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目的了解北京市暗娼人群商业性性行为安全套的使用情况及其影响因素。方法采用分层随机抽样法,2010-2013年每年分别调查收集昌平区4~6所中、低档场所暗娼商业性性行为相关信息。用多因素logistic回归方法分析安全套使用的相关因素。结果 2010-2013年共调查481名暗娼,最近1个月商业性性行为安全套坚持使用率为35.76%(172/481),最近1次性行为使用安全套比例为75.05%(361/481)。经多因素logistic回归分析发现,暗娼最近1个月商业性性行为是否坚持使用安全套与娱乐场所档次、婚姻状况、同伴教育和最近1年是否做过HIV抗体检测等因素有关。结论应结合不同档次娱乐场所的特点开展行为干预,积极推广同伴教育,促进暗娼安全套使用,有效预防艾滋病经性途径传播。
Objective To understand the use of commercial sexual condoms and its influencing factors among the female sex workers in Beijing. Methods By stratified random sampling method, information on commercial sexual behavior of commercial sex workers in 4 ~ 6 medium and low-grade places in Changping District was collected and surveyed each year from 2010 to 2013 respectively. Multivariate logistic regression was used to analyze the related factors of condom use. Results A total of 481 female sex workers were surveyed during 2010-2013. The commercial sex condom use rate was 35.76% (172/481) in the latest month and 75.05% (361/481) in the last one sex. Multivariate logistic regression analysis found that commercial sex workers in the last month whether the sex workers insisted on the use of condoms and entertainment places, marital status, peer education and whether HIV antibody testing done in the past year and other factors. Conclusions Behavior intervention should be carried out according to the characteristics of different grades of entertainment venues, actively promote peer education, promote the use of condoms by female sex workers, and effectively prevent sexual transmission of AIDS.