杭州市小型服务场所女性商业性行为者安全套使用现状及其影响因素

Status of using condoms and its influencing factors of female commercial sex workers in small service places in Hangzhou City

目的了解小型服务场所女性商业性行为者的安全套使用情况及其影响因素。方法采用《女性商业性行为人群艾滋病行为监测问卷》,随机调查杭州市下城区100家小型服务场所所有女性商业性行为者,了解发生商业性行为时的安全套使用情况,并对年龄、从业时间、婚姻、文化程度、艾滋病基本知识得分等共13个因素与安全套使用的关系采用单因素分析和多因素Logistic回归分析。结果共调查326名女性商业性行为者,平均年龄(24.89±5.55)岁,从业时间不到一年占47.85%,初中文化及以下占84.36%;发生商业性行为时,最近一次使用安全套比率占85.28%,最近一个月每次使用安全套比率占53.68%;多因素Logistic回归分析显示:从业时间≥3年、艾滋病基本知识得分≥8分、为预防艾滋病,愿意使用安全套、如果客人多出钱,表示不可以不用安全套的女性商业性行为者每次安全套使用率较高,OR值分别是1.99(95%CI:1.17～3.41),2.01(95%CI:1.04～3.86),4.01(95%CI:1.18～13.61),2.95(95%CI:1.84～4.72)。结论小型服务场所女性商业性行为者从业时间不长,文化程度偏低,安全套使用率不高;从业时间、艾滋病基本知识得分等是安全套使用的主要影响因素。

Objective To understand the status of using condoms and its influencing factors of female commercial sex workers in small service places, providing the basis for AIDS behavior interference. Methods All female commercial sex workers from 100 small service places in Hangzhou Xiacheng District were surveyed by behavior surveillance questionnaire of AIDS. The status of using condoms was known when took place commercial sex. The relationship among total 13 factors about age, practice time, marriage, education, AIDS knowledge score, etc and every commercial sex by using condoms, was analyzed with univariate analysis and Multivariate Logistic regression. Results Average age of 326 female commercial sex workers were （24.89 ± 5.55） years old, less than 1 year practice time workers accounted for 47.85%, less than middle school accounted for 84.36% . The rates of using condoms in one recent commercial sex and every commercial sex in last month were 85.28 % and 53.68 % . Multivariate Logistic regression analyze showed that the rate of using condoms in every commercial sex worker about female commercial sex workers who had more than 3 years practice time, had more than 8 about AIDS knowledge score, used condoms for preventing AIDS, used condoms if being gived more money was high relatively, OR value were 1.99（95% CI：1.17 - 3.41）,2.01（95% CI：1.04 - 3.86） ,4.01（95% CI：1.18 - 13.61） and 2.95 （95 % CI 1. 84 -4.72）respectively. Conclusion The female commercial sex workers in small service places had not long practice time, low education, low rate of used condoms. Practice time, AIDS knowledge score et al, were primary associated with using condoms.