广西凭祥市暗娼安全套使用现状及其影响因素分析

Condom use among female sex workers in Pingxiang city of Guangxi Zhuang Autonomous Region

目的了解不同国籍和不同档次服务场所的暗娼,安全套使用现状及其影响因素。方法采用横断面的研究设计,对凭祥市区及边境贸易区内的娱乐场所,采用随机整群抽样方法抽取部分暗娼进行面对面问卷调查,收集暗娼的人口学、艾滋病知识、安全套使用情况及干预服务接受情况等资料,用SPSS 13.0软件进行分析。结果 2010年4-5月共调查暗娼262人。暗娼最近一次商业性行为中使用安全套的比例为79.77%,中国籍暗娼低于越南籍,差异有统计学意义(χ2=20.24,P<0.01);最近一个月商业性性行为中,暗娼每次都坚持使用、有时使用和从不使用安全套的比例,分别为59.16%、29.01%和11.83%,该比例在不同档次服务场所和不同国籍间差异均有统计学意义(χ2=9.9,P=0.007;χ2=7.72,P=0.006)。通过多因素Logistic回归分析发现,影响暗娼使用安全套的主要因素为:年龄、户籍所在地、性服务场所档次。结论低档服务场所、中国籍、高年龄组的暗娼安全套使用频率较低。提示在今后干预工作中,应充分考虑不同档次高危娱乐场所、不同国籍暗娼的人群特征,开展有针对性的安全套推广使用活动。

Objective To understand the condom use among female sex workers（FSWs） of different nationalities and in entertainment establishment of different classes.Method A cross-sectional survey was carried out among FSWs in urban areas and border trade area of Pingxiang city from April to May,2010,using a randomized cluster sampling.An interviewer-administered standardized questionnaire was used to measure the characteristics of FSWs,knowledge of AIDS,condom use and intervention.Data were analyzed with SPSS 13.0.Results A total of 262 FSW completed the survey.The proportion of condom use in the last commercial sex was 79.77%,but it was significantly lower in Chinese FSWs than in Vietnamese FSWs（χ^2=20.24,P〈0.01）.The proportions of FSWs who persistently/sometimes/never used condoms in commercial sex last month was 59.16%,29.01% and 11.83%,respectively.And they were significantly different among different classes of entertainment establishments and different nationalities（χ^2=9.9,P=0.007;χ^2=7.72 P=0.006）.The factors related with condom use were age,hometown and the classes of establishments according to the multiple regression of logistic model.Conclusion Chinese elder FSWs in low class establishments used condom much less than the others in commercial sex.In the future,attention should be paid to the characteristics of FSWs,establishments of different classes and FSWs of different nationalities in order to conduct relevant interventions to promote condom use.