女性性工作者艾滋病相关干预服务低利用率影响因素分析

Analysis on Influencing Factors of Low Service Utilization Rate of AIDS Related Intervention Services among Female Sex Workers

目的:本研究旨在探索影响女性性工作者对艾滋病干预服务利用率低的原因和干预措施利用率的相关影响因素。方法:采用分层随机抽样方法,对深圳市1656名女性性工作者的社会人口学特征、行为以及艾滋病相关干预服务利用情况进行调查。对不进行艾滋病检测、安全套使用以及参与同伴教育的影响因素进行Logistic回归分析。分析未参加艾滋病检测、安全套使用与艾滋病相关知识水平之间的关系。结果:女性性工作者的艾滋病检测率、安全套使用率和接受同伴教育率分别为21.5%、47.8%和28.0%。低年龄组和工作年限短与不利用干预服务有关。结论:深圳市女性性工作者艾滋病相关干预服务的利用率较低。应提高年轻和刚从事性工作者安全套使用和艾滋病相关知识水平。

Objective： Female sex workers（ FSWs） are highly vulnerable to HIV but make little use of HIV- related intervention services provided by the government. This study was to explore the related influencing factors of low utilization rate of AIDS related interventions. Methods： FSWs in Shenzhen,Guangdong province were recruited by Stratified sampling. 1656 FSWs were interviewed about socio- demographics characteristics,behaviors and service utilization of HIV- related intervention services. Determinants of no uptake of HIV testing,condom promotion,and peer education were determined through logistic regression. The association between uptake of HIV- related services,condom use and HIV- related knowledge was also assessed. Results： The overall uptake of HIV testing,condom promotion,and peer education by FSWs was 21.5%,47. 8% and 28. 0% respectively. Young age and shorter duration of working in Shenzhen were statistically significantly correlated with no uptake of all three interventions. Uptake of these services was positively associated with consistent condom use and good HIV- related knowledge.Conclusion： The uptake of HIV- related intervention services by FSWs is low in Shenzhen. As their uptake is positively associated with condom use and HIV- related knowledge,it is necessary to intensify promotion of these,focusing on young and recent FSWs.