355名饭店女性流动人群性行为状况及其影响因素研究  

Study on sex behaviors and their influential factors among 355 floating females working in restaurants

作　　者：张正红[1] 张洪波[1] 王君[1] 李军 宋文安[3] 陈琳[4] 魏锁[1] 宇方[1] 段毓雯[1] 

机构地区：[1]安徽医科大学公共卫生学院,安徽合肥230032 [2]合肥市包河区妇幼保健所,安徽合肥230001 [3]蚌埠市疾病预防控制中心性艾科,安徽蚌埠233010 [4]浙江省疾病预防控制中心性艾科,浙江杭州310051

出　　处：《中华疾病控制杂志》2010年第9期840-844,共5页Chinese Journal of Disease Control & Prevention

基　　金：第三轮中国全球基金艾滋病项目(CHN-304-G03-H)

摘　　要：目的了解饭店未婚女性流动人群性行为和高危性行为状况及其影响因素。方法选取合肥市12家饭店和蚌埠市14家饭店,以在饭店打工、农村户口、未婚女性为研究对象。采用自编问卷评估艾滋病相关知识、安全性行为自我效能、社会资本和社会网络。结果调查对象年龄为16～31岁,平均(21.53±3.93)岁。调查对象性行为和高危性行为报告率分别为40.8%和29.9%。多元Logistic回归分析显示,年龄为21～岁和26～岁者发生性行为的危险性分别是年龄为16～岁者的3.370倍和7.591倍,发生高危性行为的危险性分别是其2.263倍和4.212倍;自我效能均分和环境排外性均分的增加,均可降低性行为和高危性行为发生的危险性(OR=0.942、0.938;0.799、0.903)。研究对象社会网络数量为8～15发生性行为的危险性是社会网络数量为3及以下者的0.465倍;来自蚌埠市的调查对象发生高危性行为的危险性是来自合肥市者的2.112倍。结论降低环境排外性、提高艾滋病相关知识和安全性行为自我效能,尤其是推迟或避免低年龄者性行为、提高高年龄者安全套正确使用率,有利于促进该人群的生殖健康和预防控制艾滋病性病的传播。Objective To determine the prevalence of sex and unsafe sex and their influential factors among rural females working in restaurants.Methods A cross-sectional study was conducted among 355 unmarried females who aged from 16 to 31 years old.They worked in restaurants in Hefei and Bengbu.Self-administered questionnaire was used to assess AIDS-related knowledge,self-efficacy of safe sex,social capital,social networks,etc.Results The prevalence of sex and unsafe sex were 40.8% and 29.9%,respectively.Logistic regression analysis showed that participants＇ age was risk factor of sex and unsafe sex and self-efficacy of safe sex and exclusion were protective factors of them（OR=0.942,0.938;0.799,0.903）.Size of social network was risk factor of sex.Participants who worked in Bengbu had greater risk sex behaviors than that in Hefei.Conclusions Reducing exclusion,enhancing AIDS-related knowledge and self-efficacy of safe sex,especially delaying or avoiding sex for the younger and increasing rates of correctly condom use for the elder would be benefical to protect unmarried floating females＇ health.

关 键 词：危险性行为 横断面研究 女性 

分 类 号：R167[医药卫生—公共卫生与预防医学]