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目的了解天津市东丽区低档暗娼安全套使用情况,并对影响安全套使用的相关因素进行分析。方法与辖区内的社会组织联合,采用整群抽样的方法对辖区内的低档暗娼进行抽样、问卷调查、采集血样并建立数据库,利用SAS 9.3进行数据分析。结果调查的204名研究对象中,最近1次使用安全套的比例为83.82%(171/204),最近1个月内坚持使用安全套的比例为64.71%(132/204),两者比较差异有统计学意义(P<0.05)。经logistic多因素回归分析,对艾滋病知识的知晓(OR=8.915,95%CI=4.249~18.703)、接受过同伴教育(OR=5.322,95%CI=1.585~17.875)是低档暗娼坚持使用安全套的促进因素。结论天津市东丽区低档暗娼坚持使用安全套率低,应加强对低档暗娼有针对性的干预,提高安全套使用率,达到预防艾滋病的目的。
Objective To understand the use of condoms in low-grade female sex workers in Dongli District of Tianjin and to analyze the related factors that affect the use of condoms. The method was combined with the social organizations in the area. Sampling, questionnaire survey, blood sample collection and database establishment were conducted by using cluster sampling method to analyze the low-grade female sex workers in the area. The data were analyzed by SAS 9.3. Results Among the 204 subjects surveyed, the rate of condom use was 83.82% (171/204) in the last one and 64.71% (132/204) in the last 1 month. The difference was statistically significant Significance (P <0.05). By logistic multivariate regression analysis, knowledge of AIDS (OR = 8.915,95% CI = 4.249 ~ 18.703), peer education (OR = 5.322,95% CI 1.585 ~ 17.875) was the low-grade commercial sex workers insist on the use of condoms Promoting factors. Conclusion Low-grade commercial sex workers in Dongli District of Tianjin adhere to the low rate of condom use, and targeted interventions should be strengthened on low-grade commercial sex workers so as to increase the rate of condom use and achieve the goal of preventing AIDS.