高危场所推广使用安全套综合干预模式的探讨

Study on a feasible model of integrated interventions to promote condom use in high-risk sites

目的了解京郊高危场所(娱乐场所、洗浴中心、美容美发店等)女性性工作者安全套的使用情况,探索可行的干预模式。方法根据场所规模进行分层,按比例随机抽取高危场所进行干预,用χ2检验和Fisher’s确切概率检验比较干预前后安全套使用情况。结果干预前后分别调查107人和110人。通过干预,安全套接受率达98.2%;最近一次安全套使用率显著提高(χ2=3.92,P<0.05);最近一个月安全套使用率由55.2%上升为70.9%,干预前后安全套使用率变化明显(χ2=5.79,P<0.05)。其中,洗浴中心干预后安全套使用率有显著提高(χ2=5.17,P<0.05)。结论高危场所特别是美容美发女性性工作者安全套使用率低,推广使用安全套存在认识与自身的局限性,多部门联动的综合干预模式能有效提高安全套的使用率。

Objective To investigate condom use among female sex workers（FSWs）in high-risk sites of Beijing suburbs and explore a feasible model of interventions. Methods Based on the size of the high-risk sites, proportional stratified random samples were applied. The rates of condom use before and after the interventions were compared by 2 test or Fisher＇s Exact Test if applicable.Results One hundred and seven and 110 FSWs were surveyed pre and post interventions respectively.After the interventions the rate of acceptance to condom was 98.2 %, the rate of condom use in latest sex was raised significantly （χ^2 = 3.92,P〈0.05）, and the rate of condom use in the last month was raised from 55.2% to 70.9 % .After the interventions, the change in condom use was significant （χ^2= 5.79, P 〈 0.05）, and the rate of condom use in the last month had a significant rise in bath centers （ χ^2 = 5.17, P 〈 0.05）. Conclusions The rate of condom use in high-risk sites is lower than that in beauty parlor. The rate of condom use could be significantly raised by multisector integrated interventions.