Objective To explore the attitude of female sex workers (FSWs) towards female condom and related factors. Methods A cross-sectional study was conducted in Deho, ng, Yunnan province, Leshan, Sichuan province and Shenyang, Liaoning province from September 2008 to January 2009. A total of 968 FSWs were sampled and face to face interviews with questionnaire were conducted among them. Main outcome variables were measured by female condom acceptability score including high-risk sexual behaviors, self-reported condom use, self-reported HIV/STI history and awareness of HIV/STI risk. Results Among the FSWs, 22 (2. 3％ ) had ever used female condom, of which 17 (77.3％)were willing to use it. Mean score of female condom acceptability in 941 FSWs who never used female condom was 2. 52 (ranged from 1 to 4). Acceptability score varied by area where FSWs lived, grade and nature of prostitution place, their income, marital status, educational level, concerns about contracting HIV/STI and history of pregnancy. Conclusion There was difference between hypothetical acceptability and the acceptability after real use,further efforts should be needed to improve the acceptability of female condom.%目的 探索女性性工作者(FSWs)对女用安全套的使用意愿及其影响因素.方法 采用横断面调查,从2008年9月至2009年1月在云南省德宏州、四川省乐山市和辽宁省沈阳市三现场抽取968名FSWs,以面对面访谈方式进行问卷调查.主要评价指标包括女用安全套可接受性得分、危险性行为、安全套使用率、性病史、艾滋病/性病感知风险等.结果 被调查的968名FSWs中22人(2.3%)自报曾使用过女用安全套,其中有17人(77.3%)表示愿意使用女用安全套.未使用过女用安全套的941名FSWs对女用安全套假想的可接受性得分平均为2.52分(满分4分).可接受性随FSWs的地区、性服务场所的档次与性质、经济收入、婚姻状况、教育水平、是否担心感染HIV/性传播疾病及妊娠史而异.结论 我国女用安全套的知晓率和使用率仍然很低,假想的可接受性与真实使用后的感受不同,需要进一步加大宣传推广力度,加强FWSs群体女用安全套的可接受性.
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