南宁市1 092例嫖客人群安全套使用情况及影响因素分析

目的 通过调查2017—2018年期间共1 092例南宁市嫖客，了解嫖客对艾滋病知识知晓情况及其影响因素，并探索嫖客使用安全套情况及其影响因素。方法 于2017—2018年在南宁市七个城区内使用统一制定的问卷对嫖客群体实施随机抽样，影响因素分析采用多因素logistic回归统计学方法。结果 本次调查嫖娼对象1 092例，嫖客群体以来自高档场所为主，占82.9%（905/1 092）；平均年龄是（53±14.0）岁，初中及以下低水平文化群体为主占82.9%（905/1 092）；主要以本省当地居民较多，占94.4%（1 033/1 092）；大部分嫖客处于在婚或同居状态。嫖客人群对HIV知识知晓率为87.8%(959/1 092)，嫖客在进行商业性性服务时使用安全套的比例为35.4%。多因素logistic 回归显示年龄小于50岁（OR = 0.324,95%CI:0.213～0.493）、处于已婚或同居状态（OR = 0.517,95%CI:0.333～0.801）的嫖客更愿意使用安全套；本地户籍（OR = 5.634,95%CI:1.282～24.753）、不知晓艾滋病知识（OR = 2.026,95%CI:1.356～3.029）的嫖客更不愿意使用安全套。结论 南宁市嫖客人群对艾滋病知识的知晓率相对其他高危人群低，存在不使用安全套等感染 HIV 的高危性行为因子，需要加大健康知识教育，推荐广泛使用安全套等针对性的有效干预，遏制艾滋病经性传播途径的蔓延。

Analysis of condom use and influencing factors among 1 092 clients in Nanning

Objective To investigate the awareness of AIDS knowledge and influencing factors among 1 092 clients in Nanning from 2017 to 2018. Methods A random sample of clients of prostitutes was selected within seven urban areas of Nanning city in 2017 and 2018 using a uniformly developed questionnaire, and the influencing factors were analyzed using multi-factor logistic regression statistics. Results In this survey, 1 092 prostitute clients were investigated, mainly from high-class places, accounting for 82.9% (905/1 092). The average age was (53±14.0) years old, and the education level was junior high school or below, accounting for 82.9% (905/1 092). They were mainly local residents in the province, accounting for 94.4% (1 033/1 092). Most of the clients were in marriage or cohabitation. The knowledge rate of HIV among clients was 87.8% (959/1 092), and the proportion of clients using condoms for commercial sex was 35.4%. Multifactorial logistic regression showed that clients less than 50 years old (OR=0.324, 95%CI: 0.213-0.493), married or cohabiting (OR=0.517, 95%CI: 0.333-0.801) were more willing to use condom. Clients with local household registration (OR=5.634, 95%CI:1.282-24.753) or not knowing about HIV (OR=2.026, 95%CI:1.356-3.029) were more reluctant to use condoms. Conclusion The awareness rate of AIDS knowledge among the clients in Nanning is low, and there are high risk factors such as condom use and HIV infection. It is necessary to strengthen health knowledge education, recommend effective targeted interventions such as condom use, and curb the spread of AIDS through sexual transmission.