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目的了解四川省艾滋病低流行区暗娼(FSW)非商业性行为中安全套的使用现状,并探讨其主要影响因素。方法在四川省(不含凉山州)的32个县,对FSW进行抽样问卷调查,应用双反应变量的多水平统计模型探讨FSW非商业性行为中安全套使用的影响因素。结果参与调查的1 367名FSW中,最近一次非商业性行为中安全套的使用率为43.4%,最近1个月非商业性行为中安全套坚持使用率为17.6%;年龄(OR<1)和艾滋病病毒检测(OR>1)是影响最近一次和最近1个月非商业性行为中安全套的使用的主要因素。结论应重点干预相对年长的FSW;大力推行自愿咨询检测(VCT),扩大艾滋病病毒检测覆盖面。
Objective To understand the current status of the use of condoms in non-commercial sex workers in FSWs in Sichuan Province and to discuss the main influential factors. Methods A total of 32 counties in Sichuan Province (excluding Liangshan Prefecture) were surveyed by FSW, and the influencing factors of the use of condoms in FSW non-commercial sex were explored by using the multi-level statistical model of double-response variables. Results Of the 1 367 FSWs surveyed, the most recent non-commercial use of condoms was 43.4%. The condom use was 17.6% in non-commercial sexual behaviors in the last month. The age (OR <1) and AIDS Virus testing (OR> 1) is a major factor affecting the use of condoms in non-commercial sex in the most recent and recent months. Conclusions Key interventions should be given to FSW in relative terms. Vital Voluntary Counseling and Testing (VCT) should be vigorously promoted to increase the coverage of HIV testing.