济南市女性性工作者就医行为及影响因素分析

Health seeking behavior and influencing factors among female sex workers in Jinan

目的探讨济南市娱乐场所女性性工作者就医行为及影响因素。方法采用同伴推动抽样法招募女性性工作者432名进行问卷调查;对其就医行为特征(为治疗性病,是否选择到正规医疗机构就医)的影响因素进行单因素和多因素非条件logistic回归分析。结果 77.8%的女性性工作者选择到正规医疗机构就医;艾滋病知晓情况、艾滋病风险意识、婚姻状况、从业时间是此人群就医行为的主要影响因素。结论女性性工作者性病感染率高且就医行为不规范;在预防控制艾滋病的过程中,要加强对此人群特别是已婚者、从业时间较长者的性病艾滋病知识的宣传教育。

Objective To discuss the health seeking behavior and its influencing factors among female sex workers in Jinan. Methods 432 female sex workers were recruited by respondent-driven sampling and personally interviewed. Health seeking behavior characteristics E in order to treat sexually transmitted diseases（ STD）, whether to choose STD out-patient service in approved hospitals I and its influencing factors were analyzed by univariate and multivariate uncon- ditional logistic regressions. Results 77.8% of the female sex workers chose STD out-patient service in approved hospitals. Awareness of AIDS, risk consciousness of AIDS, marital status, and working years were primary influencing factors of the health seeking behavior. Conclusion The STD infection rate is high and the health seeking behavior is relatively irregular in female sex workers. In AIDS control and prevention, publicity and education for AIDS and STD should be strengthened among them, especially among those who are married, and who have engaged in this job for a rather long time.