【摘要】 目的:探讨在我国女性性工作者中推广国产女用安全套(FC)的影响因素。方法:2007年9~12月,在广东省恩平市采用现场研究的方法对调查对象进行FC的认知情况及使用情况问卷调查。结果:共调查307人次,最终纳入分析问卷291份。89.7%的调查对象采用过避孕措施,其中65.6%采用男用安全套。16.2%的调查对象自述被诊断患有性病。使用FC后,调查对象对FC知识的总体得分高于使用前(t=14.48,P<0.01),64.6%的调查对象感到满意,64.9%的调查对象表示会继续使用FC。多因素logistic分析显示,对FC续用率有影响的因素分别为FC多次用后不适感减少(OR为2.28),对性生活干扰小(OR为3.65)、其优点多于缺点(OR为2.33),男方不反对(OR为2.50)。结论:推广国产FC需加强对男女双方关于FC优点的宣传,培训FC使用方法以减少不适感、对性生活的干扰及男伴反对的几率。更多还原

【Abstract】 Objective:To explore factors of promoting the female condom(FC) among female sex workers(FSWs) in China.Methods:The field study was conducted in Enping City between September and December 2007.The FSWs’ knowledge and usage of FC were investigated in this study.Results:There were 291 women in the final analysis.About 89.7%of respondents used contraceptive measures,and 65.6%used male condoms.About 16.2%of respondents were diagnosed with a sexually transmitted disease.After using FC,the median score of FC knowledge among respondents improved significantly(t =14.48,P <0.01).After usage,64.6%were satisfied and 64.9%wanted to continue to use.The multi- factor analysis of continuing to use showed risk factors include less discomfort(OR = 2.28) and interference for sex(OR =3.65),more advantages(OR=2.33),and no objection from male partner(OR = 2.50).Conclusion:To promote the domestic FC among the sex workers in China,measures should be taken to strengthen propaganda on FC advantages and knowledge both in men and women,and training on usage of FC to reduce discomfort in sex,interference for sex and the probability of the objection from male partners.更多还原