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目的在广西一市两镇(PX市和BZ、LT镇)性服务妇女(FSW)常规预防服务中,加入为期1年的女用安全套(简称女套)干预后,分析女套的接受性,不同水平女套使用者的特征和背景影响因素。方法于外展工作中开展女套知识、使用技能教育,免费发放丽薇女套(PX市同时发放少量凤康女套),并在基线、干预后6个月和12个月开展横断面调查,比较两阶段干预后女套的使用水平(从未使用过、使用过一次、使用一次以上)以及相关因素。结果三次调查分别包括419、301、300名合格的调查对象,干预前各现场分别有46.1%、53.9%、48.4%的FSW自报在近30天坚持使用安全套,干预12个月后该比例为64.7%、57.7%、79.7%。基线时13.8%的FSW自报使用过女套,干预后6个月及12个月后的调查中该比例分别提高至58.1%和55.3%;在听说过女套的FSW中,两阶段干预后分别有45.9%和50.2%曾使用过一次以上女套。无序多分类Logistic回归分析显示,控制研究现场的影响,与从未使用过女套的FSW相比,在自主经营类场所(出租屋)工作[比值比(OR)=5.27]、参加女套相关活动5次以上(OR=3.14~5.13)的FSW,更可能多次使用女套。结论女套接受性低于男套,但在FSW中仍有一定的使用意愿。接受多次干预和在自主经营类场所工作,是女套接受程度比较高的FSW的特征。
Objective To investigate the acceptability of women’s suits after the intervention of one-year female condoms (routine women’s suits) in routine preventive services for women with sexually transmitted diseases (FSW) in one city and two towns (PX cities and BZ and LT towns) Characteristics and background influencing factors of female users at different levels. Methods Outreach work was carried out on women’s knowledge, using skills education, free release of Li Wei women’s clothing (PX City also issued a small amount of Feng Kang women’s clothing), and cross-sectional survey at baseline, 6 months and 12 months after intervention , Comparing the level of use of female sets after two-stage intervention (never used, used once, used more than once) and related factors. Results The three surveys included 419,301,300 qualified respondents respectively. Before the intervention, 46.1%, 53.9% and 48.4% of the FSW self-reported condom use in the past 30 days, respectively, and the proportion was 64.7%, 57.7%, 79.7%. At baseline, 13.8% of the FSWs reported self-reported female sets, up to 58.1% and 55.3% at 6 and 12 months after intervention, respectively. In the FSW, which heard about female sets, two-stage intervention After 45.9% and 50.2% respectively, they had used more than one woman’s sleeve. Disorderly multi-class Logistic regression analysis showed that controlling the impact of the study site, working in self-service venues (rental houses) compared with FSW who had never used a sleeve (odds ratio = 5.27) FSWs with more than 5 associated activities (OR = 3.14-5.13) were more likely to use female sets more often. Conclusion Female sets accept less than male sets, but there is still a certain willingness to use in FSW. Taking multiple interventions and working in self-employed establishments is a feature of the FSW with a relatively high level of female acceptance.