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目的了解上海市暗娼生存质量现状、艾滋病相关知识及行为情况,分析其相关性,为艾滋病综合干预提供参考依据。方法在上海市闵行区采用二阶段整群抽样方法,抽取596名暗娼进行流行病学问卷调查,并用生存质量评估简表(WHOQOL-BREF)评估其生存质量情况。结果在获得的596份有效问卷中,暗娼在生存质量生理领域、心理领域、社会关系领域、环境因子领域得分分别为(66.9±12.3)、(57.0±13.6)、(56.6±13.5)和(51.0±12.6)分;生存质量4个领域得分与艾滋病知识知晓率呈正相关(P<0.05),生理、心理与社会关系得分与安全套使用情况呈正相关(P<0.05)。结论暗娼人群对艾滋病的认知尚有误区,生存质量欠佳,生存质量与艾滋病相关知识及危险行为具有一定相关性。
Objective To understand the current situation of the quality of life of female sex workers in Shanghai, AIDS-related knowledge and behavior, analyze the correlation and provide a reference for AIDS comprehensive intervention. Methods A total of 596 female sex workers were selected for epidemiological survey in Minhang District, Shanghai. The quality of life was assessed by Quality of Life Assessment (WHOQOL-BREF) questionnaire. Results Among the 596 valid questionnaires obtained, the FSW scores were (66.9 ± 12.3), (57.0 ± 13.6), (56.6 ± 13.5) and (51.0) in the areas of quality of life, psychology, social relations and environmental factors ± 12.6). There was a positive correlation between scores of quality of life and HIV / AIDS knowledge (P <0.05). There was a positive correlation between scores of physical, psychological and social factors and condom use (P <0.05). Conclusion There is a misunderstanding of HIV / AIDS among FSWs and the poor quality of life. The quality of life is related to AIDS-related knowledge and risk behaviors.