边远民族地区流动人口安全套使用及相关因素  

Condom use and related factors among floating populations in remote minority areas

作　　者：胡健[1] 雷世光[2] 

机构地区：[1]贵州财经大学公共管理学院公共管理系,贵州贵阳550025 [2]贵州省疾病预防控制中心,贵州贵阳550025

出　　处：《现代预防医学》2014年第20期3708-3711,共4页Modern Preventive Medicine

基　　金：教育部人文社科规划项目(11YJAZH034)

摘　　要：目的了解边远民族地区流动人口商业性行为和临时性伴性行为中安全套使用情况,并分析相关因素。方法 2012年7-10月,按分阶段抽样方法,在贵州省兴义市、七星关区、威宁县流动人口就业集中的工厂、建筑工地、服务场所随机抽取流动人口进行安全套使用情况一对一面访匿名问卷调查。结果 144名发生商业性行为的流动人口中,近1年经常使用安全套占28.5%,近3次经常使用安全套占25.0%,近1次使用安全套占51.4%;151名发生临时性伴性行为的流动人口中,近1年经常使用安全套占11.9%,近3次经常使用安全套占21.2%,近1次使用安全套占48.3%。商业性行为近1年经常使用安全套与艾滋病血液传播知识、共用注射器传播知识、打算使用安全套、相信能使用安全套、购买安全套等因素相关(P<0.05)。临时性伴性行为近1年经常使用安全套与艾滋病血液传播知识、共用注射器传播知识、艾滋病母婴传播知识、安全套减少传播知识、1个性伴减少传播知识、安全套使用知识、打算使用安全套、相信能使用安全套、购买安全套等因素相关(P<0.05)。结论边远民族地区流动人口商业性行为和临时性伴性行为安全套使用率较低,与艾滋病传播知识知晓率、安全套认知率及可及性等因素有关。Objective The study was conducted to assess the prevalence of condom use during commercial sex and sex with temporary sex partner among floating populations in remote minority areas, and to analyze the related factors. Methods Between July and October of 2012, floating workers at employment-intensitve factories, construction sites, and service establishments in Xingyi City, Qixingguan District, and Weining County of Guizhou Province were randomly selected by multi-stage sampling. The workers were one-on-one anonymously survey on their use of condoms. Results Among 144 floating workers having commercial sex history, 28.5% had frequently used condoms in the past year, 25.0% had used condoms in the last three sexual transactions, and 51.4% had used condom last time. Among 151 floating workers having temporary sex partners, 11.9% had frequently used condoms in the past year, 21.2% had used condoms in the last three times, and 48.3% had used condoms last time. Having frequently used condoms in the past year during commercial sex was correlated with knowledge of HIV transmission by blood and by sharing needles, intention to use condoms, and confidence in knowing how to use and purchase condoms （P〈0.05）. Having frequently used condoms in the past year during sex with temporary sex partners was associated with knowledge of HIV transmission by blood and by sharing needles, knowledge of mother-to-child transmission of HIV, knowledge of avoiding transmission by using condoms and by having just one sexual partner, knowledge of condom use, intention to use condoms, and confidence in knowing how to use and purchase condoms （P〈0.05）. Conclusion The prevalence of condom use during commercial sex and sex with temporary sex partner is low among floating populations in remote minority areas, and is correlated with the awareness rate of knowledge of HIV transmission, recognition rate of condoms, and accessibility of condoms.

关 键 词：边远民族地区 流动人口 安全套使用 

分 类 号：R181.13[医药卫生—流行病学]