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目的对比分析边境地区中越籍商业性女性性服务者(FSW),多国性伴及高危性行为情况,为下一阶段联合干预提供科学依据。方法选择云南某边境县越南籍及中国籍FSW,滚雪球方法选取社区FSW为调查对象,双语外展人员问卷调查,收集目标人群多国性伴及高危性行为等方面资料进行对比分析。结果越南籍FSW多国性消费者发生率为59.00%,越南籍FSW与中国籍FSW发生过性行为对象中,性消费者多国情况对比χ2值为28.43,P<0.05,固定性伴多国情况对比χ2值为4.84,P<0.05。有90%越南籍FSW与性消费者多数情况下使用安全套。两国FSW与临时性伴、性消费者、固定性伴安全套使用情况P值均小于0.05。结论越南籍FSW多国性伴情况普遍,与性消费者、临时性伴使用安全套情况低于中国籍FSW,应重点加强干预。
Objective To compare and analyze the status of FSW, multinational partners and high-risk sexual behaviors among Chinese-Vietnamese border residents in border areas and provide a scientific basis for the joint intervention in the next phase. Methods A comparative study was conducted on FSW from a border county in Yunnan, FSW selected from the snowball method, questionnaire survey of bilingual outreach workers, multinational sexual partners of the target population and high-risk sexual behaviors. Results The prevalence of multinational consumers with FSW in Vietnam was 59.00%. The sex ratio of multinational consumers in Vietnam with FSW and FSW in China was χ2 = 28.43, P <0.05, Value is 4.84, P <0.05. 90% of Vietnamese FSW and sex consumers use condoms in most cases. The P values of FSW, temporary partners, sex consumers and condom use in both countries were both less than 0.05. Conclusions The situation of multinational partners with FSW in Vietnam is common, and the situation of using condom with sex consumers and temporary partners is lower than that of Chinese FSW. The intervention should be strengthened.