中低档女性性工作者行为特征、性传播疾病感染状况及其危险因素调查  

Research on behavior characteristics,HIV / STIs infection status and risk factors of low- end female sex workers

作　　者：赵莹猷 赵俏猷 蔡川川[3] 

机构地区：[1]台山市慢性病防治站皮肤性病科,广东江门529200 [2]电白县妇幼保健院检验科,广东茂名525400 [3]广东医学院附属第一医院皮肤科,广东湛江524001

出　　处：《中国性科学》2016年第4期103-106,共4页Chinese Journal of Human Sexuality

基　　金：广东省江门市2013年度卫生系统医学科研立项项目(13A145)

摘　　要：目的:对我市中低档女性性工作者(female sex worker,FSWs)行为特征进行探究,然后统计艾滋病病毒/性传播感染(human immunodeficiency virus/sexually transmitted infections,HIV/STIs)的感染情况并探究相关危险因素。方法:对我市中低档场所工作的FSWs发放问卷调查500份,共收回421份。其中来自中档的FSWs278例,记为观察组;来自低档FSWs143例,记为对照组。对两组FSWs的行为特征、HIV/STIs进行统计,然后应用Logistics回归分析对HIV/STIs的危险因素进行分析。结果:观察组年龄>30岁、汉族比例、接受初中及初中以上教育、处于已婚状态、拥有本地户籍、家住城市、首次商业性行为年龄>20岁、一周工作时间≤5d、不吸烟、不饮酒以及坚持使用安全套的FSWs比例均显著高于对照组,差异有统计学意义(P<0.05)。两组传染性疾病的感染中观察组感染HIV/STIs、梅毒以及HSV-2的比例均显著低于对照组,差异有统计学意义(P<0.05)。对可能影响FSWs发生HIV/STIs感染的危险因素进行Logistic回归性分析筛选出4个危险因素,即:初中以下教育程度、未坚持使用安全套、不进行HIV检查以及接受HIV相关服务等。结论:不同档次FSWs行为特征存在一定差异,其中低档FSWs呈现年轻化、低文化程度、未婚等显著趋势。并且教育程度低、未坚持使用安全套以及缺乏HIV相关知识是感染HIV/STIs的危险因素,在HIV预防中应引起足够的重视。Objectives：To study the behavior characteristics of low-grade female sex workers （FSWs）and the infection status of human immunodeficiency virus / sexually transmitted infections （HIV / STIs） and explore related risk factors.Methods：500 questionnaires were sent out to FSWs in the low-grade places,and 421 questionnaires were recovered,including 278 cases from the mid-range （observation group） and 143 low-end cases recorded as control group.The behavioral characteristics,HIV / STIs situation were surveyed and the risk factors of HIV / STIs were analyzed with logistic regression analysis.Results：In the observation group,the ratio of FSWs with age 〉30 years old,junior high school or above,in the married state,local household registration,having commercial sex for the first time at age 〉20 years old,working 5 days a week,not smoking or drinking and insisting on using condoms was significantly higher than those in the control group,with statistically significant difference （P〈0.05）.In those with infection diseases of both groups,the ratio of FSWs infected with HIV/STIs,HSV-2and syphilis in observation group was significantly lower than that of the control group,with statistically significant difference （P〈0.05）.The logistic regression analysis identified four risk factors,namely：education level below junior middle school,not persisting condom use,not tested for HIV and HIV related services etc.Conclusion：There are some differences in behavior characteristics between different grades of FSWs,where low-grade FSWs show trends of younger,low culture degree and keeping single.Low education level and not insisting on condom use and the lack of knowledge of HIV infection are risk factors of HIV / STIs,which should be given more attention in the prevention of HIV.

关 键 词：女性性工作者 中低档 行为特征 艾滋病病毒/性传播感染 危险因素 

分 类 号：R183[医药卫生—流行病学]