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  本文關(guān)鍵詞：新疆女性性工作者艾滋病暴露前預(yù)防用藥使用意愿調(diào)查　出處：《新疆醫(yī)科大學(xué)》2011年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 獲得性免疫缺陷綜合癥 女性性工作者 暴露前預(yù)防用藥 定性調(diào)查 可接受性

【摘要】：目的：了解新疆女性性工作者(FSWs)對艾滋病的認(rèn)知、態(tài)度及安全套使用的基本情況；了解新疆FSWs艾滋病預(yù)防措施的認(rèn)知、參與艾滋病干預(yù)活動(dòng)及艾滋病咨詢檢測等的基本情況；了解并分析新疆FSWs對暴露前預(yù)防用藥(PrEP)預(yù)防艾滋病的接受程度及其影響因素。方法：采用定量研究與定性研究的方法分別對新疆烏魯木齊市和克拉瑪依市娛樂場所自愿參加調(diào)查的FSWs進(jìn)行一對一的匿名問卷調(diào)查及個(gè)人深入訪談。結(jié)果：(1)定性訪談共50人,訪談顯示FSWs對艾滋病基本知識掌握較好、對艾滋病病人/感染者歧視現(xiàn)象仍然存在、發(fā)生商業(yè)性行為(陰道交)時(shí)安全套的使用情況(47/50)較好,但口交安全套的使用(7/10,)較低；與非商業(yè)性性伴之間發(fā)生無安全套性行為的現(xiàn)象仍較嚴(yán)重,且有可能成為感染艾滋病風(fēng)險(xiǎn)的另一主要原因；(2)FSWs對艾滋病預(yù)防措施認(rèn)知比較薄弱,參與艾滋病干預(yù)活動(dòng)不積極。50人以前從未聽說過PrEP,32人(50人)表示愿意使用PrEP;(3)問卷調(diào)查共762人,673人(88.32%)以前從未聽說過PrEP,528人(69.29%)表示愿意使用PrEP,145人(19.03%)不愿意服用藥物,89人(11.68%)表示很有可能會使用。高、中、低檔場所工作的FSWs對PrEP使用意愿未見明顯不同(P=0.285)。愿意使用PrEP的FSWs主要關(guān)注藥物的安全性、效果和費(fèi)用等方面；不愿意使用PrEP的原因主要是認(rèn)為自己沒有感染艾滋病的風(fēng)險(xiǎn)、懷疑藥物的效果、擔(dān)心藥物的副反應(yīng)。非條件Logistic回歸分析結(jié)果顯示,艾滋病基本知識量化總分越高FSWs越愿意使用PrEP (OR=1.102, P=0.009)、高中及以上文化程度者PrEP使用意愿是小學(xué)文化程度的0.558倍(OR=0.558,P=0.042)、不歧視艾滋病病人/感染者PrEP使用意愿是歧視艾滋病病人/感染者的1.568倍(OR=1.568,P=0.030)。結(jié)論：新疆FSWs艾滋病基本知識掌握較好,對PrEP的接受意愿較好,文化程度、艾滋病基本知識的掌握程度及對艾滋病病人/感染者態(tài)度是影響FSWs使用PrEP的主要因素,PrEP在今后推廣應(yīng)用中應(yīng)主要關(guān)注安全性、效果和費(fèi)用等方面。
[Abstract]:Objective: to understand the Xinjiang female sex workers (FSWs) on the basic situation of AIDS awareness, attitude and condom use; understand Xinjiang FSWs awareness of preventive measures, the basic situation of participation in AIDS intervention and AIDS counseling and testing; understanding and analysis of Xinjiang FSWs on pre exposure prophylaxis (PrEP) AIDS prevention acceptance factors and influence. Methods: using quantitative and qualitative research methods respectively in Xinjiang Urumqi city and Karamay City Entertainment voluntarily participated in the study FSWs asked one anonymous questionnaire survey and in-depth interviews. Results: (1) a total of 50 qualitative interviews, interviews show that FSWs is better for the AIDS basic knowledge of. AIDS / HIV discrimination still exists, commercial sexual behaviors (vaginal) use condom (47/50) better, but oral sex The use of condoms (7/10) is relatively low; and between the non commercial sex without condom sex phenomenon is still serious, and there may be another main reason for the risk of HIV infection; (2) FSWs awareness of AIDS prevention measures is relatively weak, do not actively participate in AIDS intervention activities before.50 heard of PrEP, 32 people (50) said they are willing to use PrEP; (3) survey a total of 762 people, 673 people (88.32%) had never heard of PrEP, 528 people (69.29%) said they are willing to use PrEP, 145 people (19.03%) do not like taking medicine, 89 people (11.68%) said that most likely use. High, low-grade places of work of the FSWs on the intention to use PrEP was significantly different (P=0.285). FSWs mainly focus on drug safety is willing to use PrEP, effect and cost etc; why not want to use the PrEP is that they do not risk of HIV infection, pregnant Suspected drug effects, fear of adverse drug reaction. Non conditional Logistic regression analysis showed that the basic knowledge of AIDS to quantify the higher scores of FSWs more likely to use PrEP (OR=1.102, P=0.009), the high school education level and above PrEP usage intention is 0.558 times of the primary school education (OR=0.558, P=0.042), not to discriminate against AIDS patients / willingness to use PrEP infection is 1.568 times of discrimination against HIV / AIDS (OR=1.568, P=0.030). Conclusion: Xinjiang FSWs AIDS basic knowledge of PrEP is better, the willingness to accept good education, grasp the main factors and the degree of AIDS basic knowledge on HIV / AIDS attitude is the effect of FSWs using PrEP. PrEP should pay attention to safety in the future application, effects and costs.

【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2011
【分類號】：R183.9

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