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目的了解合肥市蜀山区低层暗娼安全套使用情况,探讨影响低层暗娼最近一个月每次使用安全套的可能因素。方法对合肥市蜀山区低层暗娼共335人,采用自填式或一对一现场问卷调查,问卷内容包括一般人口统计学变量、性病/艾滋病知识的知晓情况、性行为特征和安全套使用情况等。结果76.4%的调查对象在最近一个月内坚持每次性行为都使用安全套,79.3%的本省低层暗娼最近一个月每次都使用安全套,明显高于外省户籍的低层暗娼的使用率69.8%(χ2=4.468,P<0.05)。多因素非条件Logistic回归分析结果显示,认为固定性伴不能降低艾滋病危险性、老板不管、客人不用安全套、老板允许或不管暗娼进行性交易等因素导致暗娼最近一个月每次都使用安全套的可能性显著降低,一次性交易价钱>100元的暗娼最近一个月每次都使用安全套的比例明显高于一次性交易价钱≤100元的暗娼,OR=2.266(95%CI:1.208～4.251)。结论合肥市蜀山区低层暗娼最近一个月每次安全套使用率仍较低,距100%使用安全套还有差距。每次性交易的价格和娱乐场所老板的态度等变量影响着暗娼最近一个月每次都使用安全套的比例。
Objective To understand the use of condoms in low-level female sex workers in Shushan District, Hefei, and to explore the possible factors that affect the use of condoms in lower-level female sex workers in the recent month. Methods A total of 335 low-level sex workers in Shushan District of Hefei City were surveyed by self-filling or one-on-one questionnaires. The questionnaires included general demographic variables, knowledge of STD / AIDS knowledge, sexual behaviors and condom use. Results 76.4% of the respondents insisted on using condoms for every sexual activity in the recent month, 79.3% of the domestic low-frequency sex workers used condoms every time in the last month, which was significantly higher than the 69.8% (χ2 = 4.468, P <0.05). Multivariate non-conditional logistic regression analysis showed that sex workers can not reduce the risk of AIDS, the boss no matter, guests do not condoms, the boss allows or regardless of the sex trade and other factors that sex workers lead to the use of condoms every time the recent month, the possibility of sex workers Significantly lower the proportion of female sex workers who used the one-time transaction at a price of> 100 yuan for condom use every time in the recent month was significantly higher than that of the one-time transaction price ≤100 yuan, OR = 2.266 (95% CI: 1.208-4.2531). Conclusion In the recent month, low-level commercial sex workers in Shushan district of Hefei City still had a low rate of condom use each time, with a gap of 100% from using condoms. Variables such as the price of each sex transaction and the attitudes of casinos affect the percentage of sex workers who use condoms every single time in the recent month.