2013年聊城市部分女女性行为人群艾滋病相关知识及行为调查

Survey on HIV/AIDS-related Knowledge and Behavior Among Women Who Have Sex with Women,Liaocheng City,2013

[目的]了解女女性行为人群(women who have sex with women,简称WSW)性行为特征和艾滋病(AIDS)、性传播疾病知识水平,为今后对该人群健康教育和行为干预提供理论依据。[方法]2013年1～4月,对聊城"女爱同家园"部分WSW人群进行定性访谈。[结果]合计调查WSW 38人,平均年龄24.72岁,单一同性恋10人,同性恋占主导17人,双性恋8人,不确定3人;与女朋友(女性配偶)同居8人、不定期同居12人、与异性同居2人、单身16人;33人了解血液传播、性传播、母婴传播3种传播途径;24人认为安全套可能预防艾滋病病毒(HIV)感染;获取AIDS知识的主要途径包括网络宣传(35人)、电视宣传(31人)、圈内同伴宣传(25人)、免费的宣传资料(22人)、咨询服务(20人);发生首次同性性行为的年龄为17.12岁,首次性伴为男性者6人,同性者26人;平均同性性伴数3个。29人发生性行为时能采用自认为安全卫生的防护措施。访谈24人,5人在最近1年出现过性病相关症状,其中2人选择到性病专科门诊和综合性医院就诊,其中2人选择私人医疗机构进行就诊,1人到药店买药自己治疗;3人曾患过细菌性阴道炎。[结论]WSW中存在多性伴现象,缺乏健康知识和防护意识,存在感染AIDS性病的危险因素。

[Objective]To study the characteristics of risk behaviors and knowledge on STD/AIDS among WSW, so as to provide theoretical basis for health education and behavior intervention. [Methods]The method of group interviews was used to interview some WSW organization ＂female love home＂ members in Liaocheng city, during January-April, 2013. [Results]A total of 38 WSW were interviewed; the average age was 24.72 years old; 10 WSW were Lesbians, 17 were Les- bian-dominated,8 were bisexual,and 3 were not sure. 8 cohabited with girlfriend（female spouse）, 10cohabited with girl- friend at irregular, 2 cohabited with man, 16 lived single;33 WSWs knew the three major transmission routes were sexually transmission,blood transmission and mother to child transmission;24 WSWs agreed condom use can prevent HIV trans- mission. The main information to get HIV/AIDS knowledge from the Internet （35 cases）, TV（31 cases）, peer education （25 cases） ,free promotional materials（22 cases） and VCT （20 cases）. The age having sex with female for the first time was 17.12 years old,6 WSWs had heterosexual sex partner for the first time,26 WSWs had sex with female for the first time, the participants had sex with female were 3.29 WSWs adopted measures that they thought to be safe and healthy when having sex. 24 WSWs were interviewed, and 5 of them were attacked by STD symptoms in the last year, 2 WSWs chose to see a doctor at STD clinics and comprehensive hospital,2 WSWs chose to go to private medical institutions, and 1 WSW bought medicine themselves in the pharmacy. 3 WSWs had suffered from bacterial vaginosis. [Conclusion]There are multiple sexual partners among WSW in Liaocheng city and lacking in health knowledge and protective consciousness, and there are risk factors for STD/AIDS infection.