Client-perpetuated violence and condom failure among female sex workers in southwestern China
Client-perpetuated violence and condom failure among female sex workers in southwestern China
复制标题
DOI：
10.1097/olq.0b013e31815407c3
复制
发表时间：
2008-02-01
影响因子：
3.1
通讯作者：
Jiang, Z. Q.
中科院分区：
文献类型：
--
作者：
Choi, Susanne Y. P.;Chen, K. L.;Jiang, Z. Q.
目的：调查中国市区暗娼中安全套失效的相关因素，即安全套滑脱或破裂。特别关注顾客持续的暴力行为与避孕套失效之间的关系。方法：200名暗娼被招募参加一个以社区为基础的自愿人类免疫缺陷病毒预防项目。调查对象完成了一份面对面的结构化问卷，收集了他们的社会人口学特征、工作条件、客户持续暴力经历和性危险行为的信息。结果：在调查前3个月内，安全套滑脱和安全套破裂的发生率分别占所有使用安全套的性接触的36.2%和34%。前一年客户持续暴力的流行率为68.4%。Logistic回归分析显示，在调整其他因素后，避孕套失效与吸毒[调整后的优势比(AOR=4.01)]、同事使用避孕套(AOR=0.39)、客户持续暴力[AOR=2.30(低暴力与高暴力)]显著相关。结论：安全套失效在暗娼中普遍存在，尤其是吸毒性工作者和有过客户持续性暴力的人。另一方面，同事使用避孕套与避孕套失效呈负相关。
Objectives: This research examined factors associated with condom failure, i.e., slippage or breakage, among female sex workers (FSWs) in China. Special attention was paid to the association between client-perpetuated violence and condom failure.Methods: Two hundred FSWs were recruited for a community-based voluntary human immunodeficiency virus prevention project. Participants completed a face-to-face structured questionnaire that collected information on their sociodemographic characteristics, working conditions, experience of client-perpetuated violence, and sexual risk behavior.Results: The prevalence of condom slippage and condom breakage in the 3 months before the survey was reported at 36.2% and 34%, respectively, of all sexual contact in which a condom was used. The prevalence of client-perpetuated violence in the previous year was 68.4%. Logistic regression analysis showed that after adjusting for other factors, condom failure was significantly associated with drug use [adjusted odds ratios (aOR = 4.01)], condom use of coworkers (aOR = 0.39), and client-perpetuated violence [aOR = 2.30 (low violence vs. high violence)].Conclusion: Condom failure is a common problem among FSWs, particularly drug-using sex workers and those who have experienced client-perpetuated violence. On the other hand, condom use of coworkers is negatively associated with condom failure.