云南省三城市暗娼服务场所间流动情况及相关因素分析  

Mobility and related factors of service places among female sex workers in three cities of Yunnan Province

作　　者：廖昱 蒋清青 朱标 尹晓红 田家玮 翟萌曦 燕虹 LIAO Yu;JIANG Qingqing;ZHU Biao;YIN Xiaohong;TIAN Jiawei;ZHAI Mengxi;YAN Hong(Wuhan University School of Health Sciences,Wuhan 430071,China)

机构地区：[1]武汉大学健康学院,武汉430071

出　　处：《中国艾滋病性病》2022年第1期42-47,共6页Chinese Journal of Aids & STD

基　　金：国家科技重大专项(2012ZX10001-001)。

摘　　要：目的了解云南省开远、河口、蒙自三城市FSW的基本特征、流动情况以及影响流动性的相关因素。方法以滚雪球抽样方法在三城市娱乐场所招募研究对象,采用自行设计的结构式问卷进行面对面调查,调查内容主要包括研究对象一般特征、服务场所类型、更换场所情况、更换原因等。使用二分类Logistic回归分析影响FSW服务场所间流动的相关因素。结果共招募926名FSW,有效问卷881份,有效问卷回收率95.14%。881名FSW中,130人(14.76%)报告近半年更换过服务场所,其中93人报告近半年在2个场所服务过,占总调查人数的10.56%,20人(2.27%)在3个场所服务过,34人(3.86%)报告近半年曾在同一时期同时服务多个场所。637人报告检测结果,47人自诉HIV阳性,自我报告HIV阳性率为7.38%。年龄为40~49岁(OR=0.31,95%CI:0.12~0.87),目前服务场所档次为中档(OR=0.25,95%CI:0.12~0.53)及高档(OR=0.45,95%CI:0.25~0.81)的FSW较少可能更换服务场所。近半年曾在多种档次服务场所服务(OR=3.31,95%CI:1.08~10.12),居住在娱乐场所(OR=6.40,95%CI:1.97~20.82),不坚持使用安全套(OR=2.62,95%CI:1.33~5.16)的FSW更可能在场所间流动。结论对FSW的HIV干预中,需要重点关注低档场所的年轻的FSW,应针对具有流动性隐患的目标FSW人群加强HIV感染风险教育力度,并加大健康检测的覆盖范围。Objective To explore the basic characteristics,mobility,and related factors among female sex workers(FSW)in Kaiyuan,Hekou,and Mengzi of Yunnan Province.Methods"Snowball"method was performed to recruit FSW in three cities in Yunnan province entertainment places.A face-to-face structured questionnaire survey was conducted.The questionnaire included demographic characteristics,service places,status,and reasons for changing service places.SPSS26.0 was used to analyze the data,and binary logistic regression was used to analyze the factors associated with FSW mobility among service venues.Results A total of 926 FSW were recruited,and 881 valid questionnaires were collected,with an effective rate of 95.14%.Of the 881 FSW,130(14.76%)changed service places in recent half a year,and FSW who reported serving in two,three,or multiple places in recent half a year accounted for10.56%,2.27%and 3.86%,respectively.637 FSW reported ever testing HIV,with an infection rate of 7.38%.FSW aged40-49 years old(OR=0.31,95%CI:0.12~0.87)who currently served in middle grade(OR=0.25,95%CI:0.12~0.53)or high grade(OR=0.45,95%CI:0.25~0.81)places were less likely to mobile.FSW who served in multiple-grade places in the past six months(OR=3.31,95%CI:1.08~10.12),lived in entertainment places(OR=6.40,95%CI:1.97~20.82)and didn’t use condoms consistently(OR=2.62,95%CI:1.33~5.16)were more likely to move.Conclusion We should focus on the intervention of HIV among young FSW in low-grade places,strengthen HIV-infected risk education for FSW with potential mobility,and expand the coverage of health testing.

关 键 词：暗娼 艾滋病病毒 流动 

分 类 号：R512.91[医药卫生—内科学]