高危人群安全套使用相关原因分析  

Correlation Investigation of Condom Use in the High Risk Population

作　　者：汪武新[1] 刘学宁[1] 刘宗干[1] 李晴 何群[3] 

机构地区：[1]深圳市疾病预防控制中心,广东深圳518020 [2]广东省深圳市妇女儿童医院 [3]广东省疾病预防控制中心

出　　处：《中国性病艾滋病防治》2002年第4期234-236,共3页Chinese Journal of Std & Aids Prevention and Control

基　　金：卫生部2001年艾滋病防治专项课题(编号深01-深-Ⅳ-4)

摘　　要：目的 研究公路沿线卖淫女性与卡车司机在不同时间、场所的安全套使用率,分析原因及其与艾滋病(AIDS)、性传播疾病(STDs)患病的相关性。方法 选择105国道公路沿线相关场所的卖淫女性和长途卡车司机,调查其安全套获得的难易程度、干预前后最近1次性行为安全套使用率,分析其与近1年来AIDS/STDs患病状况的相关性。结果 城郊地区安全套获得较易,综合评分司机和高危女性分别为6.7分和7.4分,偏远地区获得安全套较难,综合评分分别为6.5分和3.6分。高危女性在干预前及干预后1个月,安全套使用率分别为39.4％和52.5％;司机为38.2％和57.3％。干预前后的差异有非常显著的统计学意义(x2=12.68,P<0.01);干预后6个月高危女性和司机的安全套使用率分别降低到43.9％和46.9％,与干预前的差异无显著的统计学意义(x2=2.08,P>0.05)。卖淫女性和司机近1年STDs患病率分别为34.38％和28.75％,以非淋菌性尿道炎、梅毒及淋病占多数,两组STDs患病率有明显正相关关系(r=0.992,P<0.01)。结论 ①公路沿线的偏远地区安全套获得困难,高危女性的安全套使用率低,STDs患病率相对高;长途卡车司机的安全套获得机会多于高危女性。②健康教育干预可促进安全套的使用,但长期效果不显著。③公路沿线高危人群中STDs患病率高.Objective To investigate the rate of condom use in prostitutes and truck drivers in different times and places, and analyze related causes and the correlation with STD/AIDS. Methods To select prostitutes and long-distance truck drivers in correlated places along No. 105 highway; to investigate accessibility of condoms to them and rate of condom use in the time of the latest sexual behavior before and after intervention, and analyze correlation with prevalence of STD/AIDS in the past year. Results Condoms are available and accessible in suburban area where colligation scores for drivers and prostitutes were 6.7 and 7.4 respectively; but condoms could be obtained with difficultly in remote area where colligation score of there two groups were 6.5 and 3.6 respectively.One month before and after intervention, the rates of condom use in high risk females were 39.4 % and 52.5 % , and those in truck drivers were 38.2% and 57.3 % respectively.The difference before and after intervention was fairly obvious(x - 12.68, P <0.01) . In half year after intervention, rates of condom use in the female and driver groups were reduced to 43.9% and 46.9% respectively, showing no obvious difference in comparison with those before intervention(x2 -2.08, P >0.05).In the last year, prevalence rates of STDs in the female and driver groups were 34.38% and 28.75% respectively.The diseases included mainly non - gonococcal urethritis, syphilis and gonorrhea.The correlation of STDs prevalence rate is obvious( r - 0.992, P <0.01) .Conclusion (l)Condom was obtained with difficulty in remote area along highway so its use rate was low and STDs prevalence rate was relatively high in the female group. More chance of obtaining condom was seen in the driver group than in the high risk female group. (2)Health education intervention could improve rate of condom use in short term but had no obvious effect in long term. (3)The high STD prevalence rate in the high risk groups along highway was connected with lower rate of condom use.

关 键 词：艾滋病 性传播疾病 高危人群 安全套 相关性 预防 AIDS 

分 类 号：R512.91[医药卫生—内科学]