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目的了解和分析广西低档暗娼安全套使用现状及其影响因素。方法按照《广西低档暗娼人群专项调查工作方案》要求进行问卷、采血、检测。所有资料经Epidata3.1进行双录入,用SPSS 19.0进行统计分析。结果调查的7 936名研究对象中,最近一个月与客人发生性关系时,每次都能坚持使用安全套的占47.20%。经多因素Logistic回归分析结果显示,有固定场所(OR=1.735,95%CI:1.501~2.006)、无吸毒行为(OR=2.303,95%CI:1.107~4.789)、接受同伴教育(OR=1.482,95%CI:1.333~1.647)、最近1年做过HIV检测(OR=1.339,95%CI:1.211~1.481)是安全套使用的促进因素;而文化程度低(OR=0.826,95%CI:0.748~0.913)、知晓艾滋病知识低(OR=0.476,95%CI:0.422~0.538)、风险意识低(OR=0.886,95%CI:0.792~0.990)、每次商业性行为收费低于50元(OR=0.605,95%CI:0.541~0.677)是安全套使用的阻碍因素。结论广西低档暗娼坚持使用安全套率低、影响因素多且复杂,需对这类人群加强分类指导与针对性干预,促进安全套使用,减少经低档暗娼人群造成的艾滋病传播与蔓延。
Objective To understand and analyze the status quo and influential factors of condom use among low-grade female sex workers in Guangxi. Methods According to “Guangxi low-grade female sex workers special investigation work program” requirements for questionnaires, blood collection, testing. All data were double entered by Epidata3.1, and analyzed by SPSS 19.0. Results Among the 7 936 subjects surveyed, 47.20% of them consistently condoms each time they had sex with their guests in the recent month. The multivariate Logistic regression analysis showed that there was a fixed place (OR = 1.735,95% CI: 1.501-2.006), no drug addiction (OR = 2.303,95% CI: 1.107-4789) , 95% CI: 1.333-1.657). HIV testing (OR = 1.339, 95% CI: 1.211-1.481) in the past year was a contributing factor to the use of condoms. However, the education level was lower (OR = 0.826, 95% CI: 0.748-0.913), low awareness of AIDS (OR = 0.476, 95% CI: 0.422-0.538), low risk awareness (OR = 0.886,95% CI: 0.792-0.990), less than 50 yuan per commercial activity (OR = 0.605, 95% CI: 0.541-0.677) was a deterrent to condom use. Conclusion Low sex FSWs in Guangxi persist in using low rates of condom with many and complicated influencing factors. They are required to strengthen the guidance and targeted interventions for such groups, promote the use of condoms, and reduce the spread and spread of AIDS caused by low-end FSWs.