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目的了解社区艾滋病防治项目对暗娼高危性行为的影响情况。方法从社区中招募暗娼调查其社会人口学、高危性行为和参加社区艾滋病防治项目情况等。结果在所调查的330名暗娼中,参加过健康教育项目的占47.0%(155/330),参加过HIV自愿咨询检测的占19.4%(64/330)和吸毒人员中参加美沙酮项目的占34.4%(11/32)。在最近1个月内与客人和固定性伴发生非保护性性行为的分别为46.1%(152/330)和58.1%(61/105)。多因素Logistic回归模型分析结果显示,未参加HIV自愿咨询检测、开始从事性服务的年龄小和平均每次性服务收费低是暗娼与客人发生非保护性性行为的影响因素;近1个月内与固定性伴性交次数多是暗娼与固定性伴发生非保护性性行为的影响因素。结论本研究结果显示HIV自愿咨询检测对降低暗娼高危性行为有一定的作用。
Objective To understand the impact of community AIDS prevention and control programs on high-risk sexual behaviors of sex workers. Methods Surrogates were recruited from the community to investigate their socio-demographic, high-risk behaviors and participation in community-based HIV / AIDS programs. Results Of the 330 female sex workers surveyed, 47.0% (155/330) participated in health education programs, 19.4% (64/330) participated in HIV voluntary counseling and testing and 34.4% participated in the methadone project among drug users % (11/32). 46.1% (152/330) and 58.1% (61/105) respectively of unprotected sex with guests and fixed partners within the last month. Multivariate Logistic regression model analysis showed that not participating in voluntary counseling and testing of HIV, the age of starting sexual service and the average per-time low service charge were the influencing factors of non-protective sexual behaviors of female sex workers and their clients. Within 1 month The frequency of sexual intercourse with regular sexual partners was the most influential factor in the non-protective behavior of female sex workers and fixed sexual partners. Conclusion The results of this study show that HIV voluntary counseling and testing can reduce the high risk sexual behavior of sex workers.