海南省乡镇女性性工作者男用和女用安全套使用现况调查  

Survey of status of male condom use in sexual behaviors and acceptability of female condom among female sex workers(FSW)in enertainment places in Hainan

作　　者：曾小妹[1] 何滨[1] 何启亚[1] 廖苏苏[2] Margaret Weeks 王广荣[4] 蔡小丹[4] 冯维平[4] 

机构地区：[1]海南省疾病预防控制中心 [2]北京协和医学院 [3]The Institute for Community Research,Hartford,CT06106-5128,USA [4]澄迈县疾病预防控制中心

出　　处：《中国热带医学》2010年第6期667-669,共3页China Tropical Medicine

基　　金：美国国立精神卫生研究院(项目号:R01MH077541;PI:Margaret R.Weeks;Ph.D);海南省自然科学基金(项目号:30729)

摘　　要：目的了解性服务场所妇女在性行为中男用安全套的使用情况及其对女用安全套的接受程度,为制定以性服务场所为基础的性病、艾滋病防控措施提供依据。方法采用横断面调查的方法,抽取海南两个乡镇在性服务场所中工作、有性行为的妇女进行面对面的问卷调查。结果共有178名对象参加了调查,回收有效问卷158份,对艾滋病三种传播途径即经血液、性及母婴传播回答正确率分别为91.72%,86.21%,84.83%,在过去一个月的性行为中,每次都使用男用安全套的比例为42.41%,每次都不用的比例为22.15%。在听说过女用安全套的29人当中,有75.86%认为女用安全套能预防性病,72.41%认为能预防艾滋病;回答曾用过女用安全套的占6.90%(2/29)。158人中,有80.4%认为女用安全套比男用安全套更好;93.0%表示自己喜欢女用安全套,因为它能够预防性病;90.0%表示自己喜欢女用安全套,因为它能够避孕。结论相当部分海南省乡镇性服务场所妇女在性行为中男用安全套使用率仍旧较低,提示可以在该人群中尝试推广女用安全套。Aim To survey the status of male condom use in sexual behaviors and acceptability of female condom among female sex workers（FSW） in enertainment places in Hainan. Methods Cross-sectlonal survey was used to collect the information from female service sex workers in entertainment places icluding face-to-face interviewing. Result A total of 178 subjects were interviewed ,and 158 were valid questionnaires ,the rate of correct answers to the questions whether HIV can be transmitted through blood,or sexual contacts,or mother-to-child were 91.72%,86.21% and 84.83%, respectively. In the past month, there 42.41% FSWs used condom every time,,and 22.15% never use condom at all. The rates of thinking female condom can prevent STDS and AIDS among the 29 people who have heard female condom were 75.86% and 72.41% . And 6.90%（2/29） of them once used female condoms. 80.4% of 158 FSWs considered female condom better than male condom,93.0% and 90.0% of them were fond of female condom because it can prevent STDS and pregnancy. Conclusion The rate of male condom using is still low in sexual behaviors among the FSWs of the town in Hainan suggesting the use of female condom be promoted among this group in the future.

关 键 词：男用安全套 女用安全套 性行为 调查 

分 类 号：R167[医药卫生—公共卫生与预防医学]