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目的了解暗娼人群安全套使用率及其影响因素,为行为干预工作提供依据。方法根据《国家级HIV综合监测点监测方案》,2006-2008年,每年对北京市性服务场所进行分层抽样,对抽中的性服务场所内的暗娼进行问卷调查。结果2006、2007、2008年,暗娼人群最近一次商业性行为安全套使用率,分别为69.3%、72.2%、77.7%。最近一个月每次商业性行为坚持使用安全套的比例,分别为38.9%、42.9%和46.5%。暗娼人群最近一个月每次商业性行为坚持使用安全套的影响因素包括:最近一周接客人数、文化程度、民族、接受过行为干预、首次商业性行为的年龄、从事商业性服务的时间。结论在商业性伴多和低文化程度的暗娼中开展的预防干预工作,有待进一步加强。通过预防艾滋病的宣传教育、行为干预及生活技能培训等多种方法,预防妇女从事性服务或者推迟他们进入性服务的年龄,可能也会有助于艾滋病防治工作。
Objective To understand the rate of condom use in female sex workers and its influencing factors, and provide basis for behavior intervention. Methods According to the National Monitoring Scheme for HIV Monitoring Point, from 2006 to 2008, the sexual service venues in Beijing were stratified and sampled every year. Questionnaires were collected among the sex workers in the sexual service venues. Results In 2006, 2007 and 2008, the latest condom use rate of commercial sex workers was 69.3%, 72.2% and 77.7% respectively. The proportion of people insisting on using condoms for each commercial activity in the most recent month was 38.9%, 42.9% and 46.5% respectively. Factors influencing the use of condoms by commercial sex workers in each of the last month include the attendance of visitors, education level, ethnicity, acceptance of interventions during the recent week, age of first commercial sex, and time spent on commercial services. Conclusions The preventive interventions conducted in commercial sex workers with low commercial and sexual literacy needs to be further strengthened. Preventing women from engaging in sexual services or delaying their access to sexual services may also contribute to HIV / AIDS prevention and treatment through prevention and treatment of HIV / AIDS, behavioral interventions and life skills training.