宝山区娱乐场所女性服务人员健康状况及其影响因素研究

Health Status and Its Influencing Factors among Female Entertainment Workers in Baoshan District,Shanghai

[目的]了解娱乐场所女性服务人员生存现况、行为方式、生理及心理健康状况,探讨与健康相关的危险因素,为制定干预策略提供依据。[方法]在辖区内某镇的45家娱乐场所(其中大场所6家,小场所39家)中,采用整群抽样的方法随机抽取4家大型娱乐场所和18家小型娱乐场所,共对128名女性服务人员进行了面对面调查,收集有效问卷125份。问卷内容主要包括:人口学信息,生活状况,性行为情况,健康和健康行为,艾滋病性病检测、诊疗情况等,并结合临床和实验室资料进行分析。[结果]被调查的女性服务人员平均年龄为(28.00±7.17)岁;文化程度低,中小学及以下文化程度占84.0%;首次性行为平均年龄为(20.0±2.3)岁;性服务平均年限较长,为(18.6±19.1)个月;最近一次商业性行为安全套使用率为87.2%;43.2%的人曾经有过一种以上妇科疾病症状,实验室检测一项及以上阳性的占12.0%;36.8%的女性服务人员抑郁总分大于6分。多因素分析结果显示,生殖健康与固定性伴保持时间长短有关,心理健康与首次结婚年龄有关。[结论]娱乐场所女性服务人群存在不良生活行为,同时肩负较重的生活负担,生理和心理健康问题均不容乐观,健康状况的主要影响因素为固定性伴保持时间和首次结婚年龄。

[ Objective ] To understand the living conditions, behavior, physiological and mental health among the female entertainment workers（FEWs）, to explore the influencing factors on their health, and to provide evidence for implementing AIDS/ STD prevention and intervention effectively. [ Methods ] A total of 4 large and 18 small entertainment places were selected randomly from altogether 6 large and 39 small entertainment places in Baoshan District using cluster sampling method. We conducted a face to face survey with 128 FEWs, and the questionnaire included demographic information, living conditions, sexual behavior situations, health and health behaviors, AIDS and STD testing, diagnosis and treatment, etc. Their clinical and laboratory data were also used for analysis. [ Results ] The FEWs had an average age of （28.00±7.17） years and a low education level, with 84.0% of them below junior high school. The average age of first sexual behavior was （20.0±2.3） years old, and the average time in sexual work was （18.6±19.1） months, In addition, 59.2% of them had a history of abortion, 43.2% had one or more reproductive system symptoms. In terms of laboratory results, 12.0% were positive on one and more .items. The proportion of depression score above 6 among the FEWs was 36.8%. Multivariate analysis showed the influencing factor of reproduction health was the length of time of keeping a regular sex partner, and the influencing factor of mental health was the first marriage age. [ Conclusion ] There are heavy burden and bad living behavior in the FEWs who have serious reproductive and mental health problems, and the key influencing factors are the months of keeping a regular sex partner and first marriage age.