Abstract
栾荣生,曾亚莉,范黎,王斌,黄涌,唐刘红,陈晓宇,曾刚,苏丹婷,于海涛,梁伯衡,梁剑,李苑,邱小眉.四川省某市商业性服务男性顾客艾滋病相关行为研究[J].Chinese journal of Epidemiology,2005,26(2):101-105
四川省某市商业性服务男性顾客艾滋病相关行为研究
A study on acquired immune deficiency syndrome related behaviors in male clients of female sex workers
Received:March 16, 2004  
DOI:
KeyWord: 艾滋病  商业性行为  安全套
English Key Word: Acquired immune deficiency syndrome  Commercial sexual behavior  Condom
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Author NameAffiliation
LUAN Rong-sheng 610041 成都,四川大学华西公共卫生学院流行病学教研室 
ZENG Ya-li 610041 成都,四川大学华西公共卫生学院流行病学教研室 
FAN Li 乐山市疾病预防控制中心 
WANG Bin 中英性病艾滋病防治合作项目办公室 
HUANG Yong 乐山市疾病预防控制中心 
TANG Liu-hong 乐山市疾病预防控制中心 
CHEN Xiao-yu 乐山市疾病预防控制中心 
ZENG Gang 610041 成都,四川大学华西公共卫生学院流行病学教研室 
SU Dan-ting 610041 成都,四川大学华西公共卫生学院流行病学教研室 
YU Hai-tao 610041 成都,四川大学华西公共卫生学院流行病学教研室 
LIANG Bo-heng 610041 成都,四川大学华西公共卫生学院流行病学教研室 
LIANG Jian 610041 成都,四川大学华西公共卫生学院流行病学教研室 
LI Yuan 610041 成都,四川大学华西公共卫生学院流行病学教研室 
QIU Xiao-mei 乐山市疾病预防控制中心 
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Abstract:
      目的 了解商业性服务男性顾客的社会人口学特征、艾滋病相关行为及其影响因素。方法 通过女性性服务者中的志愿者以及性病门诊、长途汽车站、长途货运站和采用提名法 5种途径接近调查对象,对其进行匿名问卷调查,所得资料用非条件及多分类logistic逐步回归模型进行分析。结果  (1)商业性服务男性顾客大多为 2 0~ 4 5岁,初中文化以上的已婚成年男性,职业多样;(2 )最近1年性交易次数为 1~ 2 4 0次不等,平均 2 4次,且与职业 (司机、无业和个体经营者 )及朋友或同事性交易比例呈显著正相关;(3)最近 1年商业性行为中每次使用安全套比例为 2 7.98%,与艾滋病预防传播知识得分、性交易场所 (中档场所 )和调查对象居住地 (本省其他地区和外省 )呈显著正相关;(4)2 8.36 %的调查对象曾患性病,性病史与最近 1年性交易次数和感染艾滋病的风险意识呈显著正相关,与商业性行为中安全套使用频率呈显著负相关。结论 商业性服务男性顾客人群安全套坚持使用率低,有相当部分曾患性病,应主动对该类人群采取针对性干预措施。
English Abstract:
      Objective To study the socio-demographic characteristics,acquired immune deficiency syndrome(AIDS) related behaviors of male clients of female sex workers and their determinants. Methods Contacting subjects through 5 ways including volunteers of female sex workers (FSWs),sexually transmitted disease(STD) clinics,long-distance bus stations,long-distance cargo station while adopting methods as snowballing,employing an anonymous questionnaire.Data was analyzed by logistic regression analysis. Results (1)The majority of clients were 25-45 years old,married and of junior high school or above educational levels; (2)Among male clients of FSWs,numbers of having had commercial sexual intercourse was between 1 to 240,averaged 24 in the previous year.It significantly related to their occupation and the experience of their friends or colleagues who ever visited female sex workers; (3) 27.98 % of them used condom every time during commercial sexual intercourse,which significantly related to the score of knowledge on AIDS,concourse of sex intercourse and inhabitation; (4) 28.36 % of them had ever contracted STD, which significantly related to the frequency of commercial sexual intercourse in the previous year,risk awareness of being infected with human immunodeficiency virus,and frequency of condom use during commercial sexual intercourse. Conclusion The proportion of always using condom was low among male clients of FSWs,and had had STDs. And it's necessary for active and specific intervention programs to them.
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