›› 2010, Vol. 30 ›› Issue (8): 890-.doi: 10.3969/j.issn.1674-8115.2010.08.005

• 论著(预防医学) • 上一篇    下一篇

上海市小型娱乐场所女性性工作者艾滋病认知和行为研究

蔡 泳1, 商美丽2, 沈 恬1, 裴 蓓1, 蒋雪琴1, 黄 红3, 施 榕1   

  1. 1.上海交通大学 公共卫生学院, 上海 200025;2.上海市浦东新区三林社区卫生服务中心, 上海 200126;3.上海交通大学 医学院新华医院, 上海 200092
  • 出版日期:2010-08-25 发布日期:2010-08-27
  • 通讯作者: 施 榕, 电子信箱: shirong61@yahoo.com.cn。
  • 作者简介:蔡 泳(1976—), 男, 讲师, 硕士;电子信箱: caiyong202028@163.com。
  • 基金资助:

    上海市教委文科创新青年项目;上海市公共卫生优秀青年人才培养项目(08GWQ055)

Awareness and behavioral research of AIDS among female sex workers in small entertainment venues in Shanghai

CAI Yong1, SHANG Mei-li2, SHEN Tian1, PEI Bei1, JIANG Xue-qin1, HUANG Hong3, SHI Rong1   

  1. 1.School of Public Health, Shanghai Jiaotong University, Shanghai 200025, China;2.Sanlin Community Health Service Center of Pudong New Area, Shanghai 200126, China;3.Xinhua Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200092, China
  • Online:2010-08-25 Published:2010-08-27
  • Supported by:

    Shanghai Education Committee Foundation;Shanghai Public Health Excellent Young Talent Program, 08GWQ055

摘要:

目的 通过对上海市324名女性性工作者进行调查和访谈,定量和定性研究该人群艾滋病认知和行为。方法 采用整群多级随机抽样的方法在上海市随机抽取5个区,每个区再随机抽取了2个街道,对街道所辖的88家明确提供性服务的洗头房、按摩店和发廊的324名女性性工作者进行问卷调查和访谈研究。结果 艾滋病/性病知识综合答对率为60.8%,来自市区的研究对象答对率高于郊区(P<0.05)。有29.5%的研究对象在商业性服务中应顾客的要求而不使用安全套。有46.3%的对象发生过安全套滑落或者破裂的现象。郊区研究对象在口腔和肛门性行为中高危现象的发生率高于市区(P<0.05)。结论 在上海小型低档娱乐场所中应加强艾滋病相关教育,减少高危行为,尤其要关注郊区的女性性工作者。

关键词: 艾滋病, 女性性工作者, 商业性服务, 高危行为

Abstract:

Objective To explore the awareness and behavior of acquired immunodeficiency syndrome (AIDS) among female sex workers in Shanghai. Methods Multi-stage cluster random sampling method was adopted to obtain a random sample of five districts in Shanghai, then two communities of each district were randomly selected, and a total of 324 female sex workers from 88 massage parlors and hair salons explicitly providing sexual services completed a questionnaire survey and interview. Results The correct answer rate of AIDS-related knowledge was 60.8%, which was higher in female sex workers from urban area than that in those from rural area (P<0.05). 29.5% of female sex workers had commercial sexual services without condom use for the request from guests, and 46.3% experienced condom slip off or breakage during commercial sexual services. Female sex workers from suburban area had more high-risk behaviors than those from urban area in oral and anal sex (P<0.05). Conclusion AIDS-related education should be strengthened to reduce high-risk behaviors among female sex workers in small entertainment venues of Shanghai, and particular attention should be paid to those from suburban area.

Key words: acquired immunodeficiency syndrome, female sex worker, commercial sexual service, high-risk behavior