低档暗娼对女用安全套和暴露前预防用药的虚拟接受意愿调查  

The hypothetical willingness to use female condom and pre-exposure prophylaxis among low-fee female sex workers

作　　者：董薇[1] 周楚[1] 王玉[1,2] 贾曼红[3] 李佑芳[3] 周月姣[4] 刘伟[4] 陈曦[5] 郑军[5] 吴尊友[1] 柔克明[1] 

机构地区：[1]中国疾病预防控制中心性病艾滋病预功控制中心,北京102206 [2]安徽医科大学,合肥230032 [3]云南省疾病预防控制中心,昆明650022 [4]广西壮族自治区疾病预防控制中心,南宁530028 [5]湖南省疾病预防控制中心,长沙410005

出　　处：《中国艾滋病性病》2015年第2期138-142,共5页Chinese Journal of Aids & STD

基　　金：国家“十二五”科技重大专项“艾滋病高危人群的综合干预技术研究”(2012ZX10001-007)~~

摘　　要：目的了解低档暗娼对女用安全套(女套)和暴露前预防用药(PrEP)两种预防艾滋病病毒(HIV)感染干预措施的虚拟接受意愿及其影响因素。方法采用横断面调查。对广西、湖南、云南三省(自治区)12个市(县)的低档暗娼开展一对一问卷调查,调查员向研究对象展示女套和PrEP药物实物并解释使用方法,收集该人群的社会人口学特征、PrEP和女套的虚拟接受意愿等信息,用SPSS 18.0统计软件进行分析。结果共调查1093名暗娼,有意愿使用女套的有732人(67.0%)。1076名HIV阴性的暗娼中,愿意接受PrEP的有709人(65.9%)。多因素分析结果表明,年龄>35岁[比值比(OR)=1.377,P<0.05]、艾滋病基本知识问题得分>6分(OR=1.789,P<0.01)、最近一月坚持使用男用安全套(OR=1.406,P<0.05)的暗娼,对女套的虚拟接受意愿更高。文化程度为小学及以下(OR=0.541,P<0.01)、艾滋病基本知识问题得分>6分(OR=1.696,P<0.01)及近一年接受过同伴教育(OR=1.980,P<0.01)的暗娼,对于PrEP的虚拟接受意愿更高。结论低档暗娼人群对女套和PrEP两种预防干预措施的虚拟接受意愿较高,了解艾滋病基本知识是低档暗娼接受新干预措施的促进因素,年龄较大的暗娼更愿意接受女套,同伴教育可能是PrEP推广的有效方式。Objective To assess the hypothetical willingness and related factors for using pre-exposure prophylaxis（PrEP）and female condoms（FC）among the low-fee female sex workers（FSWs）.Methods A Cross-sectional survey was conducted among low-fee FSWs in 12cities（counties）of Hunan,Guangxi and Yunnan provinces.Investigators showed FC and PrEP drugs to the respondents and explained the usage.Socio-demographic characteristics and hypothetical willingness to use PrEP and FC were collected using a survey questionnaire by face-to-face interviews privately.Results 732women（67.0%）of a total of 1 093 FSWs were willing to use FC.709 women（65.9%）among 1 076 Human immunodeficiency virus（HIV）-negative ones were willing to use PrEP.FSWs older than 35years（OR=1.377,P〈0.05）,with score of basic questions on AIDS more than six（OR=1.789,P〈0.01）and used male condom consistently in the last month（OR=1.406,P〈0.05）were willing to use FC.FSWs whose educational level lower than primary school（OR=0.541,P〈0.01）,score of basic questions on AIDS more than 6（OR=1.696,P〈0.01）and who had ever received peer education over the past year（OR=1.980,P〈0.01）showed high willingness to use PrEP.Conclusion The hypothetical willingness to use FC and PrEP for lowfee FSWs is high.Knowing more HIV knowledge is the promotion factor to accept new intervention.Older FSWs have higher willingness to use FC.Peer education may be the effective mode to popularize PrEP.

关 键 词：低档暗娼 艾滋病病毒 女用安全套 暴露前预防用药 虚拟接受意愿 

分 类 号：R169.41[医药卫生—公共卫生与预防医学]