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目的探索女性性工作者(FSWs)对女用安全套的使用意愿及其影响因素。方法采用横断面调查,从2008年9月至2009年1月在云南省德宏州、四川省乐山市和辽宁省沈阳市三现场抽取968名FSWs,以面对面访谈方式进行问卷调查。主要评价指标包括女用安全套可接受性得分、危险性行为、安全套使用率、性病史、艾滋病/性病感知风险等。结果被调查的968名FSWs中22人(2.3%)自报曾使用过女用安全套,其中有17人(77.3%)表示愿意使用女用安全套。未使用过女用安全套的941名FSWs对女用安全套假想的可接受性得分平均为2.52分(满分4分)。可接受性随FSWs的地区、性服务场所的档次与性质、经济收入、婚姻状况、教育水平、是否担心感染HIV/性传播疾病及妊娠史而异。结论我国女用安全套的知晓率和使用率仍然很低,假想的可接受性与真实使用后的感受不同,需要进一步加大宣传推广力度,加强FWSs群体女用安全套的可接受性。
Objective To explore the willingness of female sex workers (FSWs) to use condoms and their influential factors. Methods From September 2008 to January 2009, 968 FSWs were collected from three sites in Dehong Prefecture of Yunnan Province, Leshan City of Sichuan Province and Shenyang City of Liaoning Province by means of cross-sectional survey. Questionnaires were conducted by face-to-face interviews. The main evaluation indicators include female condom acceptability score, risk behavior, condom use rate, history of STD, AIDS / STD perceived risk. Results Of the 968 FSWs surveyed, 22 (2.3%) reported having used female condoms and 17 (77.3%) of them had indicated their willingness to use female condoms. The mean acceptable acceptability score for 941 FSWs without condom for women was 2.52 on average (out of 4). Acceptability varies depending on the location of the FSWs, the grade and nature of the location, the income, the marital status, the level of education, whether or not you are concerned about HIV / sexually transmitted diseases and the pregnancy history. Conclusion The awareness rate and utilization of female condoms in China are still very low. The acceptability of hypotheses is different from that of real condom use. Further promotion and promotion are needed to enhance the acceptability of female condoms in the population of FWSs.