暗娼人群接受艾滋病自愿咨询检测的内在影响因素探讨  

Study on internal factors influencing the acceptance of HIV voluntary counseling & testing(VCT)among female sex workers(FSWs)

作　　者：李雷[1] 雷纪丽 汪涛[1] 来学惠[1] 夏生林[1] 周海[1] 梁建平[1] 李桂娇[1] 

机构地区：[1]中山市疾病预防控制中心,广东中山528403 [2]中山市火炬开发区医院,广东中山528400

出　　处：《中国艾滋病性病》2007年第6期544-546,共3页Chinese Journal of Aids & STD

摘　　要：目的为探索暗娼人群接受自愿咨询检测（VCT）的内在影响因素，提高高危人群主动接受艾滋病病毒（HIV）检测的比例。方法对暗娼人群采取非条件Logistic回归分析的方法，比较其接受VCT的内在促进因素。结果通过对服务场所、所在镇区、年龄、民族、婚姻状况、文化程度、艾滋病相关防治知识、使用安全套情况和对VCT的了解情况进行分析比较，有统计学意义的有：年龄因素（OR=1．2499，95％CI为1．0656～1．4660）；婚姻状况中已婚暗娼相对于未婚者有统计学意义（OR=5．6250，95％CI为1．4667～21．5728）；在艾滋病相关知识的掌握中，预防知识的全面掌握有利于其接受VCT；出现下身不适也有助于其接受检测（OR=7．1558，95％CI为2．3577～21．7187）；知道VCT免费（OR=15．7500，95％CI为4．4960～55．1739）和知晓检测匿名（OR=14．4000，95％CI为3．9225～52．8644）都有统计学意义；其他因素如服务场所、服务地区、民族、学历及是否使用安全套都不存在统计学意义。多因素分析仅出现下身不适（OR=15．5013，95％CI为1．5048～159．6884）和知晓检测匿名（OR=13．9291，95％CI为1．1400～170．1892）有统计学意义。结论影响暗娼人群接受VCT的内在因素应该是多方面、相互影响的，今后应深化艾滋病及VCT的宣传，强化性病门诊的监测，以利于提高VCT的接受利用程度。Objective To investigate the internal factor influencing the acceptance of HIV VCT so as to promote VCT among female sex workers. Methods Case - control study was conducted among 509 FSMs from 24 townships in Zhongshan city. The logistic regression was used to compare the factors influencing the acceptance of VCT. Results The analysis of demographic features of FSWs including locations and venues of their service, age, ethnic, marital status, education, HIV/AIDS related knowledge, condom use and attitude to VCT showed that the age and marital status of the FSMs had statistic difference （OR = 1.2499,95 % CI = 1.0656 - 1.4660） .The FSMs who were married were easier to accept VCT than the single ones（ OR = 5. 6250,95 % CI = 1. 4667 - 21. 5728） .The odds ratio of FSMs who had uro - genital discomfort was 7.1558（95% CI = 2.357 - 21.7187） .Those who knew that the VCT was free（ OR = 15.7500,95% CI = 4. 4960 - 55. 1739） and anonymous（ OR = 14. 4000,95 % CI = 3. 9225 - 52. 8644） were easier to accept VCT than those in the control groups. But the multiform logistic regression showed that only the odds ratios of FSMs who had urogenital discomforts（OR = 15.5013,95%CI = 1.5048 - 159.6884）and knowledge of anonymous VCT（OR = 13. 9291,95 % CI = 1. 1400 - 170. 1892） had statistic significances. Conclusion There are many factors influencing the acceptance of VCT among the FSMs. These factors are interactive. Serious attention should be paid to publicity of VCT and,surveillance of STDs clinics so as to improve the acceptance and utilization of VCT services.

关 键 词：暗娼 自愿咨询检测 影响因素 

分 类 号：R512.91[医药卫生—内科学]