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汪武新, 刘宗干, 李晴, 何群. 高危人群安全套使用相关原因分析[J]. 中国公共卫生, 2002, 18(5): 561-562. DOI: 10.11847/zgggws2002-18-05-29
引用本文: 汪武新, 刘宗干, 李晴, 何群. 高危人群安全套使用相关原因分析[J]. 中国公共卫生, 2002, 18(5): 561-562. DOI: 10.11847/zgggws2002-18-05-29
WANG Wu-xin, Liu Zong-gan, Li Qing, . Correlation Investigation of Condom Used in High Risk Crowd[J]. Chinese Journal of Public Health, 2002, 18(5): 561-562. DOI: 10.11847/zgggws2002-18-05-29
Citation: WANG Wu-xin, Liu Zong-gan, Li Qing, . Correlation Investigation of Condom Used in High Risk Crowd[J]. Chinese Journal of Public Health, 2002, 18(5): 561-562. DOI: 10.11847/zgggws2002-18-05-29

高危人群安全套使用相关原因分析

Correlation Investigation of Condom Used in High Risk Crowd

  • 摘要: 目的研究公路沿线卖淫女性与卡车司机在不同时间、场所的安全套使用率,分析其原因及其艾滋病、性病患病的相关性.方法选择105国道公路沿线相关场所的卖淫女性和长途卡车司机.调查其安全套获得的难易程度、干预前后最近一次性行为安全套使用率,分析其近1年来AIDS/STDs患病状况的相关性.结果城郊地区安全套获得较易,综合评分司机和高危女性分别为6,7分和74分,偏远地区获得安全套较难,综合评分分别为6.5分和36分.高危女性在干预前及干预后一个月,安全套使用率分别为39.4%和52.5%;卡车司机为38.2%和57.3%,干预前后差异有非常显着性(χ2=12.68,P<0.01);干预后半年女性和司机组的安全套使用率分别降低到43.9%和46.9%与干预前差异无显着性(χ2=2.08,P>0.05).卖淫女性和司机组近1年STDs患病率分别为34.38%和28.75%,以非淋菌性尿道炎、梅毒及淋病患病率占多数.两组STDs患病率有明显正相关关系(r=0.992,P<0.01).结论(1)公路沿线的偏远地区安全套获得困难,女性的安全套使用率低,STDs发病率相对高;卡车司机的安全套获得机会多于女性组.(2)健康教育干预可促进安全套的使用,但长期效果不显着.(3)公路沿线高危人群中STDs患病率高,与安全套的使用率低有关.

     

    Abstract: ObjectiveTo investigate the usage rate of condom in prostitution and tuck driver along highway in different times and places,and analysis the cause of this situation and the correlation with STD/AIDS.MethodsTo select the prostitution and long-distance truck drivers in correlate places along No.105 highway.To investigate their difficult-easy degree obtaining condom,and usage rate of condom in the time of latest sexual behavior before and after intervention,and make correlated analyses with the prevalence rate of STD/AIDS in last one year.ResultsCondom could be obtaineed easier in suburban area where colligation scores of driver group and female group were 6.7 and 7.4 respectively.But condom could be obtaineded more difficultly in remote area where colligation score of two groups were 6.5 and 3.6 respectively.One month before and after intervention,the usage rates of condom of high risk female were 39.4% and 52.5%,and of truck driver were 38.2% and 57.3% respectively.The difference before and after intervention is much obvious(χ2=12.68,P<0.01).Half year after intervention,usage rates of condom of female group and driver group were reduced to 43.9% and 46.9% respectively,which comparing with that before intervention had not obvious diffence(χ2=2.08,P>0.05).In last one year,prevalence rates of STDs in female group and driver group were 34.38% and 28.75% respectively.The diseases included mainly non-gonococcal urethritis,syphilis and gonorrhea.The correlation of STDs prevalence rate was obvious(r=0.992,P<0.01).Conclusion(1)Condom was obtaineded difficultly in remote area along highway so that usage rate of it was low and prevalence rate of STDs was high relatively in female group.The chance of obtaining condom was more in driver group than in high risk female group.(2)Health education intervention can improve usage rate of condom in short period buthas not obvious effect in long time.(3)The high prevalence rate of STDs in high risk crowd along highway is connection with lower usage rate of condom.

     

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