西藏暗娼艾滋病知识知晓现状及对安全套使用情况影响

次仁旺姆; 索朗拉姆; 多吉旺姆

doi:10.11847/zgggws1128264

西藏暗娼艾滋病知识知晓现状及对安全套使用情况影响

AIDS knowledge and condom use among female sex workers in Tibet Autonomous Region: a cross-sectional survey

摘要

摘要:
目的了解西藏自治区暗娼艾滋病知识知晓和安全性行为现状，为控制艾滋病经性传播提供依据。
方法 2019年采用分层随机抽样和整群抽样方法在西藏7个国家级监测点共调查暗娼2 047人，采用一般描述性分析、χ²检验、多因素非条件logistic回归分析探讨暗娼艾滋病知识知晓现状及其对安全套使用情况的影响。
结果 2019年西藏自治区暗娼艾滋病知识知晓率为83.93 %（1 718/2 047），最近1次安全套使用率为71.71 %（1 468/2 047），最近1月安全套从未使用、有时使用、每次使用的比例分别为20.86 %（427/2 047）、36.59 %（749/2 047）、42.55 %（871/2 047）。婚姻状况为同居（OR = 3.31，95 % CI = 1.14～9.64）、文化程度为高中及以上（OR = 1.78，95 % CI = 1.25～2.54）、高档（OR = 2.07，95 % CI = 1.38～3.11）工作场所、接受艾滋病咨询检测服务（OR = 2.94，95 % CI = 2.28～3.79）是暗娼艾滋病知识知晓情况的促进因素。控制其他变量后，知晓艾滋病知识的暗娼其安全套使用率是不知晓者的1.72倍（95 % CI = 1.32～2.24，P < 0.001）。
结论 2019年西藏自治区暗娼艾滋病知识知晓率、安全套使用率均处于较低水平，知晓艾滋病知识可有效提高暗娼安全套使用率。

Abstract:
Objective To examine the awareness on knowledge about human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and condom use among female sex workers (FSWs) in Tibet Autonomous Region (Tibet) and to provide evidences for HIV/AIDS control.
Methods Totally 2 047 FSWs were recruited at 7 state-level sites for surveillance on HIV/AIDS in Tibet with stratified random sampling and cluster sampling. Face-to-face interviews were conducted among the recruited FSWs using the questionnaire developed by Chinese Center for Disease Control and Prevention during 2019. Descriptive statistics, chi-square test and unconditional multivariate logistic regression analysis were used to analyze the awareness of HIV/AIDS knowledge and its impact on condom use among the FSWs.
Results For all the FSWs, the awareness rate of HIV/AIDS knowledge was 83.93% and the proportion of using condom in the last commercial sex was 71.71%. Of the FSWs, 20.86%, 36.59%, and 42.55% reported never, sometimes, and always using condom in commercial sex during the past one month, respectively. Unconditional multivariate logistic regression analysis revealed following promoting factors for being aware of HIV/AIDS knowledge in the FSWs: having unmarried cohabitation (odds ratio OR=3.31, 95% confidence interval 95% CI: 1.14 – 9.64), with the education of senior high school and above (OR = 1.78, 95%CI: 1.25 – 2.54), working in high grade public places (OR = 2.07, 95% CI: 1.38 – 3.11), and ever receiving HIV/AIDS counseling and testing (OR = 2.94, 95% CI: 2.28 – 3.79). Compared to those without HIV/AIDS knowledge, the FSWs with the knowledge were more likely to use condom in commercial sex (OR = 1.72, 95% CI: 1.32 – 2.24) after adjusting for potential confounding variables.
Conclusion The rate of being aware of HIV/AIDS knowledge and using condom in commercial sex are at a low level among female sex workers in Tibet Autonomous Region in 2019 and improving the awareness on HIV/AIDS knowledge may promote condom use of the female sex workers.

HTML全文

参考文献(15)

施引文献

资源附件(0)