浙江省青田县暗娼人群安全套使用现状及影响因素的研究

摘要

Objectives:To explore Condom -using status and its influencing factors of female sex workers in Qingtian County.Methods:Questionnaire was used to explore the condom use situation of female sex workers in Qingtian County,and the potential relation between condom using status and age,marital status,education and AIDS related knowledge relationship was explored.Results:There were estimated 230 female sex workers in Qing-tian County,Zhejiang Province.A total of 178 workers (77.39%)were investigated in the survey.In their latest sex trade,118 women used condom (use rate of 66.29%).In the past month,only 62 women use condoms in ev-ery trade,with a condom use rate of 34.83%;87 women used condom occasionally,use rate of 48.88%;29 women never used,condom use rate of 16.29%.Female sex workers younger than 30 years old,unmarried,whose education level was above junior high school education and had AIDS -related knowledge had a higher rate of con-dom use,with statistically significant difference (P <0.05).Conclusion:The condom use rate of female sex work-ers in Qingtian County is low,and is related to the education level,marital status,AIDS -related knowledge and many other factors.In order to control the spread of AIDS,guidance and intervention of female sex workers should be strengthened,to enhance their awareness of condom use.%目的：探究浙江省青田县暗娼人群安全套使用现状并分析其影响因素。方法：于青田县内可能存在暗娼的场所进行调查访问，以问卷调查的形式探究近1个月暗娼人群安全套使用状况，对比分析暗娼人群的年龄、婚姻状况、文化程度、艾滋病相关知识掌握情况与其安全套使用率之间的关系。结果：估计青田县内可能存在暗娼人数为230人，本次接受调查者共178例，受调查率为77.39％。暗娼最近一次与客人发生性行为时使用安全套者共118例，安全套使用率为66.29％。在近一个月内暗娼人员进行性交易时，每次都使用安全套者共62例，安全套使用率为34.83％；偶尔使用者87例，安全套使用率为48.88％；从未使用者29例，安全套使用率为16.29％。年龄小于30岁、未婚、初中以上学历、了解艾滋病相关知识的暗娼女性有较高的安全套使用率，差异有统计学意义（P ＜0.05）。结论：青田县暗娼人群安全套使用率较低，安全套使用与暗娼人员的年龄、文化程度、婚姻状况、艾滋病相关知识掌握情况等诸多因素有关，并且仍存在较多的不确定因素。为了控制艾滋病的传播和蔓延，应对暗娼人员加强引导和干预，提升其安全套使用意识。