广西基层社区性服务妇女1年女套干预后使用者的特征和影响因素  

Characteristics and related factors of female condom users accepting one-year female condom intervention designed for sex workers in Guangxi province

作　　者：郑媛[1] 陈盼盼[2] 周月姣[3] 闭素章 韦献林[5] 李冰 磨凤华 黄玉凤 廖苏苏[1] 

机构地区：[1]中国医学科学院基础医学研究所北京协和医学院基础学院流行病学教研室,北京100005 [2]上海市浦东新区疾病预防控制中心,上海200136 [3]广西壮族自治区疾病预防控制中心,南宁530028 [4]广西凭祥市疾病预防控制中心,广西凭祥532600 [5]广西南宁市宾阳县疾病预防控制中心,南宁530400 [6]广西南宁市宾阳县黎塘卫生院,南宁530409

出　　处：《中国艾滋病性病》2017年第5期425-428,443,共5页Chinese Journal of Aids & STD

基　　金：科技部十二五传染病重大专项(2012ZX10001001-014);中国全球基金(CSO-2012-研40)~~

摘　　要：目的在广西一市两镇(PX市和BZ、LT镇)性服务妇女(FSW)常规预防服务中,加入为期1年的女用安全套(简称女套)干预后,分析女套的接受性,不同水平女套使用者的特征和背景影响因素。方法于外展工作中开展女套知识、使用技能教育,免费发放丽薇女套(PX市同时发放少量凤康女套),并在基线、干预后6个月和12个月开展横断面调查,比较两阶段干预后女套的使用水平(从未使用过、使用过一次、使用一次以上)以及相关因素。结果三次调查分别包括419、301、300名合格的调查对象,干预前各现场分别有46.1%、53.9%、48.4%的FSW自报在近30天坚持使用安全套,干预12个月后该比例为64.7%、57.7%、79.7%。基线时13.8%的FSW自报使用过女套,干预后6个月及12个月后的调查中该比例分别提高至58.1%和55.3%;在听说过女套的FSW中,两阶段干预后分别有45.9%和50.2%曾使用过一次以上女套。无序多分类Logistic回归分析显示,控制研究现场的影响,与从未使用过女套的FSW相比,在自主经营类场所(出租屋)工作[比值比(OR)=5.27]、参加女套相关活动5次以上(OR=3.14~5.13)的FSW,更可能多次使用女套。结论女套接受性低于男套,但在FSW中仍有一定的使用意愿。接受多次干预和在自主经营类场所工作,是女套接受程度比较高的FSW的特征。Objective To examine the acceptance of female condoms （FC） and characteristics related to FC use levels （nonusers, 1-time users, multi-time users） among female sex workers （FSW） in three towns, Guangxi province. Methods Education and delivery of PATH Woman＇s condom （with a few Phoenurse FC in Pingxiang） were conducted with routine outreach intervention to FSW. FC use was evaluated by three serial cross-sectional surveys conducted in each study site before and at 6 and 12 months after intervention. Results 4=19, 301, and 300 eligible women were interviewed during the three surveys, respectively. At baseline, 46. 1%, 53.9 %, 48.4 % of the participants reported having consistently used condoms in the last 30 days at each site. The proportion increased to 64.7%, 57.7%, and 79.7%o after 12-month intervention. In each of three surveys, there were 13.8% , 58. 1% and 55.3% of the women reporting having used FC. Among women who reported knowing about FC, 45.9%, and 50.2% had used FC more than once after 6 and 12 months＇ intervention. Multinomial logistic regression showed that compared to nonusers, women who were freelance （OR= 5. 27） and had received FC education more than 5 times （OR= 3. 14- 5. 13） were more likely to be multi-time users. Conelusion A part of FSW is willing to use FC though their uptake is much lower than that of male condom. Adoption of them may be related to intervention exposure and type of sex establishments.

关 键 词：女用安全套 女性性工作者 现场干预 女套使用水平 

分 类 号：R512.91[医药卫生—内科学]