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目的对比分析云南边境缅籍、越南籍跨境暗娼高危性行为情况,为开展外籍暗娼干预工作提供科学依据。方法在中缅、中越边境中方两县固定营业场所内外籍暗娼人员为调查对象,采用针对性设计并经预实验修正后的问卷,由经培训懂双语的外展人员进行现场调查,内容包括人口学特征、高危性行为等;用Excel2003建立数据库,用SPSS16.0进行对比分析。结果缅籍及越南暗娼平均年龄分别为(25.3±4.4)岁及(22.3±6.1)岁,平均文化程度初中以下占70.0%以上,第1次性行为年龄、从事性工作时间及每周接客数量均有统计学意义(P<0.05),缅籍从事性工作时间1年及以下占37.6%,越南籍占81.5%,每周接客数量20个以上缅籍占51.5%,越南籍占88.5%,最近1个月付费性行为安全套使用和最近1次性行为安全套使用差异无统计学意义(P>0.05),最近1次安全套使用率为90.0%以上。结论两国跨境暗娼均存在无明显差异的HIV相关高危性行为,但接客频率更高、流动性更大越南暗娼对区域HIV疫情影响更深远。
Objective To compare and analyze the high risk behaviors of cross-border female sex workers in Myanmar and Vietnam on the border of Yunnan and provide a scientific basis for the intervention of foreign female sex workers. Methods The questionnaires of targeted design and pre-experiment modification were used to survey the domestic and foreign FSWs in two counties of China, Myanmar and China on the border between China and Vietnam. Field surveys were conducted by trained and bilingual outreach personnel, including population Learning characteristics, high-risk sexual behavior, etc .; establish a database with Excel2003, comparative analysis with SPSS16.0. Results The mean age of female sex workers in Burma and Vietnam was (25.3 ± 4.4) years old and (22.3 ± 6.1) years old respectively, with an average educational level below 70.0% in junior high school, the first sex age, sex working hours and the number of weekly pick-up (P <0.05), Burmese engaged in sexual work for 1 year and below accounted for 37.6%, Vietnam accounted for 81.5%, weekly pickup more than 20 Burmese accounted for 51.5%, Vietnam accounted for 88.5% There was no significant difference in the use of condom for the past one month and the last condom use (> 0.05). The most recent condom use rate was 90.0%. Conclusion Cross-border female sex workers in both countries have HIV-related high-risk behaviors with no significant difference, but they have a higher frequency of reception and more liquidity. Vietnamese sex workers have a far-reaching impact on the HIV epidemic in the region.