【摘要】 目的了解高档娱乐场所女性性服务人员(FSW)性病防护状况及需求。方法在知情同意的原则下,采用统一设计的问卷,对64名FSW进行面对面问卷调查。内容包括基本情况、艾滋病/性病知识、安全性行为、求医行为及需求等。统计方法采用χ2检验。结果梅毒与艾滋病可以通过共用针具注射毒品传播及传播给下一代的知晓率比较高,分别为81.4%(48/59)和73.0%(46/63);得了性病一定有症状和偶尔一次无保护性行为是否会感染到性病的知晓率比较低,分别为54.1%(33/61)和55.6%(35/63)。95.0%(57/60)的FSW每次与非固定性伙伴都用安全套,55.6%(35/63)每次与固定性伙伴使用安全套;64人均回答自行购买安全套,无人从计划生育服务中心领取。感染性病后54人(84.4%)选择到正规医院治疗,1人(1.6%)选择到私人门诊,10人(15.6%)无经验。希望政府帮助方面,9人(19.8%)希望获得免费检测,7人(15.2%)希望得到经济帮助,8人(17.39%)希望得到尽量多的帮助。结论该场所的FSW性病感染率较低,安全套使用率较高,但防护知识仍缺欠,对于不安全的性行为仍怀有侥幸心理,她们更多的希望政府在性病知识检测咨询方面给予帮助,哪怕是有偿服务。更多还原

【Abstract】 Objective To investigate the sexually transmitted diseases(STD) protection status of female sex workers(FSWs) and their needs in a high-class entertainment establishment.Methods Under the principle of informed consent,a unified questionnaire was designed and used in a face-to-face survey among 64 FSWs.The required information in the questionnaire included general social demography,AIDS/STD related knowledge,safe sex,medical treatment and needs,etc.Chi square test was used in statistical processing of the results obtained.Results The awareness rates of syphilis and AIDS spreading through injecting drug use by sharing needles and spreading to the next generation by heredity were relatively high,accounting for 81.4%(48/59) and 73.0%(46/63),respectively.The awareness rate on question if STDs had symptoms inevitably and if STDs might be infected in one episode of unprotected sex was lower,accounting for 54.1%(33/61) and 55.6%(35/63),respectively;95.0%(57/60)of FSWs used condoms with casual partners each time,and 55.6%(35/63) used condoms with regular sex partners;64 bought condoms by themselves,and none of them received condoms from the family planning service center.When infected with STDs,54 FSWs(84.4%) visited regular hospitals,1(1.6%) visited private clinics,and 10(15.6%) had no experiences.Regarding the needs for help from the government,9(19.57%) hoped to have free testing,7(15.22%) wanted financial assistance,8(17.39%) hoped to get help from the government as much as possible,and 10(21.74%) had no idea.Conclusion STD infection rate among FSWs is low and condom use rate is high in this establishment,but the awareness of STD protection knowledge is low,and they believe that they may avoid infection by chance when having unsafe sex.They hope that the government may provide more services for STD testing and counseling,even if the services are paid.更多还原