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目的了解中低档女性性工作者(FSW)人口学特征、性行为特征及安全套使用情况,为今后控制HIV的流行和开展行为干预提供依据。方法 2012年5~8月采用多级抽样方法,选择济南市历城区和德州市德城区中低档娱乐场所,对从业的FSW进行横断面问卷调查。结果收集有效问卷583份,年龄较小,文化程度较低,初中及以下占64.32%;14.08%发生过肛交行为,35.68%既有固定性伴又有熟客;413名有熟客的FSW在过去1年、最近1个月和最近1周安全套使用率分别为33.41%、49.88%和61.50%。多因素Logistic回归结果显示:在与熟客的性活动中,收费在51~200元的FSW安全套使用率高(OR=2.17,95%CI:1.39~3.69)。结论中低档FSW文化程度低,存在严重的高危性行为和较低的安全套使用率,特别是低档FSW,存在更严重的行为,需要真正挖掘到这些人群并开展有针对性的行为干预。
Objective To understand the demographic characteristics, sexual behaviors and condom use of mid-and-low-grade female sex workers (FSWs), and to provide basis for future control of HIV prevalence and behavioral interventions. Methods From May to August 2012, a multistage sampling method was used to select middle and low-end entertainment venues in Licheng District of Jinan City and Decheng District of Dezhou City. The cross-sectional questionnaire survey was conducted on the employed FSW. Results A total of 583 valid questionnaires were collected, with younger age, lower educational level, 64.32% of junior high school and below, 14.08% of anal intercourse, 35.68% of both regular and regular clients, 413 regular FSW patients Year, the last month and the last week condom use rate was 33.41%, 49.88% and 61.50%. In multivariate logistic regression analysis, FSW condom use rates of 51 to 200 yuan (OR = 2.17, 95% CI: 1.39-3.69) were higher among the regular activities. CONCLUSION: The low-grade FSW with low education level, serious high-risk sexual behaviors and low condom use rate, especially the low-grade FSW, have more serious behaviors and need to find out these people and carry out targeted behavioral interventions.