河池市2011—2015年女性性工作者安全套使用的影响因素
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摘要
目的了解河池市女性性工作者安全套使用情况及其影响因素,为制定艾滋病防控策略和措施提供依据。方法对河池市辖区内不同场所档次女性性工作者进行匿名问卷调查,采用卡方检验和Kruskal-Wallis H检验推断安全套使用情况,用logisitic回归分析对安全套使用状况的影响因素进行分析。结果共调查2011—2015年河池市女性性工作者10 867人,艾滋病相关知识总知晓率95.69%,2011—2015年艾滋病知识知晓率随场所档次提高而增大(趋势χ~2=53.72,P<0.01)。安全套使用频率影响因素分析显示,来自高档场所(OR=3.034,95.0%CI=2.410~3.818)和中档场所(OR=1.807,95.0%CI=1.639~1.992)者较低档场所者坚持使用安全套的可能性较大,文化程度为高中及以上者(OR=1.403,95.0%CI=1.183~1.665)较初中及以下者坚持使用安全套的可能性较大。另外,艾滋病知识作答全对(OR=2.521,95.0%CI=2.291~2.773)、接受过安全套宣传和发放/艾滋病咨询与检测服务(OR=2.019,95.0%CI=1.568~2.599)、接受过同伴教育(OR=1.538,95.0%CI=1.365~1.733)均为安全套使用的促进因素。而年龄在40岁以上(OR=0.835,95.0%CI=0.737~0.945)则为影响安全套使用的危险因素。结论安全套的使用主要受调查对象自身文化程度及其对艾滋病相关知识知晓程度等因素的影响,加强针对低档场所以及中年女性性工作者艾滋病知识宣传教育和行为干预,有利于提高安全套的使用率。
Objective To understand the condom use and its influencing factors among female sex workers( FSWs) in Hechi City,provide evidence for formulating prevention and control measures on acquired immunodeficiency syndrome( AIDS). Methods Anonymous questionnaire survey was conducted among FSWs in different grades of locations in Hechi City. Chi-square test and Kruskal-Wallis H test were used to analyze status of condom use,influencing factors for condom use were analyzed by logisitic regression analysis. Results From 2011 to 2015,a total of 10 867 FSWs in Hechi City were surveyed,the total awareness rate of AIDS-related knowledge was 95. 69%,awareness rate of AIDS knowledge enhanced with the increase of location grades( trend χ~2= 53.72,P<0.01). Analysis on influencing factors for condom use frequency showed that the possibility of condom use in higher grade locations( OR = 3. 034,95. 0% CI = 2. 410-3. 818) and middle grade locations( OR = 1.807,95.0%CI = 1.639-1.992) were higher than that in low grade locations. FSWs with high school and higher education( OR = 1.403,95.0%CI = 1.183-1.665) were more likely to use condom than those with junior middle school and lower education. In addition,completely correct response to AIDS knowledge items( OR = 2.521,95.0%CI = 2.291-2.773),receiving condom publicity and distribution/AIDS counselling and testing services( OR = 2. 019,95. 0% CI =1.568-2.599),and receiving peer education( OR = 1. 538,95. 0% CI = 1. 365-1. 733) were all factors for promoting condom use,while age over 40 years( OR = 0.835,95.0%CI = 0.737-0.945) was a risk factor for influencing condom use.Conclusion Condom use is mainly influenced by education degree of surveyed subjects,awareness on AIDS-related knowledge and so on,strengthening publicity and education on AIDS knowledge as well as performing behavioral intervention in low-grade locations and middle-aged FSWs are beneficial to improving condom use rate.
