新疆部分城市低档场所女性性工作者对3种新型HIV预防措施接受意愿的比较分析  

Comparison and analysis on the acceptability of low-grade female sex workers to three new-type HIV preventive measures in partial cities of Xinjiang

作　　者：崔燕[1] 胡晓敏[1] 李志军 胡晓远[1] 马媛媛[1] 陈学玲[1] 倪明健[1] 

机构地区：[1]新疆维吾尔自治区疾病预防控制中心,新疆乌鲁木齐830011 [2]美国疾控中心全球艾滋病项目中国办公室,北京100060

出　　处：《中国妇幼保健》2016年第14期2932-2936,共5页Maternal and Child Health Care of China

基　　金：国家科技重大专项课题(2013ZX10004907);中美艾滋病防治合作项目(GAP)(5U2GPS001188)

摘　　要：目的了解新疆部分城市低档场所女性性工作者(FSWs)对暴露前预防(Pr EP)、暴露后预防(PEP)和女用安全套的接受意愿和影响因素。方法采用方便抽样法对新疆部分城市低档娱乐场所和站街的1 116名女性性工作者开展问卷调查。结果调查对象Pr EP、PEP和女用安全套的知晓率较低,分别为7.35%、6.00%和20.70%,接受率分别为61.65%、73.21%和60.93%。Pr EP和PEP的安全性、女用安全套的价格因素是影响调查人群是否能够接受的重要原因。多因素分析表明:汉族、非本市的调查对象对Pr EP和PEP的接受意愿较高,未婚、离异/丧偶者对女用安全套的接受意愿较高。不能每次都说服客人用安全套者对Pr EP和女用安全套的接受意愿较高,有HIV感染风险意识者、有联系人者对PEP和女用安全套的接受意愿较高。而每次都用安全套、接受过安全套推广者对3种预防措施的接受意愿均较高。结论在推广PEP、Pr EP和女用安全套前,要开展有针对性的宣传动员。少数民族、流动、无联系人的女性性工作者是推广工作的重点;加强安全套推广和发放及同伴教育干预,提高自我保护和风险意识同样会提高对这3种预防措施的接受程度。Objective To understand the acceptability of low-grade female sex workers（ FSWs） to pre-exposure prophylaxis（ Pr EP）,post-exposure prophylaxis（ PEP）,and female condoms in partial cities of Xinjiang and the influencing factors.Methods A convenient sampling method was used to survey 1 116 low-grade FSWs in partial cities of Xinjiang by a questionnaire.Results The awareness rates of Pr EP,PEP,and female condoms among the participants were low,which were 7.35%,6.00%,and 20.70%,respectively;the acceptance rates were 61.65%,73.21%,and 60.93%,respectively.The safety of Pr EP and PEP,the cost of female condoms were important factors affecting acceptability of the participants.Multivariate analysis indicated that the acceptability of participants of Han nationality and from other cities of the province to Pr EP and PEP was high,the acceptability of unmarried,divorced,and vidual participants to female condoms was high.The acceptability of participants unable to persuade clients to use condoms to Pr EP and female condoms was high.The acceptability of participants having awareness of HIV infection risk and gate keepers to PEP and female condoms was high.The acceptability of participants using condoms every times and receiving condoms promotion to Pr EP,PEP,and female condoms was high.Conclusion Corresponding propaganda and mobilization should be conducted before promoting PEP,Pr EP,and female condoms.FSWs of minority nationality,floating population,and without gate keepers are the key population for promotion;enhancing condoms promotion and distribution and peer education,improving self-protection and risk awareness will improve the acceptability of FSWs to the three prevention methods.

关 键 词：低档场所女性性工作者 暴露前预防 暴露后预防 女用安全套 可接受性 

分 类 号：R512.91[医药卫生—内科学]