娱乐场所女性性服务者安全套使用现状调查

目的 了解湖北省娱乐场所女性性服务者艾滋病及安全套使用的相关知识、态度和行为状况，为制定和实施针对性干预策略以及100％安全套使用项目干预效果的评估提供依据。方法 对湖北省48个项目地区的娱乐场所女性性服务者共6052人采用一对一现场问卷调查。获得有效问卷5963份，有效率为98．5％。结果 娱乐场所女性性服务者对艾滋病基本知识缺乏全面的了解。能正确回答所有问题的人数仅有33．7％；受多种因素影响。商业性行为中安全套使用率较低。最近一次性服务时安全套使用率占68．5％，而过去1个月提供性服务仅32．3％坚持使用安全套，与嫖客和固定性伴发生性关系时安全套使用率差异有统计学意义（P〈0．001）；性服务者获得安全套的途径各不相同。结论 应制定针对性策略并采取相应措施，提高娱乐场所女性服务者艾滋病相关知识水平及安全套使用率。

Investigation on condom use status among female sex workers in entertainment establishments in Hubei province

Objective To determine the status of knowledge,attitude,behavior and practice of AIDS and condom use among female sex workers(FSWs) who were based on the entertainment establishments(EEs) in Hubei Province.To provide information for setting down strategies for prevention and control on this kind of people and to provide evidence for evaluating the effect of 100% Condom Use Program(100%CUP).Methods 6?052 FSWs,came from each program district located in Hubei province,everyone was interviewed at their work places using the face to face interviewing method with structured questionnaire,5?963 shares of their answered questionnaire were efficient.The valid rate was 98.5%.Results Only 33.7% of the interviewed FSWs had completed knowledge of AIDS;rate of condom use in commercial xex was low for various factors,68.5% FSWs admitted using condoms in latest commercial sex;only 32.3% persisting used it in every commercial sex during the past month;furthermore,there existed statistically significant difference between client and fixed partner(P<0.001);FSWs had varied ways to acquire condoms.Conclusion Some pertinent strategies and measures should be used to carry out health education campaign and intervention on behavior change among FSWs for AIDS prevention and control.