Objective To understand the condom use and its influencing factors among female sex workers( FSWs) in Hechi City,provide evidence for formulating prevention and control measures on acquired immunodeficiency syndrome( AIDS). Methods Anonymous questionnaire survey was conducted among FSWs in different grades of locations in Hechi City. Chi-square test and Kruskal-Wallis H test were used to analyze status of condom use,influencing factors for condom use were analyzed by logisitic regression analysis. Results From 2011 to 2015,a total of 10 867 FSWs in Hechi City were surveyed,the total awareness rate of AIDS-related knowledge was 95. 69%,awareness rate of AIDS knowledge enhanced with the increase of location grades( trend χ~2= 53.72,P<0.01). Analysis on influencing factors for condom use frequency showed that the possibility of condom use in higher grade locations( OR = 3. 034,95. 0% CI = 2. 410-3. 818) and middle grade locations( OR = 1.807,95.0%CI = 1.639-1.992) were higher than that in low grade locations. FSWs with high school and higher education( OR = 1.403,95.0%CI = 1.183-1.665) were more likely to use condom than those with junior middle school and lower education. In addition,completely correct response to AIDS knowledge items( OR = 2.521,95.0%CI = 2.291-2.773),receiving condom publicity and distribution/AIDS counselling and testing services( OR = 2. 019,95. 0% CI =1.568-2.599),and receiving peer education( OR = 1. 538,95. 0% CI = 1. 365-1. 733) were all factors for promoting condom use,while age over 40 years( OR = 0.835,95.0%CI = 0.737-0.945) was a risk factor for influencing condom use.Conclusion Condom use is mainly influenced by education degree of surveyed subjects,awareness on AIDS-related knowledge and so on,strengthening publicity and education on AIDS knowledge as well as performing behavioral intervention in low-grade locations and middle-aged FSWs are beneficial to improving condom use rate.
引文
[1]UNAIDS.Prevention gap report[EB/OL].(2016-07-11)[2017-08-01].http://www.unaids.org/en/resources/documents/2016/prevention-gap.
[2]吕繁.中国艾滋病防治策略[J].中华预防医学杂志,2016,50(10):841-845.
[3]韦兴强,梁章琴,韦克波,等.2011年河池市低档暗娼人群安全套使用情况分析[J].应用预防医学,2012,18(4):233-235.
[4]丁坚强,杨庆伟,张亚芬,等.2009年—2015年镇海区暗娼人群哨点监测结果分析[J].中国卫生检验杂志,2016,26(11):1640-1644.
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[6]丁琳,施建春,张莹,等.2010—2014年河南省某市哨点监测暗娼人群艾滋病认知及感染情况分析[J].中国健康教育,2015,31(9):867-869.
[7]窦明阳,李雪静.2013—2015年长春市暗娼人群艾滋病哨点监测结果分析[J].中国卫生工程学,2016,15(6):597-599.
[8]马玉霞,赵立华,吴莹.2012~2014年阜新市暗娼人群艾滋病相关知识、行为及感染状况调查[J].预防医学论坛,2016,22(7):523-525,528.
[9]程秀英.2013~2015年白山市暗娼哨点监测[J].预防医学论坛,2016,22(8):634-637.
[10]Wang L,Tang W,Wang L,et al.The HIV,syphilis,and HCV epidemics among female sex workers in China:results from a serial cross-sectional study between 2008 and 2012[J].Clin Infect Dis,2014,59(1):e1-9.
[11]焦洁,张建彬,马久华.2010—2013年仪征市暗娼哨点监测结果[J].江苏预防医学,2015,26(2):71-72.
[12]车惠淑,张春强,买合木提·木斯他帕,等.2011—2013年新疆巴州暗娼人群HIV哨点监测分析[J].疾病预防控制通报,2014,29(5):31-32,56.
[13]银万栋,王龙云,张蓬.张掖市暗娼人群艾滋病哨点监测分析[J].疾病预防控制通报,2016,31(4):44-45,52.
[14]林愈凤,龙冰霜.2010—2014年广西贵港市暗娼人群艾滋病哨点监测结果[J].职业与健康,2016,32(17):2398-2402.
[15]Uddin SM,Hossain MG,Islam MA,et al.High-risk behavi-or of HIV/AIDS among females sex workers in Bangladesh:survey in Rajshahi City[J].Jpn J Infect Dis,2014,67(3):191-196.
