宾(旅)馆入住者性行为发生及安全套使用影响因素分析

目的调查浙江省宾(旅)馆入住者宾馆内性行为发生及安全套使用影响因素,为进一步在宾(旅)馆内开展艾滋病防治提供依据。方法随机选取浙江省甲市和乙市宾(旅)馆入住者,采用匿名自评式问卷调查和电话访谈的方式调查,内容包括在宾(旅)馆内性行为发生安全套使用情况、艾滋病相关知识、感染艾滋病危险意识及对宾馆内放置艾滋病宣传材料和安全套的态度等。结果 410名宾(旅)馆入住者为调查对象,其中240名曾有宾馆内性行为,占58.5%。240名在宾(旅)馆内性行为者每次均使用安全套的比例为26.7%。认同"每次性交都正确使用安全套能预防艾滋病"(OR=4.130)和"放置安全套对提高性行为安全套使用意识"(OR=4.551)、月收入高于2000元(OR=2.123)、调查对象是乙市(OR=1.961)等四因素是调查对象每次使用安全套的促进因素。结论宾馆入住者性行为发生比例高,每次使用安全套比例低。在宾旅馆内放置艾滋病宣传材料和安全套,有针对性宣传使用安全套知识,提高自我保护意识有利于促进安全性行为。

Sexual behavior and factors affecting condom use among Zhejiang hotel lodgers,China

Objective To investigate sexual behavior and factors affecting condom use among hotel lodgers,Zhejiang.Methods A cross-sectional study was conducted among hotel lodgers,which were randomly recruited from the hotels of two cities in Zhejiang province.Participants with sex behavior in hotels and hostel rest-houses were chosen for further investigation.A self-administered questionnaire and a telephone interview were completed to assess knowledge of sexual behavior related to HIV/AIDS,risk awareness of HIV infection,attitudes toward hotel providing education and preventive materials including HIV prevention handbooks and condoms,et al.Results 410 hotel lodgers aged 17-60 years participated the study.58.5%（240/410） participants reported sex behavior in hotel and 26.7%（64/240） of them used condoms consistently.The hotel lodgers with descent salary（2000 RMB monthly）（OR=2.123,P0.05） and stayed in the hotel of B city（OR=1.961,P0.05） had higher proportions of condom use.Hotel lodgers used condoms more frequently when they believed that the placement of condoms in hotel increases the awareness of condom use and helps in prevention of HIV（OR=4.130,4.551,P0.05）.Conclusion Hotel lodgers had high rate of sexual behaviors without condom use.Providing education materials and free condoms would promote condom use and decrease risky sexual behavior in hotel.