本文選題：女用安全套　切入點(diǎn)：女性性工作者　出處：《中國(guó)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(wù)婦女(FSW)常規(guī)預(yù)防服務(wù)中,加入為期1年的女用安全套(簡(jiǎn)稱女套)干預(yù)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(shí)、使用技能教育,免費(fèi)發(fā)放麗薇女套(PX市同時(shí)發(fā)放少量鳳康女套),并在基線、干預(yù)后6個(gè)月和12個(gè)月開展橫斷面調(diào)查,比較兩階段干預(yù)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(guān)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(duì)象,干預(yù)前各現(xiàn)場(chǎng)分別有46.1%、53.9%、48.4%的FSW自報(bào)在近30天堅(jiān)持使用安全套,干預(yù)12個(gè)月后該比例為64.7%、57.7%、79.7%�；�時(shí)13.8%的FSW自報(bào)使用過女套,干預(yù)后6個(gè)月及12個(gè)月后的調(diào)查中該比例分別提高至58.1%和55.3%;在聽說(shuō)過女套的FSW中,兩階段干預(yù)后分別有45.9%和50.2%曾使用過一次以上女套。無(wú)序多分類Logistic回歸分析顯示,控制研究現(xiàn)場(chǎng)的影響,與從未使用過女套的FSW相比,在自主經(jīng)營(yíng)類場(chǎng)所(出租屋)工作[比值比(OR)=5.27]、參加女套相關(guān)活動(dòng)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(yù)和在自主經(jīng)營(yíng)類場(chǎng)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(guó)醫(yī)學(xué)科學(xué)院基礎(chǔ)醫(yī)學(xué)研究所北京協(xié)和醫(yī)學(xué)院基礎(chǔ)學(xué)院流行病學(xué)教研室;上海市浦東新區(qū)疾病預(yù)防控制中心;廣西壯族自治區(qū)疾病預(yù)防控制中心;廣西憑祥市疾病預(yù)防控制中心;廣西南寧市賓陽(yáng)縣疾病預(yù)防控制中心;廣西南寧市賓陽(yáng)縣黎塘衛(wèi)生院;
【基金】：科技部十二五傳染病重大專項(xiàng)(2012ZX10001001-014) 中國(guó)全球基金(CSO-2012-研40)~~
【分類號(hào)】：R181.3;R512.91
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本文編號(hào)：1593836