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中越边境地区暗娼艾滋病相关高危性行为及其影响因素分析 被引量:8

The Contrastive Analysis of HIV Related High Risk Sexual Behavior and Influence Factors in Female Commercial Sex Workers at the Vietnam-China Border
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摘要 目的了解广西中越边境地区的中国籍和越南籍暗娼高危性行为特征,并探讨其影响因素,为有针对性的开展暗娼干预工作提供科学依据。方法于2016年4月-5月,对广西P市的娱乐场所采用"滚雪球、同伴推动"等方法招募调查对象,对其进行问卷调查,分析其高危性行为特征及其影响因素。结果越南籍和中国籍暗娼的服务对象来自不同国家(多国商业性伴)的比例分别为100.00%(92/92)和13.29%(21/158),越南籍暗娼多国商业性伴、每日接客数量≥3个的比例均高于中国籍暗娼,从事性服务工作时间>2年的比例则低于中国籍暗娼,差异均有统计学意义(P均<0.01)。最近1次和最近1个月商业性行为不使用安全套的比例差异均无统计学意义(P均>0.05)。越南籍暗娼高危性行为的发生主要受性服务场所类型、首次性行为年龄、每日接客数量影响。而年龄、性服务场所类型则是中国籍暗娼高危性行为发生的主要影响因素。结论越南籍暗娼普遍存在多国性伴情况,首次性行为年龄较小,接客频率更高,流动性更大,同时两国暗娼的高危性行为特征和影响因素呈现出不同的特点,提示在今后干预工作中,应充分考虑不同国籍暗娼的人群特征,开展有针对性的综合干预工作。 Objective To determine the characteristics of high risk sexual behavior and influence factors in Chinese and Vietnamese female sex workers, providing a basis for developing preventive measures specifically for female sex workers.Methods Data were collected from female sex workers using classic snowball sampling, respondent-driven sampling and questionnaires from April to May, 2016. Results All Vietnamese female sex workers(92/92)served clients from various countries, while only 13.28%(21/158)of Chinese female sex workers had clients from multi-countries. The proportion of business man and the number of daily sexual counterparts ≥3 were higher in Vietnamese than in Chinese female sex workers(P〈0.01). In contrast, the proportion of female sex workers who worked 〉2 years was lower in Vietnamese than in Chinese female sex workers(P〈0.01). The portion of female sex workers who did not use condoms in the last time and over the last month of commercial sexual encounter did not differ significantly between Vietnamese and Chinese female sex workers. The influence factors of high risk sexual behavior were type of sexual work sites, age of the first sexual encounter and the number of daily sexual counterparts for Vietnamese, while type of sexual work sites was the main influence factor for Chinese female sex workers. Conclusion In general, Vietnamese female sex workers have more sexual counterparts from multiple countries, younger age of having first sexual encounter,more daily sexual counterparts and higher geographic mobility. The characteristics of high risk sexual behavior and influence factors are different between Vietnamese and Chinese female sex workers, suggesting that the nationalities of female sex workers should be considered in the prevention of sexual transmitted diseases.
出处 《中国皮肤性病学杂志》 CSCD 北大核心 2017年第8期868-872,共5页 The Chinese Journal of Dermatovenereology
关键词 暗娼 高危性行为 影响因素 中越边境 Female commercial sex worker High risk sexual behavior Influence factor Contrastive analysis
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