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目的了解江西省农村低档暗娼性病艾滋病相关知识知晓、行为及干预服务情况,以城市低档暗娼为参照,为农村开展性病艾滋病防控提供依据。方法于2014年4-12月,采用分层抽样法,对江西省5个县区低档暗娼的性病艾滋病知识、态度、安全套使用、干预服务现状进行了调查,采用X~2检验进行统计分析。结果共调查543名低档暗娼,其中城市297人、农村246人。与城市低档暗娼相比,农村低档暗娼呈现年龄大、文化程度低、已婚者多、流动性大等特征(均P<0.05)。农村暗娼艾滋病知识总体知晓率为95.12%,高于城市暗娼的89.90%(P<0.05)。农村暗娼“劝客人使用安全套”的意识及态度低于城市暗娼(P<0.05)。农村暗娼“最近一次”和“最近一个月”与客人发生性行为时的安全套使用频率均低于城市暗娼(均P<0.05)。安全套免费发放、演示使用、同伴教育、艾滋病检测等干预服务,农村暗娼均明显少于城市暗娼(均P<0.05),且选择到正规妇保机构就诊者较低。结论宜以安全套免费发放、演示使用、同伴教育等干预服务为抓手,加强对农村暗娼的干预,强化安全套使用信念,提升安全套使用频率,有效遏止性病艾滋病的发生。
Objective To understand the knowledge, behavior and intervention services of STD / AIDS among low-grade commercial sex workers in rural areas in Jiangxi Province. Reference to urban low-grade commercial sex workers as a reference to provide basis for rural STD / AIDS prevention and control. Methods From April to December in 2014, stratified sampling method was used to investigate the knowledge, attitude, condom use and intervention service of STD / AIDS among low-order commercial sex workers in five counties in Jiangxi Province. The statistical analysis was conducted by X ~ 2 test. Results A total of 543 low-cost sex workers were investigated, including 297 urban residents and 246 rural residents. Compared with urban low-grade FSWs, the low-grade FSWs in rural areas showed the characteristics of being older, less educated, more married and more fluid (all P <0.05). The overall awareness of HIV / AIDS among female sex workers in rural areas was 95.12%, higher than 89.90% of urban sex workers (P <0.05). Rural sex workers “advise customers to use condoms ” awareness and attitude than urban sex workers (P <0.05). The frequency of condom use by rural female sex workers in the “last time” and “the most recent month” with their clients was lower than that of urban sex workers (both P <0.05). Condoms free of charge, demonstration use, peer education, AIDS testing and other intervention services, the number of female sex workers in rural areas were significantly less than that of urban sex workers (all P <0.05), and the choice of regular women’s health care providers were lower. Conclusions It is advisable to use intervention services such as free distribution of condoms, demonstration use and peer education as the starting point, strengthen the intervention of rural sex workers, strengthen condom use beliefs, increase the frequency of condom use, and effectively prevent the occurrence of STD / AIDS.