广西农村暗娼安全套坚持使用情况及影响因素分析

Persistence of condom use and its influencing factors among rural female sex workers in Guangxi

目的了解广西农村地区暗娼人群商业性行为时安全套使用情况及影响因素,为制定暗娼艾滋病综合干预措施提供参考依据。方法采用多级抽样的方法,2019年4—6月在国家和省级暗娼哨点招募农村暗娼进行横断面问卷调查,调查内容包括场所位置、一般人口学信息、艾滋病知识、性行为特征及安全套使用等。用多因素非条件logistic回归方法分析最近一个月坚持使用安全套的相关因素。结果2019年共调查农村暗娼1350人,平均年龄(42.71±8.62)岁,艾滋病知识知晓率为95.63%(1291/1530),最近一次商业性性行为使用安全套比例为94.72%(1274/1345),最近一个月商业性性行为每次均使用安全套的比例为87.85%(1186/1350)。多因素非条件logistic回归显示,知晓艾滋病知识(OR=14.857,95%CI:8.196~26.932)是安全套坚持使用的促进因素;交易场所为村屯(OR=0.180,95%CI:0.106~0.304)、30岁及以上年龄(30~岁组,OR=0.275,95%CI:0.090~0.841;50~岁组,OR=0.131,95%CI:0.042~0.407)是安全套坚持使用的障碍因素。结论应进一步加强对农村地区、大年龄暗娼人群安全套推广使用等综合干预力度。

Objective To investigate the status of condom use and its influencing factors among female sex workers(FSWs)in rural areas in Guangxi,and to provide a reference basis for developing comprehensive HIV/AIDS intervention measures.Methods A multistage sampling method was used to recruit rural FSWs at national and provincial level prostitution points from April to June 2019.A cross-sectional questionnaire survey was conducted among them,and the survey content included location of the venue,general demographic information,HIV/AIDS knowledge,sexual behavior characteristics,and condoms use.Multivariate unconditional logistic regression method was used to analyze the factors related to condom use in the last month.Results A total of 1,350 rural FSWs were investigated in 2019,with an average age of(42.71±8.62)years.The awareness rate of HIV/AIDS knowledge was 95.63%(1,291/1,530).The proportion of condom use in the last commercial sex was 94.72%(1,274/1,345).The proportion of condoms used every time during commercial sex in the last month was 87.85%(1,186/1,350).Multivariate unconditional logistic regression indicated that awareness of HIV/AIDS knowledge(OR=14.857,95%CI:8.196-26.932)was a promoting factor for the persistence of condom use.Villages as trading places(OR=0.180,95%CI:0.106-0.304)and age range of 30 years and above(30-age group,OR=0.275,95%CI:0.090-0.841;50-age group,OR=0.131,95%CI:0.042-0.407)were obstacle factors for the persistence of condom use.Conclusion Comprehensive interventions such as the promotion of condom use should be further strengthened in rural areas and older female sex workers.