合肥市庐阳区娱乐场所年轻女性流动人群高危性行为及影响因素分析

目的了解合肥市庐阳区娱乐场所年轻女性流动人群艾滋病性病知识水平及性行为特征，探讨该人群高危性行为的影响因素。方法采用横断面调查的方法，采取随机抽样，抽取合肥市庐阳区22家娱乐场所为调查现场，招募符合要求的调查对象。调查内容包括社会人口学特征、艾滋病性病相关知识、安全套使用知识和自我效能、近1年患性病及生殖道感染状况、流产、近6个月性行为、性伴种类及安全套使用情况。运用EpiData3．0软件建立数据库并录入资料，运用SPSS13．0软件进行统计学分析。结果共调查娱乐场所流动女性180人，艾滋病基本知识知晓率为70．6％；30．0％的调查对象报告近1年患有性病或生殖道感染，58．3％既往有过流产；最近6个月有61．7％的调查对象发生过高危性行为，多因素Logistic分析结果显示，婚姻状态为已婚、累计打工时间〉3年、首次性行为年龄≤18岁、首次性行为未使用安全套者发生高危性行为危险性增加；随着安全套正确使用知识和安全套使用效能的增加，发生高危性行为危险降低。结论合肥市庐阳区娱乐场所女性流动人群性病艾滋病知识不足，高危性行为和生殖健康问题普遍存在，因此，需要制定针对性的干预策略和措施以提高该人群的生殖健康水平。

Analysis of risky sexual behavior and its influencing factors among young female migrants working in entertainment venues in Luyang District,Hefei City

Objective To study the risky sexual behavior in the past 6 months and its influencing factors among young female migrants working in entertainment venues in Luyang District, Hefei City. Methods A cross-sectional survey was conducted in 22 entertainment establishments in Luyang District. All of them were randomly selected to be survey sites and eligible participants were recruited. Surveys included demographic characteristics, HIV/STIs-related knowledge, self- efficacy of condom use, STI or genital tract infectious during the past year, abortion, sexual behavior during past 6 months, sexual partner and condom use. Data were entered by Epi Data 3.0 software and analyses were conducted using SPSS 13.0. Results A total of 180 participants met study inclusion criteria and completed the survey. The HIV/AIDS-related knowledge awareness rate was 70. 6%. 30. 0% participants reported that they were diagnosed STI or genital tract infection during the past year. In addition, 58.3% participants experienced abortion in the lifetime. Among these participants, 61.7% reported risky sexual behaviors during past 6 months. The multivariate Logistic regression revealed that mariage, more than 3 years migrant working, first sexual experience before the age of 18 years, and condom use ignorance during their first sex episodes were risk factors associated with risky sexual behavior. Higher condom use knowledge and self-effi- cacy of condom use decreased the risk of unprotected sexual behavior. Conclusions The study reveals that young female migrants working in entertainment venues are lack of HIV/STIs-related knowledge. They are facing to high risk of reproduc- tive health problems and unsafe sexual behaviors. More assertive strategies and interventions are crucial to improve the sex- ual health and the reproductive health of this population.