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吸毒严重地区暗娼非保护性性行为及其影响因素研究

Factors associated with unprotected sex behavior among female sex workers in drug heavy using area

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【作者】 姜正清曹晓蕴阮玉华郝沁宁宋本莉胡薇陈康林梁姝秦光明刘清芳杨烨李新旭汪宁邵一鸣

【Author】 JIANG Zheng-qing~1,CAO Xiao-yun~(2,3),RUAN Yu-hua~(2),HAO Qin-ning~(1),SONG Ben-li~(1),HU Wei~(1), CHEN Kang-lin~(1),LIANG Shu~(4),QIN Guang-ming~(4),LIU Qing-fang~(3),YANG Ye~(2),LI Xin-xu~(2),WANG Ning~(2),SHAO Yi-ming~(2).1.Division of AIDS /STD Prevention,Xichang Center for STD and Leprosy Control,Xichang 615000,China;2.Division of Research on Virology and Immunology,National Center for AIDS/STD Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 100050,China;3.Department of Epidemiology,Radiation Medicine and Public Health School of Suzhou University,Suzhou 215006,China;4.Division of AIDS /STD Prevention,Sichuan Center for Disease Control and Prevention,Chengdu 610031,China

【机构】 西昌市皮肤病性病防治站艾滋病性病防治科中国疾病预防控制中心性病艾滋病预防控制中心病毒及免疫学研究室四川省疾病预防控制中心艾滋病性病防治科苏州大学放射医学与公共卫生学院流行病研究室中国疾病预防控制中心性病艾滋病预防控制中心病毒及免疫学研究室 四川西昌615000北京100050苏州大学放射医学与公共卫生学院流行病研究室江苏苏州215006北京100050四川西昌615000四川成都610031

【摘要】 目的了解某吸毒严重地区暗娼非保护性性行为情况。方法从社区中招募暗娼,调查其社会人口学、吸毒、性行为方式和安全套使用情况。结果在调查的343名暗娼中,近1个月与客人和固定性伴发生非保护性性行为的分别为44.3%和30.0%。多因素logistic回归模型分析显示,平均每次性服务收费低(OR=3.23,95%CI为1.97~5.28)、开始从事性服务的年龄小(OR=2.46,95%CI为1.54~3.91)和近1个月与客人性交次数多(OR=2.45,95%CI为1.45~4.14)是暗娼与客人发生非保护性性行为的影响因素;首次性行为的年龄大(OR=3.02,95%CI为1.28~7.10)和近1个月与固定性伴性交次数多(OR=13.96,95%CI为6.26~31.12)是暗娼与固定性伴发生非保护性性行为的影响因素。结论本研究结果显示该地区暗娼非保护性性行为比例高,需对该地区暗娼推广使用安全套来控制艾滋病病毒的传播流行。

【Abstract】 Objective To investigate the factors associated with unprotected sex behavior among female sex workers(FSWs).Methods A community-based survey was conducted to investigate demographic characteristics,drug uses and sexual behaviors in FSWs.Results Among 343 FSWs,44.3% and 30.0% had unprotected sex behavior with clients and steady sex partners in the last month,respectively.Multivariate logistic regression analysis showed lower average charge per sex service(OR=3.23;95% CI was 1.97~5.28),younger age of initiating sex work(y)(OR=2.46;95% CI was 1.54~3.91) and the total times of sex trade with clients in the last month(OR=2.45;95% CI was(1.45~)(4.14)) were independently associated with unprotected sex behavior among FSWs,respectively;eld age at first intercourse(y) (OR=3.02;95% CI was 1.28~7.10) and the total times of sex with steady sex partners in the last month(OR=(13.96);95% CI was(6.26~)(31.12)) were independently associated with unprotected sex behavior with steady sex partners among FSWs,respectively.Conclusions The results showed the unprotected sexual behaviors were popular in this area.The promotion of condom use among FSWs was urgently needed to control HIV transmission.

【关键词】 性行为危险因素
【Key words】 Sex behaviorRisk factors
【基金】 国家十五科技攻关项目(2004BA719A02);国家自然科学基金项目(30571612、10501052)
  • 【文献出处】 疾病控制杂志 ,Chinese Journal of Disease Control & Prevention , 编辑部邮箱 ,2006年05期
  • 【分类号】R183
  • 【被引频次】5
  • 【下载频次】102
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