本文選題：女用安全套　切入點：女性性工作者　出處：《中國艾滋病性病》2017年05期 　論文類型：期刊論文

【摘要】：目的在廣西一市兩鎮(zhèn)(PX市和BZ、LT鎮(zhèn))性服務婦女(FSW)常規(guī)預防服務中,加入為期1年的女用安全套(簡稱女套)干預后,分析女套的接受性,不同水平女套使用者的特征和背景影響因素。方法于外展工作中開展女套知識、使用技能教育,免費發(fā)放麗薇女套(PX市同時發(fā)放少量鳳康女套),并在基線、干預后6個月和12個月開展橫斷面調(diào)查,比較兩階段干預后女套的使用水平(從未使用過、使用過一次、使用一次以上)以及相關因素。結(jié)果三次調(diào)查分別包括419、301、300名合格的調(diào)查對象,干預前各現(xiàn)場分別有46.1%、53.9%、48.4%的FSW自報在近30天堅持使用安全套,干預12個月后該比例為64.7%、57.7%、79.7%�；�時13.8%的FSW自報使用過女套,干預后6個月及12個月后的調(diào)查中該比例分別提高至58.1%和55.3%;在聽說過女套的FSW中,兩階段干預后分別有45.9%和50.2%曾使用過一次以上女套。無序多分類Logistic回歸分析顯示,控制研究現(xiàn)場的影響,與從未使用過女套的FSW相比,在自主經(jīng)營類場所(出租屋)工作[比值比(OR)=5.27]、參加女套相關活動5次以上(OR=3.14~5.13)的FSW,更可能多次使用女套。結(jié)論女套接受性低于男套,但在FSW中仍有一定的使用意愿。接受多次干預和在自主經(jīng)營類場所工作,是女套接受程度比較高的FSW的特征。
[Abstract]:Objective to analyze the acceptability of sex service women (FSWs) after the intervention of female condom (female condom) for one year in one city, two towns in Guangxi, PX city and BZLT town. Methods the knowledge of women sets and skills education were carried out in outreach work, and a small number of Fengkang women's sets were distributed free of charge in PX City, and at the baseline. A cross-sectional survey was conducted 6 and 12 months after intervention to compare the level of use of the two phases of intervention (never used, once, Results 419,301,300 eligible subjects were included in the three surveys. Before the intervention, 46.1% of the FSW (48.4%) reported insisting on condom use in the past 30 days. After 12 months of intervention, the proportion was 64.7% and 57.77.70.The proportion of FSW self-reported using women was 58.1% in baseline and increased to 58.1% and 55.3 in FSW after 12 months of intervention; in FSW who had heard of women, the proportion increased to 58.1% and 55.3 respectively in the survey of 6 months and 12 months after intervention. 45.9% and 50.2% women had been used more than once after the two stages of intervention. Disordered multiple classification Logistic regression analysis showed that control of the impact of the study site, compared with FSW, which had never been used, FSWs working in self-managed premises (rental houses) were more likely to use women's suits than men's ones when they participated in more than 5 times of women's suit related activities. Conclusion the acceptance rate of women's sets is lower than that of men's ones, and the FSWs are more likely to be used in self-employed premises (rental houses). However, there is still a certain willingness to use in FSW. Accepting multiple interventions and working in autonomous management sites are the characteristics of FSW, which has a higher degree of acceptance.
【作者單位】： 中國醫(yī)學科學院基礎醫(yī)學研究所北京協(xié)和醫(yī)學院基礎學院流行病學教研室;上海市浦東新區(qū)疾病預防控制中心;廣西壯族自治區(qū)疾病預防控制中心;廣西憑祥市疾病預防控制中心;廣西南寧市賓陽縣疾病預防控制中心;廣西南寧市賓陽縣黎塘衛(wèi)生院;
【基金】：科技部十二五傳染病重大專項(2012ZX10001001-014) 中國全球基金(CSO-2012-研40)~~
【分類號】：R181.3;R512.91
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本文編號：1593836