我国西部四省区女性性工作者HIV检测现况及其影响因素研究  

HIV testing situation and its influencing factors among female sex workers in western China

作　　者：黄璜[1] 田考聪[1] 钟晓妮[1] 张燕[1] 彭斌[1] 梁浩[2] 邹云峰[3] 罗锦昆 彭鸿斌 黄爱龙[5] 

机构地区：[1]重庆医科大学公共卫生与管理学院卫生统计学教研室,重庆400016 [2]广西医科大学公共卫生学院流行病与卫生统计学教研室,南宁530021 [3]广西医科大学公共卫生学院毒理学教研室,南宁530021 [4]南充市顺庆区疾病预防控制中心,四川南充637000 [5]重庆医科大学公共卫生与管理学院感染性疾病分子生物学教育部重点实验室,重庆400016

出　　处：《第三军医大学学报》2014年第2期159-163,共5页Journal of Third Military Medical University

基　　金：国家科技重大专项(2008ZX10001-016)~~

摘　　要：目的了解我国西部地区女性性工作者(female sex workers,FSWs)HIV检测现况及其影响因素。方法对四川、重庆、广西、新疆4地区的女性性工作者进行问卷调查,调查完成问卷1 463份,有效问卷1 437份(98.22%)。问卷内容包括人口学特征、行为学特征、HIV检测情况等。结果我国西部FSWs HIV检测率为62.63%,其中主动进行HIV检测的人数仅为HIV检测总人数的26.67%。Logistic回归分析显示:HIV检测的影响因素主要有婚姻状况(OR=2.51,P<0.000 1)、户口所在地(OR=1.50,P=0.003 5)、对自我健康关心程度(OR=1.96,P=0.002 7)、认为获得性免疫缺陷综合征(acquired immune deficiency syndrome,AIDS)感染者数量与以前相比是否增加(OR=1.29,P=0.035 5)、是否接受过安全套发放(OR=1.70,P=0.001 8)、近1年是否接受过AIDS免费咨询(OR=11.61,P<0.000 1)、半年内与客户发生性行为安全套使用情况(OR=1.76,P=0.012 4)、半年内与固定性伴发生性行为频次(OR=1.33,P=0.035 8)。结论我国西部地区FSWs的自我危险意识较低,进行HIV检测的比例不高,特别是主动进行HIV检测的比例较低,仍需加强HIV检测的宣传与干预,吸引该人群主动进行HIV检测,提高该人群HIV检测率。Objective To investigate the HIV testing situation of female sex workers （FSMs） in west- ern China and explore its influencing factors. Methods FSWs selected from Sichuan, Chongqing, Xinjiang and Guangxi, China were surveyed with questionnaires. A total of I 463 questionnaires were completed, among which 1 437 （98.22%） were valid. The survey mainly included demographics, behavior characteristics and HIV testing situation. Results The rate of HIV testing of FSMs in western China was 62.63%, and the rate of initiative HIV testing was 26.67%. Logistic regression analysis revealed that marital status （ OR = 2.51, P 〈 0. 000 1 ）, domicile place （ OR = 1.50, P = O. 003 5 ）, degree of self-health care （ OR = 1.96, P = 0. 002 7 ）, attitude to the patient number change of AIDS compared with previous time （ OR = 1.29, P = 0. 035 5 ）, received condom distribution or not （ OR = 1.70, P = 0. 001 8 ）, received free AIDS counseling over the past year or not （OR = 11.61, P 〈0. 000 1 ）, condom use when had sex with clients in half a year （OR = 1.76, P =0. 012 g）, and sexual frequency with regular partner in half a year （ OR = 1.33, P =0. 035 8） were influ- encing factors of HIV testing. Conclusion The self-risk awareness of HIV among FSMs in western China is low, and the proportion of HIV testing is not high, especially the proportion of initiative HIV testing is low. The HIV testing-related advocacy and intervention should be strengthened to attract FSMs to conduct HIV testing ini- tiatively and to improve the rate of HIV testing in this population.

关 键 词：女性性工作者 HIV检测 影响因素 

分 类 号：R173[医药卫生—妇幼卫生保健] R195.4[医药卫生—公共卫生与预防医学]