSWs） in three rural towns of southern China, and to investigate demographic characteristics and sexual relationships among FSWs with different levels of acceptability. Method A cross-sectional survey was employed and 300 FSWs were recruited using a quota sampling. An interviewer-administered standardized questionnaire was used to measure the acceptability of the hypothetical microbicide. Cluster analysis was used to measure the level of acceptability in three groups ： group with non-acceptability,group with low acceptability and group with high acceptability. Results Compared with the FSWs in the other two groups ,those in the group with high acceptability of the microbicide were older（ with an average age of 27.9 years, SD,8.2）. Most of the FSWs in this group were recruited from rented houses, and were married（41.7 96 and 57.4% respectively） ;90.0% of them had sex trade and the rate of condom use in sex with their regular sex partners or customers in the past 30 days was the lowest（23.7 % and 71.3 % , respectively）. Most of them used vaginal products and douched their vaginas every day. Conclusions The acceptability of the hypothetical microbicide among FSWs were associated with their sex partners, rate of condom use and their past experience of using vaginal products.