2016—2020年某市某区监测哨点暗娼使用安全套影响因素分析

Influencing factors of condom use among female sex workers of sentinel surveillance in a district of a city,2016-2020

目的分析某市某区监测哨点暗娼未坚持使用安全套的影响因素,为提高安全套坚持使用率制定有针对性的暗娼干预措施提供依据。方法收集2016—2020年某区暗娼人群艾滋病哨点监测数据,用Logistic回归模型进行暗娼未坚持使用安全套的单因素及多因素分析。结果共调查1932人,平均年龄(30.68±7.88)岁,艾滋病知晓率为97.05%(1875/1932),最近1个月与客人发生性行为未坚持使用安全套比例为29.81%(576/1932)。多因素Logistic回归分析结果,通过电话预约/上门服务/网络找客人相对于在固定场所找客人(OR=2.26,95%CI:1.82~2.80)、近1年诊断患过性病相对于未患过性病(OR=2.43,95%CI:1.10~5.39)是暗娼未坚持使用安全套的危险因素。场所为中高档次(OR=0.61,95%CI:0.47~0.79)、文化程度高中及以上(OR=0.80,95%CI:0.65~0.980)、知晓艾滋病知识(OR=0.25,95%CI:0.15~0.44)、接受过安全套宣传和发放/艾滋病咨询与检测(OR=0.50,95%CI:0.36~0.68)的暗娼安全套坚持使用率更高。结论来自低档场所、文化水平低、通过电话预约/上门服务/网络找客人、近1年诊断患过性病的暗娼是今后干预的重点人群,应继续加强性病艾滋病健康教育和高危行为干预,提高暗娼人群安全套坚持使用率。

Objective To analysis the influencing factors of condom use among female sex workers(FSWs)of sentinel surveillance a district of a city,and to improve the proportion of persistent condom use and develop targeted intervention measures for FSW.Methods The sentinel surveillance data of FSWs from 2016 to 2020 were analyzed.Logistic regression method was used to analyze the influencing factors.Results A total of 1932 FSWs were surveyed during 2016 and 2020.The mean age of FSWs was(30.68±7.88)years old,and the rate of AIDS awareness was 97.05%(1875/1932).The proportion of FSWs who did not persistently use condoms for commercial sexual behavior in the past month was 29.81%(576/1932).The multivariate logistic analysis showed that FSWs who received customers by telephone/on-site service/network were less likely to persistently use condoms(OR=2.26,95%CI:1.82-2.80)compared with receiving customers based on fixed places.FSWs diagnosed with venereal disease in recent year was the risk factor(OR=2.43,95%CI:1.10-5.39)of FSW who not persistently used condoms.FSW in middle-grade and high-grade(OR=0.61,95%CI:0.47-0.79),higher cultural level(OR=0.80,95%CI:0.65-0.98),knowing AIDS knowledge(OR=0.25,95%CI:0.15-0.44),received condom publicity/distribution and HIV counseling/testing(OR=0.50,95%CI:0.36-0.68)were more likely to persistently use condoms for commercial sexual behavior in the past month.Conclusion FSWs from low-grade working venue,with lower cultural level,received customers based on telephone/on-site service/network and diagnosed with venereal disease in recent year are the key objects of intervention for future.It should be continued to strengthen STD/AIDS health education and high risk behavior intervention,and improve proportion of FSW persistent use of condom.