上海交通大学学报（医学版）

›› 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

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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