Changes in condom use behaviours among clients of female sex workers in China
Changes in condom use behaviours among clients of female sex workers in China
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DOI：
10.1136/sti.2008.035162
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发表时间：
2009-09-01
影响因子：
3.6
通讯作者：
Zhang, J.
中科院分区：
文献类型：
--
作者：
Lau, J. T. F.;Wan, S. P.;Zhang, J.
背景资料：女性性工作者的客户面临艾滋病毒传播的风险;针对这一弱势群体的相关监测和干预措施很少。方法：2005年9月和2006年5月分别对四川省遂宁市暗娼进行了基线调查和评价性调查。同行访问员共访问了356名和372名曾光顾一些低端性服务的受访者。结果：至少使用一种预防服务的受访者的患病率从2005年的50.3%上升到2006年的68.5%（AOR = 2.2）。与基线调查的受访者相比，评价性调查的受访者在过去6个月内不一致使用安全套的患病率较低（44.1% vs 77.0%; AOR = 0.2），最近一次商业性行为中安全套使用率较高（78.0% vs 41.5%; AOR = 4.9）。三角审计显示，73.8%的家庭和社会工作者使用避孕套。多变量分析显示当年的学习情况（OR = 0.3），自我报告的性传播疾病症状（OR = 2.9），使用面对面咨询服务（OR = 0.5）等因素与最近6个月内商业性行为中避孕套使用不一致显著相关。在实施强化干预方案的一段时间内，研究人群的安全套使用和服务使用行为发生了变化。这些有效的方案可以适用于中国其他地区。
Background: Clients of female sex workers (CFSWs) are at risk for HIV transmission; relevant surveillance and interventions for this vulnerable group are scarce. The China-UK HIV/AIDS Prevention and Care Project launched an enhanced intervention programme involving peer education, seminars, testing services and social gatherings and so forth, and two behavioural surveillance studies (BSS) targeting CFSWs in Suining, Sichuan.Methods: Two cross-sectional BSS (a baseline survey and an evaluative survey) were conducted in September 2005 and May 2006, respectively. In total, 356 and 372 respondents who patronised some low-end sex services were interviewed by peer interviewers. Another triangulation condom audit exercise was conducted in June 2006.Results: Prevalence of respondents using at least one prevention service increased from 50.3% in 2005 to 68.5% in 2006 (AOR = 2.2). Respondents of the evaluative survey compared with their counterparts of the baseline survey had lower prevalence of inconsistent condom users in the last 6 months (44.1% vs 77.0%; AOR = 0.2) and higher prevalence of condom use in the last episode of commercial sex (78.0% vs 41.5%; AOR = 4.9). The triangulation audit showed that condoms were used by 73.8% of CFSWs. The multivariate analysis shows that year of study (OR = 0.3), self-reported sexually transmitted disease symptoms (OR = 2.9), use of face-to-face counselling services (OR = 0.5) and so forth were significantly associated with inconsistent condom use during commercial sex in the last 6 months.Conclusions: Condom use and service use behaviours changed in the study population over a time period when an enhanced intervention programme was implemented. Such effective programmes may be applied to other locations in China.