[16]王向尚,王安辉,何新生,等.甘肃省武威市2011—2013年暗娼HIV哨点监测分析[J].中华疾病控制杂志,2016,20(12):1257-1260,1269.
[17]洪清瑜,杨中荣,金玫华,等.湖州市暗娼人群艾滋病哨点监测结果[J].浙江预防医学,2016,28(6):588-590.
[18]Andrews CH,Faxelid E,Sychaerun V,et al.Determinants of consistent condom use among female sex workers in Savannakhet,Lao PDR[J].BMC Womens Health,2015,15:63.
[19]王立华,文美贞,李万兴,等.江门市低档女性性服务人群艾滋病知识知晓情况及安全套使用现状分析[J].中国艾滋病性病,2015,21(9):791-794.
[2]吕繁.中国艾滋病防治策略[J].中华预防医学杂志,2016,50(10):841-845.
[3]韦兴强,梁章琴,韦克波,等.2011年河池市低档暗娼人群安全套使用情况分析[J].应用预防医学,2012,18(4):233-235.
[4]丁坚强,杨庆伟,张亚芬,等.2009年—2015年镇海区暗娼人群哨点监测结果分析[J].中国卫生检验杂志,2016,26(11):1640-1644.
[5]梁霞,张冰.新疆伊宁市暗娼人群艾滋病哨点监测分析[J].疾病预防控制通报,2017,32(1):49-51.
[6]丁琳,施建春,张莹,等.2010—2014年河南省某市哨点监测暗娼人群艾滋病认知及感染情况分析[J].中国健康教育,2015,31(9):867-869.
[7]窦明阳,李雪静.2013—2015年长春市暗娼人群艾滋病哨点监测结果分析[J].中国卫生工程学,2016,15(6):597-599.
[8]马玉霞,赵立华,吴莹.2012~2014年阜新市暗娼人群艾滋病相关知识、行为及感染状况调查[J].预防医学论坛,2016,22(7):523-525,528.
[9]程秀英.2013~2015年白山市暗娼哨点监测[J].预防医学论坛,2016,22(8):634-637.
[10]Wang L,Tang W,Wang L,et al.The HIV,syphilis,and HCV epidemics among female sex workers in China:results from a serial cross-sectional study between 2008 and 2012[J].Clin Infect Dis,2014,59(1):e1-9.
[11]焦洁,张建彬,马久华.2010—2013年仪征市暗娼哨点监测结果[J].江苏预防医学,2015,26(2):71-72.
[12]车惠淑,张春强,买合木提·木斯他帕,等.2011—2013年新疆巴州暗娼人群HIV哨点监测分析[J].疾病预防控制通报,2014,29(5):31-32,56.
[13]银万栋,王龙云,张蓬.张掖市暗娼人群艾滋病哨点监测分析[J].疾病预防控制通报,2016,31(4):44-45,52.
[14]林愈凤,龙冰霜.2010—2014年广西贵港市暗娼人群艾滋病哨点监测结果[J].职业与健康,2016,32(17):2398-2402.
[15]Uddin SM,Hossain MG,Islam MA,et al.High-risk behavi-or of HIV/AIDS among females sex workers in Bangladesh:survey in Rajshahi City[J].Jpn J Infect Dis,2014,67(3):191-196.
[16]王向尚,王安辉,何新生,等.甘肃省武威市2011—2013年暗娼HIV哨点监测分析[J].中华疾病控制杂志,2016,20(12):1257-1260,1269.
[17]洪清瑜,杨中荣,金玫华,等.湖州市暗娼人群艾滋病哨点监测结果[J].浙江预防医学,2016,28(6):588-590.
[18]Andrews CH,Faxelid E,Sychaerun V,et al.Determinants of consistent condom use among female sex workers in Savannakhet,Lao PDR[J].BMC Womens Health,2015,15:63.
[19]王立华,文美贞,李万兴,等.江门市低档女性性服务人群艾滋病知识知晓情况及安全套使用现状分析[J].中国艾滋病性病,2015,21(9):791-794.