【摘要】 目的了解上海市暗娼和普通流动妇女的吸烟情况及其相关影响因素。方法采用二阶段整群抽样方法抽取上海市闵行区721例暗娼以及675例普通流动妇女,并进行了问卷调查,收集调查对象的一般人口学特征及吸烟情况等资料,同时用生活质量评估简表(WHOQOL-BREF)评估其生活质量。结果上海市暗娼的吸烟率(39.1%)显著高于普通流动妇女(2.7%)(!2=274.46,P<0.001)。暗娼的生活质量得分在4个领域(生理领域F=55.50,P<0.001;心理领域F=59.07,P<0.001;社会关系领域F=157.46,P<0.001;环境领域F=65.08,P<0.001)均显著低于普通流动妇女。多因素分析结果显示心理领域得分越高(OR=0.893,95%CI0.839~0.950)、结婚(OR=0.590,95%CI 0.395~0.880)、处于高年龄组(26~35岁、36岁以上)(OR=0.516,95%CI 0.386~0.691)及普通流动人群(OR=0.077,95%CI 0.043~0.141)是吸烟的保护因素,而无固定性伴侣(OR=1.610,95%CI1.114~2.328)、在上海居住时间≤1年(OR=1.537,95%CI 1.109~2.132)及收入少(OR=1.956,95%CI 1.445~2.650)是影响吸烟的危险因素。结论上海市暗娼的吸烟率高于普通流动妇女,应在目标人群中结合危险因素开展有针对性的措施以减少吸烟。更多还原

【Abstract】 Objective To explore the smoking status and related influence factors among female sex workers( FSW) and general migrant women( GMW) in Shanghai City,and provide references for health intervention. Methods A total of 721 FSW and 675 GMW,recruited by a multiple stage cluster sampling method from Minhang District,Shanghai city,were interviewed. Socio-demographic characteristics and the smoking status were collected by questionnaire interview, while the quality of life( QOL) among participants were evaluated by WHOQOL-BREF. Results The smoking rate within FSW( 39. 1%) was significantly higher than GMW( 2. 7%). When compared with GMW,QOL scores among FSW were signifiantly lower in four domains( physio-domain F =55. 50,P < 0. 001,psychi-domain F = 59. 07,P < 0. 001,social relationship domain F =157. 46,P < 0. 001 and environmental domain F = 65. 08,P < 0. 001). The multivariate analysis showed that higher score of psychi-domain( OR = 0. 893,95% CI 0. 839-0. 950),married( OR = 0. 590,95% CI 0. 395- 0. 880),older age group( OR = 0. 590,95% CI 0. 395- 0. 880) and GMW( OR = 0. 077,95% CI 0. 043- 0. 141) were protecting factors for smoking,whereas not having a permant partner( OR = 1. 610,95%CI 1. 114- 2. 328),staying in Shanghai≤ 1 year( OR = 1. 537,95% CI 1. 109- 2. 132)and low income group( OR = 1. 956,95% CI 1. 445- 2. 650) were risk factors for smoking. Conclusion The rate of smoking is significantly higher in FSW,when compared with GMW. The effective preventive strategies which concentrate on the influence factors should be taken to reduce smoking in the target population.更多还原