边境双侧缅籍暗娼多国性伴及HIV相关高危性行为调查

Study on Burmese FSWs' multi-national sex partners and the related high-risk sexual behaviors at China-Myanmar border

目的分析中缅边境地区缅籍FSWs（暗娼）多国性伴及高危性行为情况，为下一阶段联合干预提供科学依据。方法2012年3～5月，采用滚雪球的方法，选取云南省瑞丽市及缅甸木姐缅籍暗娼为调查对象。双语外展人员进行问卷调查，收集目标人群多国性伴及高危性行为等方面资料进行对比分析。结果共调查201人，其中瑞丽市为100人，木姐为101人。文化程度较低、未婚缅族为主。最近一个月，缅甸境内FSWs的付费嫖客来自不同国家（多国性伴）的比例为76．20％，中国境内FSWs付费嫖客多国性伴的比例为54．00％。付费嫖客多国情况对比（x2=13．009，P〈0．05）；最近一个月中国及缅甸境内FSWs与固定性伴不使用安全套率分别为66．67％和8．94％；与付费嫖客不使用安全套率分别为8．00％和1．00％；与配偶不使用安全套率分别为78．50％和62．83％，对比分析（P〈0．05）。结论边境双侧缅籍FSWs存在多国性伴情况，且缅甸境内多国性伴情况较为普遍，双侧仍然存在与临时性伴及嫖客不使用安全套情况，双侧缅籍FSWs与固定性伴、配偶不使用安全套率均较高。中国境内FSWs与各种性伴不使用安全套率均高于缅甸一侧。应进一步加强中缅双边合作，同时加强综合干预，推进跨境艾滋病防治工作。

Objective To analyze the status of Burmese FSWs＇ multi-national partners and their high-risk sexual behaviors, and provide a scientific basis for the joint intervention in the next phase. Methods From March to May 2012, snowball sampling method was adopted to select the Burmese FSWs from Ruili of Yunnan Province and Muse of Myanmar. The bi-lingual outreach staff conducted a questionnaire survey to collect the data of the target population＇s multi-national partners and their high-risk sexual behaviors and did comparative analysis. Results A total of 201 persons were investigated, among which 100 were from Ruili City and 101 were from Muse City. The education level was relatively low and the majority were unmarried Burmans. In recent month, in Burma, paying clients from different countries （ multinational company） was 76.20% FSWs paying clients in China was 54.00% （ multinational company）. The comparison between multinational paying clients was 13. 009, P 〈 0. 05. In the past month, within the territory of China and Burma, FSWs （ with fixed partners） ,the rate of without-using condom was 66.67% and 8.94% respectively;The rate of without-using condom among paying clients was 8.00% and 1.51% respectively; the rate of without-using condom with spouse was78.50% and 62. 83% respectively,P 〈0. 05. use condom with casual sexual partners;78.5% and 62. 1% FSW did not use condom with their spouses. Conclusions Burmese FSWs had multi-national sex partners at bilateral border areas and it was quitecommon for FSWs to have multi-national partners in Myanmar. FSWs did not consistently use condom with temporary partners on both sides of the border. The rate of without-using condom with fixed partners and spouse on both sides was high among Burmese FSWs. The rate of without-using condom with various partners among FSWs in China was higher than that in Myanmar. China and Myanmar should strengthen cooperation and enhance comprehensive intervention so as to promote cross-border HIV/AIDS control.