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目的了解广州市海珠区娱乐场所女性服务人员(female entertainment workers,FEWs)安全套使用情况,探讨影响娱乐场所女性服务人员最近一个月使用安全套的可能因素。方法通过横断面问卷调查,收集一般人口统计学资料、艾滋病知识知晓情况和性行为及安全套使用情况等,同时采集5mL静脉血进行HIV和梅毒抗体检测。结果 200名娱乐场所女性服务人员艾滋病知识总知晓率为93.5%。梅毒筛查阳性率为1%(2/200),未检出HIV抗体阳性者。50%的FEWs最近一次发生性行为使用了安全套,只有24.9%的FEWs最近一个月每次性行为都使用安全套。多因素非条件logistic回归分析结果显示,最近一年接受过艾滋病知识宣教且文化程度、艾滋病知识知晓率高者,其安全套使用率也高。结论广州市海珠区FEWs的安全套使用率与文化程度、艾滋病知识知晓率呈一定的相关性,提示在今后工作中,应充分考虑不同特征的FEWs来开展安全性行为宣教,推广100%使用安全套。
Objective To understand the condom use in female entertainment workers (FEWs) in entertainment venues in Haizhu District of Guangzhou City and to explore the possible factors influencing the use of condoms by female service staff in entertainment venues in the recent month. Methods A cross-sectional questionnaire survey was conducted to collect general demographic data, knowledge of HIV / AIDS and sexual behaviors and condom use, and to collect 5 mL of venous blood for HIV and syphilis antibody testing. Results The total awareness of HIV / AIDS among female service staff in entertainment venues was 93.5%. Syphilis screening positive rate was 1% (2/200), did not detect HIV antibody positive. 50% of FEWs used condoms for their most recent sexual activity, and only 24.9% of FEWs used condoms for each sexual activity in the most recent month. Multivariate non-conditional logistic regression analysis showed that condom use rate was also high in those who received HIV / AIDS knowledge education in the recent year and had a high level of education and HIV / AIDS awareness. Conclusions The condom use rate of FEWs in Haizhu District of Guangzhou City shows a certain correlation with the education level and AIDS awareness rate. It suggests that FEWs with different characteristics should be fully considered in future work to promote safe sex education and to promote 100% condom use.