两县暗娼商业性行为中安全套协商的现状调查

目的了解暗娼商业性行为中安全套协商的现状及影响因素,为推广安全套使用提供新的干预方向。方法采用横断面调查设计,问卷调查暗娼人口学特征、性行为特征、安全套协商特征等。采用二分类Logistic回归模型分析安全套协商相关特征的可能影响因素。结果最近1个月性行为中,91.9%的暗娼每次都要求嫖客使用安全套,4.2%感觉要求嫖客使用安全套困难,71.4%使用过“无套无性”策略与嫖客协商安全套使用,59.7%最近1个月说服过嫖客使用安全套。多因素结果显示,≥24岁(OR=3.02)、感觉要求嫖客使用安全套不困难(OR=6.89)会增加暗娼每次都要求嫖客使用安全套的可能;≥24岁(OR=1.91)、感觉要求嫖客使用安全套不困难(OR=2.94)也会增加暗娼使用“无套无性”策略的可能。与嫖客发生阴道交+口交或肛交(OR=2.44)、最近1年接受过艾滋病干预服务(OR=1.89)会增加暗娼说服嫖客使用安全套的可能;主要基于电话/网络招揽嫖客(OR=0.25)会减少暗娼说服嫖客使用安全套的可能。结论暗娼要求嫖客使用安全套的意识较高,安全套协商策略以“无套无性”为主。

Condom negotiation with clients among female sex workers in two counties

Objective To know the situation of condom negotiation between female sex workers ( FSW) and clients, and to provide new intervention directions for condom promotion. Methods The cross-sectional survey was conducted. The FSWs' characteristics of demographics, sexual behaviors and condom negotiation were investigated by questionnaire. Logistic regression models were used for bivariate and multivariate analysis of variables related condom negotiation. Results In the last month, 91. 9% of FSW always required clients to use condoms. 4. 2% of FSW felt that it was difficult to require clients to use condoms. 71. 4% of FSW had used the strategy of "no condom, no sex" to negotiate condom use. and 59. 7% of FSW had persuaded clients to use condoms. Multivariate analysis shows that FSW who are more than 24 years old ( OR =3. 02), or feeling that it is not difficult to require clients to use condoms ( OR = 6. 89) are more likely to always use condoms. FSW who are more than 24 years old ( OR =1.91), or feeling that it is not difficult to require clients to use condoms ( OR = 2. 94) are more likely to use the strategy of "no condom, no sex". FSW who had oral sex or anal sex, beside vaginal sex with clients ( OR = 2. 44), or received AIDS intervention service ( OR = 1.89) in the last year are more likely to convince clients to use condoms. FSW who solicit clients mainly based on telephone/network ( OR = 0. 25 ) are less likely to convince clients to use condoms. Conclusion FSW have a higher awareness of requiring clients to use condom. The common condom negotiation strategy is "nocondom, nosex”.