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[目的]了解上海长宁区娱乐场所女性服务人员(female entertainment workers,FEWs)与不同性伴安全套使用情况,探讨影响FEW最近一个月每次使用安全套的可能因素。[方法]按照大∶小场所比例为3∶7的原则在长宁区随机选择125名FEWs。采用一对一现场问卷调查,问卷内容包括一般人口统计学变量、与不同性伴性行为特征和安全套使用情况等。[结果]只有48.8%的FEWs最近一个月每次性行为都使用安全套,与固定性伴不安全性行为普遍存在。多因素非条件logistic回归分析结果显示,文化程度越高,安全套使用率越高。已婚女性安全套使用率较未婚同居女性为高。[结论]长宁区FEWs的安全套使用率在不同性伴间的差异及文化程度和婚姻状况呈一定的相关性,针对该人群的艾滋病干预工作是遏制艾滋病经性途径传播的关键,需根据场所及人群特征的不同开展安全性行为的宣教,推广100%使用安全套。
[Objective] To understand the situation of female entertainment workers (FEWs) and condom use in different sex partners in Changning district of Shanghai, and to explore the possible factors influencing the use of condoms in the last month of FEW. [Method] According to the principle that the ratio of big to small places is 3: 7, 125 FEWs were randomly selected in Changning district. One-on-one questionnaire survey was conducted. The questionnaire included general demographic variables, characteristics of different sex partners and condom use. [Results] Only 48.8% of FEWs used condoms for each sexual activity in the latest month, and unsafe sex with fixed sex partners was common. Multivariate non-conditional logistic regression analysis showed that the higher the education level, the higher the condom use rate. Married women have higher condom use rates than unmarried cohabiting women. [Conclusion] The rate of condom use in FEWs in Changning District has a certain correlation with the differences among different sex partners and the educational level and marital status. The AIDS intervention aimed at this population is the key to curbing the spread of AIDS through sexual channels. Different characteristics of the population to carry out safer sex education, promotion of 100% use of condoms.