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广东省性病就诊者付费性行为特征及影响因素分析
引用本文:林威, 沈鸿程, 黄澍杰, 刘健, 邓周, 李正添, 王成, 郑和平, 杨斌. 广东省性病就诊者付费性行为特征及影响因素分析[J]. 中华疾病控制杂志, 2017, 21(11): 1136-1140. doi: 10.16462/j.cnki.zhjbkz.2017.11.014
作者姓名:林威  沈鸿程  黄澍杰  刘健  邓周  李正添  王成  郑和平  杨斌
作者单位:1. 南方医科大学皮肤病医院, 广东省皮肤病医院, 广东省皮肤性病防治中心, 性病预防控制科, 广东 广州 510091;;;2. 东莞市第六人民医院防保科, 广东 东莞 523008;;;3. 中山市第二人民医院传染病防治管理科, 广东 中山 528445
摘    要:目的 了解广东省性病就诊者发生付费性行为情况并探讨其影响因素。方法 2016年7~12月在东莞和中山共7家医院招募性病就诊者,收集一般人口学特征、性行为史及付费性行为情况,性病实验室检测等信息,并采用非条件Logistic回归模型分析付费性行为的影响因素。结果 1 976名性病就诊者中,有付费性行为者259人(13.1%),男性中该比例高于女性(χ2=129.173,P<0.001)。有付费性行为的人群中,最近一次性行为安全套使用、就诊时分别和同时检测人类免疫缺陷病毒(human immunodeficiency virus,HIV)和梅毒抗体的比例、HIV感染率均高于无付费性行为人群(均有P<0.05)。多因素Logistic回归显示,性别、月收入、居住状态、既往性病史与付费性行为事件的发生存在关联。结论 广东省性病就诊者付费性行为的比例较高。月收入低于3 000元、独居、既往无性病的男性可能更容易发生付费性行为。

关 键 词:性传播疾病   获得性免疫缺陷综合征   性行为   Logistic模型
收稿时间:2017-04-01
修稿时间:2017-08-15

Characteristics and associated factors of commercial sexual contacts among attendees at the STD clinics in Guangdong Province
LIN Wei, SHEN Hong-cheng, HUANG Shu-jie, LIU Jian, DENG Zhou, LI Zheng-tian, WANG Cheng, ZHENG He-ping, YANG Bin. Characteristics and associated factors of commercial sexual contacts among attendees at the STD clinics in Guangdong Province[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2017, 21(11): 1136-1140. doi: 10.16462/j.cnki.zhjbkz.2017.11.014
Authors:LIN Wei  SHEN Hong-cheng  HUANG Shu-jie  LIU Jian  DENG Zhou  LI Zheng-tian  WANG Cheng  ZHENG He-ping  YANG Bin
Affiliation:1. Sexually Transmitted Disease Control Department, Dermatology Hospital of Southern Medical University, Guangdong Provincial Dermatology Hospital, Guangdong Provincial Centre for Skin Diseases and STIs Control and Prevention, Guangzhou 510091, China;;;2. Prophylactic Section, Dongguan Sixth People's Hospital, Dongguan 523008, China;;;3. Department of Communicable Disease Control, Zhongshan Second People's Hospital, Zhongshan 528445, China
Abstract:Objective To investigate the characteristics and associated factors of commercial sexual contacts among attendees at the sexually transmitted disease (STD) clinics in Guangdong Province.Methods We recruited attendees at the STD clinics in Dongguan and Zhongshan cities,and collected the information on demographic characteristics,history of commercial sex behavior,and STDs testing.The Logistic regression model was applied to analyze possible associated factors.Results In total,259 (13.1%) attendees reported a history of commercial sex in the past six months.The prevalence of commercial sex in men was higher than that among women (x2 =129.173,P < 0.001).The proportions of condom use at last sex intercourse,the rates of testing for human immunodeficiency virus (HIV) and syphilis separately and simultaneously,and the rate of HIV tested positive tor people who pay for sex were all higher than those among people without commercial sex (all P < 0.05).Gender,monthly income,habitation status,and STD history were associated with commercial sex behavior.Conclusions The prevalence of commercial sex behavior among attendees at the STD clinics in Guangdong Province was high.Males,especially those with lower income,or without a STD history,or live alone,may tend to have commercial sexual contacts.
Keywords:Sexually transmitted diseases  Acquired immunodeficiency syndrome  Sexual behavior  Logistic models
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