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张祖样, 宋丽军, 梅静远, 卢冉, 肖民扬, 罗红兵, 贾曼红. 云南省边境地区暗娼艾滋病高危行为现况分析[J]. 中国公共卫生, 2015, 31(12): 1539-1542. DOI: 10.11847/zgggws2015-31-12-05
引用本文: 张祖样, 宋丽军, 梅静远, 卢冉, 肖民扬, 罗红兵, 贾曼红. 云南省边境地区暗娼艾滋病高危行为现况分析[J]. 中国公共卫生, 2015, 31(12): 1539-1542. DOI: 10.11847/zgggws2015-31-12-05
ZHANG Zu-yang, SONG Li-jun, MEI Jing-yuan.et al, . Awareness and high risk behaviors of HIV infection among female sex workers in Yunnan border region[J]. Chinese Journal of Public Health, 2015, 31(12): 1539-1542. DOI: 10.11847/zgggws2015-31-12-05
Citation: ZHANG Zu-yang, SONG Li-jun, MEI Jing-yuan.et al, . Awareness and high risk behaviors of HIV infection among female sex workers in Yunnan border region[J]. Chinese Journal of Public Health, 2015, 31(12): 1539-1542. DOI: 10.11847/zgggws2015-31-12-05

云南省边境地区暗娼艾滋病高危行为现况分析

Awareness and high risk behaviors of HIV infection among female sex workers in Yunnan border region

  • 摘要: 目的 了解云南省边境县暗娼艾滋病高危行为现况,为制定干预政策提供依据。方法 采用社区概率抽样方法和普查法对云南省8个边境州(市)暗娼进行横断面调查,通过一对一问卷调查,收集人口学及高危行为等相关信息,采用SPSS 17.0进行统计学分析。结果 共调查12445人。艾滋病总知晓率为97.5%,边境县较非边境县低(χ2=66.746,P<0.01);边境县暗娼中,外国籍暗娼较中国籍低(χ2=149.038,P<0.01)。最近1个月商业性行与每次都使用安全套的总比率为94.9%,边境县较非边境县低(χ2=21.543,P<0.01);多因素logistic回归分析表明,未坚持使用安全套的主要危险因素有:年龄<30岁(OR=2.03)、少数民族(OR=0.782)、初中以下文化程度(OR=1.425)、中低档暗娼(OR=1.098,1.395)、不知晓艾滋病知识(OR=6.672)、有吸毒行为(OR=1.915);不使用安全套的主要原因是对方不愿意使用,占55.3%。暗娼总体吸毒率为1.7%,注射吸毒比率为0.8%。最近1年内被诊断患性病的总比率为0.8%,生殖道沙眼衣原体感染居首位。结论 需加强边境县中在华外国籍、年龄较小、少数民族、文化程度较低且对艾滋病知识不知晓暗娼的干预,重点加强吸毒暗娼的干预。

     

    Abstract: Objective To examine the awareness and high risk behaviors of human immunodeficiency virus(HIV)infection among female sex workers(FSWs)in border regions of Yunnan province and to provide evidences for making intervention measures among the FSW.Methods A cross-sectional study was conducted among FSWs recruited with community probability sampling and census from 8 prefectures and cities in border regions of Yunnan province.Information about demography and risk behaviors were obtained with a face-to-face interview.Results The overall awareness rate for acquired immunodeficiency syndrome(AIDS)was 97.5% among the 12445 FSWs and there was a statistically significant difference in the rate between the counties in border and inland region(χ2=66.746,P<0.01)and in the border regions the foreign FSWs had a lower AIDS awareness rate than the Chinese FSWs (χ2=149.038,P<0.01).The overall rate of using condom in every sexual activity with the client within previous one month was 94.9% among the FSWs and the rate was lower among the FSWs in border region counties than among those in inland counties(χ2=21.543,P<0.001).Multivariate logistic regression analysis showed that the risk factors for not using condom in commercial sexual activity among the FSWs included aged less than 30 years (odds ratioOR=2.03),being minority(OR=0.782),with the education of under junior high school(OR=1.425),working in ordinary public places(OR=1.098),working in small public places(OR=1.395),without knowledge about AIDS(OR=6.672),and drug using(OR=1.915)and the main reason(55.3%)for no condom use reported by the FSWs was obeying the will of the client.The overall rate of drug use was 1.7% among the FSWs and the overall rate of injection drug use was 0.8%;the foreign FSWs had a higher rate of drug use than the Chinese FSWs(χ2=29.145,P<0.01).The overall prevalence rate of sexually transmitted disease(STD)diagnosed in the previous one year was 0.8% and the most prevalent STD was Chlamydia trachomatis infection of genital tract among the FSWs.Conclusion More attentions should be paid to the FSWs of being foreigner,younger,minority,drug user,with low education,and without knowledge about AIDS in the interventions on HIV infection in border regions of Yunnan province.

     

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