江苏省建湖县暗娼人群社会网络特征及其与性病艾滋病传播关系研究  

Characteristics of female sex workers' social network in Jianhu county and its relationship with STD/HIV transmission

作　　者：陆玉忠[1] 王健[2] 王标[2] 王伟炳[3] 陈文明[3] 

机构地区：[1]盐城市建湖县人民医院,江苏建湖224700 [2]盐城市建湖县疾病预防控制中心,江苏建湖224700 [3]复旦大学公共卫生学院,上海200032

出　　处：《中国艾滋病性病》2017年第6期556-559,共4页Chinese Journal of Aids & STD

基　　金：盐城市卫生局2014年医学科技发展计划项目(yk2014106)

摘　　要：目的了解暗娼社会网络特征,分析其与性病艾滋病传播的关系,以便更好地在该人群中开展防制性病艾滋病工作。方法采用方便抽样与滚雪球抽样相结合的方法,在建湖县抽取研究对象,共有400名符合条件的暗娼接受问卷调查。调查内容主要包括社会人口学特征、社会网络特征、近6个月内性行为中安全套使用频率、最近一次商业性行为是否使用安全套、曾经发生过性行为的异性朋友(非商业性伴)数量等。结果建湖县暗娼在社会网络中的联系方式以社交软件(QQ或微信)为主(89.3%),多为每天都使用(90.0%),每周至少联系一次的联系人有16个。77.8%的暗娼偶尔会与其网络成员间聊私密/敏感话题(如性行为、顾客等)。社交网络使用频率,会对最近6个月内性行为中安全套使用频率产生影响。聊敏感话题的频率、咨询网络是否存在,会对曾经发生过性行为的异性朋友(非商业性伴)数量产生影响。结论暗娼的社会网络有其独特性,会对性病艾滋病的传播产生影响,对制定针对该人群的防治策略具有参考意义。Objective To understand the characteristics of the social networks of FSWs （female sex workers）, and its relationship with STD/HIV transmission, to provide evidence for further STD/HIV prevention and control in this population. Methods With convenience sampling and snowball sampling methods, a total number of 400 qualified FSWs in Jianhu county was surveyed. Variables were analyzed including social demographic characteristics, social network characteristics, condom use in the past six months and the last commercial sex, and the number of heterosexual partners （non-commercial sex partners）. Results The main way of FSWs＇ personal contacts was soft- ware （QQ or WeChat） （89.3%） as their social network, which 90% of them used every day. They contacted 16 persons at least once per week. 77.80/00 talked occasionally about privacy/sensitive topics （such as sex, customers, etc） with others in the network. There was no network they could access to for counseling. Use of social network and frequency of use had an impact on condom use in the past six months. Talking about sensitive topics and having a network for STD/HIV counseling had an impact on the number of heterosexual partners （non-commercial part- ners）. Conclusion The social network of FSWs has its unique characteristics, which can influence STD/HIV trans- mission, and it will be helpful to develop prevention strategies for intervention of FSWs.

关 键 词：暗娼 性病 艾滋病 社会网络 相关分析 

分 类 号：R512.91[医药卫生—内科学] R759[医药卫生—临床医学]