【摘要】 目的了解女女性行为人群(WSW)的性行为特征和性传播疾病感染状况,为今后对该人群进行健康教育和行为干预提供理论依据。方法采用定性访谈和定量调查问卷的方法,进行面对面调查。并进行生殖健康检查和艾滋病病毒、乙型肝炎病毒、丙型肝炎病毒和梅毒检测。结果共调查WSW 60人,年龄中位数25.0岁。93.9%的WSW人群对性取向认同,其中同性恋占83.3%,双性恋10.0%,异性恋1.7%,未确定5.0%。最近半年与同性发生过性行为的占86.7%,平均性伴数2.3个。有85%与同性发生过手指交,36.7%发生过口交,20%发生过器具交。性行为时以清水冲洗或洗涤用品清洗为主,手交时用清水清洗的占47.1%,口交时清水漱口的占59.1%,器具交时用清水清洗的占33.3%;每次性行为对器具消毒或清洗的为66.6%,共用性器具时每次清洗或消毒的仅为50%。手交时有13.5%,口交时有18.1%的人回答不能每次都清洗或消毒。最近一次与异性发生性行为时使用安全套的为14.3%,器具交时使用安全套的为16.7%,指交时使用指套的为15.7%。阴道拭子检测细菌感染率为2.9%,真菌感染率为5.8%,尖锐湿疣2.9%。结论 WSW中存在多性伴现象,缺乏健康知识和防护意识,存在生殖健康危险因素,今后应在该人群中开展有针对性的宣传教育和行为干预。更多还原

【Abstract】 Objective To understand sexual behavior characteristics and sexually transmitted diseases(STD)infection among women who have sex women(WSW),and provide evidence for health education and behavior intervention.Method Qualitative interviews and face to face investigation with quantitative questionnaires were adopted to collect information on sex characteristics and protection behavior.Reproductive health related examination and HIV/HBV/syphilis/HCV testing were also expanded.Results Sixty WSW were interviewed,median age was 25.0 years old.93.9% of WSW were regarded as lesbian,83.3% were homosexual dominated,10.0% were bisexual,1.7% were heterosexual and 3 were not sure.86.7% WSW had homosexual behavior in recent six months.The average number of homosexual partners was 2.3.Finger 85%and oral 36.7% sex were main way of sexual behavior.The proportion of protective behavior with water and cleaning in finger sex,oral sex and instruments sex were47.1%,59.1%,and 33.3%,respectively.66.6% cleaned instruments at each time,50% cleaned instruments at each time when sharing the same instruments.The proportion of inconsistent clean behavior in finger and oral sex were 13.5% and 18.1%.The proportion of condom use in last hetero sex,instruments sex and finger sex were14.3%,16.7% and 15.7%.The rate of bacterial vaginosis,mycotic and condyloma acuminate was 2.9%.5.8%,and 2.9%.Conclusion Regarding the multiple sexual partners,limited health knowledge,insufficient protective behavior as well as risk factors for reproductive health among WSW,targeted health education and behavior intervention should be carried out.更多还原