DETERMINANTS OF CONDOM USE IN 24000 PROSTITUTE CLIENT CONTACTS IN THE GAMBIA
DETERMINANTS OF CONDOM USE IN 24000 PROSTITUTE CLIENT CONTACTS IN THE GAMBIA
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DOI：
10.1097/00002030-199308000-00011
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发表时间：
1993-08-01
期刊：
影响因子：
3.8
通讯作者：
WILKINS, A
中科院分区：
文献类型：
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作者：
PICKERING, H;QUIGLEY, M;WILKINS, A
目的：确定影响冈比亚妓女及其嫖客使用安全套的因素。设计：对在冈比亚 7 家酒吧和几个农村市场工作的 181 名妓女进行为期 14 个月的每日监测。还对这些妓女的 747 名嫖客进行了抽样调查。主要结果指标：使用安全套的性接触比例。结果：妓女报告的 24181 次性接触数据表明，安全套的使用情况因伴侣类型而异（从与嫖客的 84% 到与固定伴侣的只有 4%）。顾客使用安全套的比例因地点而异（从高级酒吧的 91% 到乡村市场的 59%），从当晚第一位顾客的 91% 下降到第十位顾客的 37%，从支付较高费用的顾客 (> D19) 的 75% 下降到支付较低费用的顾客 (< D20) 的 52%。安全套的使用与妓女的社会人口特征无关。顾客报告的安全套使用率低于妓女。 20-24岁的嫖客最不可能使用安全套，而白领、商人和支付较高费用的人则更有可能使用安全套。结论：这群妓女的安全套使用水平较高，但不一致。安全套的使用更多地取决于场所的类型和嫖客的特征，而不是由妓女中的任何固定倾向决定。因此，教育活动不仅应针对娼妓，还应针对嫖客。在冈比亚，“下层”酒吧和农村地区妓女工作的酒吧应成为优先目标。
Objective: To determine the factors that influence condom use among prostitutes and their clients in The Gambia.Design: A cohort of 181 prostitutes working in seven bars and several rural markets in The Gambia were monitored daily for 14 months. A sample of 747 clients of these prostitutes was also questioned.Main outcome measure: Proportion of sexual contacts for which a condom was used.Results: Data on 24181 sexual contacts reported by the prostitutes indicated condom use varied according to type of partner (from 84% with clients to only 4% with regular partners). Condom use with clients varied according to location (from 91% in high-class bars to 59% in rural markets), decreased from 91% with the first client of the evening to 37% with the tenth client, and from 75% with clients paying higher charges (> D19) to 52% with those paying lower charges (< D20). Condom use was not related to the socio-demographic characteristics of the prostitutes. Clients reported lower condom use than prostitutes. Clients aged 20-24 years were least likely to use condoms, while white collar workers, traders, and those paying higher charges, were more likely to use condoms.Conclusions: The level of condom use in this cohort of prostitutes was high but not consistent. Condom use was determined more by the type of establishment and the characteristics of clients, than by any fixed tendency among the prostitutes. Thus, education campaigns should be directed as much to clients as to prostitutes. In The Gambia, 'lower-class' bars and those in rural areas where prostitutes work should be a priority target.