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目的了解低档场所中老年嫖客高危行为特征,并探讨其影响因素,为本市制定艾滋病防控策略提供科学依据。方法采用横断面研究设计,整群抽样方法,在广西南宁市B县对低档场所的中老年嫖客进行问卷调查获取一般人口学特征信息、高危行为特征和艾滋病防治相关知识,并采集静脉血3~5m L进行HIV、梅毒抗体检测。结果接受调查的368名中老年嫖客中,有94.84%(349/368)的人承认最近1年内有过商业性行为,其中,有10.32%(36/349)的人最近1年内每月发生2次及以上,38.40%(134/349)的人每月发生1次;最近1年内发生商业性行为时未坚持使用安全套的比例为73.35%(256/349);最近1次商业性行为未使用安全套的比例为57.59%(201/349);316名在婚的调查对象,最近1年内与配偶或固定性伴发生性关系时均无人使用安全套;有29.89%(110/368)的调查对象最近半年内曾与非婚非商业临时性伴发生过性关系;有1.72%(6/349)的人承认最近1年与商业性伴发生性关系时使用过壮阳药。Logistic回归分析显示,中老年嫖客发生商业性行为时不坚持使用安全套主要受年龄、文化程度、职业、平均每次嫖娼价格、最近1年每月嫖娼次数、是否做过HIV检测影响。结论应针对中老年嫖客高危性行为特征和影响因素,不断采取有针对性的综合干预措施,提高其自我保护意识和安全套使用率。
Objective To understand the characteristics of high-risk behavior among middle-aged clients in low-grade places and to explore the influencing factors so as to provide a scientific basis for developing AIDS prevention and control strategies in this city. Methods Cross-sectional study design and cluster sampling method were used to survey middle-aged and elderly clients in low-grade places in Nanning City, Guangxi Province for general demographic information, high-risk behaviors and HIV / AIDS prevention and control knowledge, 5m L HIV, syphilis antibody test. Results Of the 368 middle-aged and elderly clients surveyed, 94.84% (349/368) admitted that they had had any commercial activities in the recent year, of whom 10.32% (36/349) had monthly occurrences in the recent 1 year And 38.40% (134/349) were reported once a month. 73.35% (256/349) did not adhere to condom use when doing business in the most recent year. The last commercial activity was not used The proportion of condoms was 57.59% (201/349). No condom was used in 316 married subjects who had sex with their spouse or regular partner in the recent one year. There were 29.89% (110/368) of the respondents In the recent six months, he had had sexual relations with non-married non-commercial temporary partners; 1.72% (6/349) acknowledged the use of aphrodisiac in the most recent year when having sexual relations with business partners. Logistic regression analysis showed that middle-aged and elderly clients do not insist on the use of condoms when doing business. Condoms are mainly affected by age, education level, occupation, the average price of each prostitution, the number of monthly prostitution in the recent 1 year, whether HIV testing has been done. Conclusion High-risk sexual behaviors and influencing factors of middle-aged and elderly clients should be constantly taken to improve their self-protection awareness and condom use rate.