低档暗娼艾滋病监测中再次被干预到的影响因素

农桂德; 董玉连; 毛艳芳; 董秀明; 李健

doi:10.16462/j.cnki.zhjbkz.2019.12.013

低档暗娼艾滋病监测中再次被干预到的影响因素

doi: 10.16462/j.cnki.zhjbkz.2019.12.013

1.
542600 贺州, 钟山县疾病预防控制中心艾滋病预防控制科
2.
102206 北京, 中国疾病预防控制中心性病艾滋病预防控制中心

详细信息

通讯作者:
李健, E-mail: jli@chinaaids.cn

中图分类号: R512.91
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- 被引次数: 0
出版历程
- 收稿日期: 2019-05-11
- 修回日期: 2019-08-18
- 刊出日期: 2019-12-10

Factors associated with being recaptured among low-fee female sex workers in HIV surveillance and intervention

1.
Division of AIDS Control and Prevention, Zhongshan County Center for Disease Control and Prevention, Zhongshan 542600, China
2.
National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China

More Information

Corresponding author: LI Jian, E-mail: jli@chinaaids.cn

摘要

摘要: 目的分析低档暗娼艾滋病监测中再次被干预到的影响因素，为制定干预策略和措施提供参考依据。方法钟山县疾控中心印制记录人类免疫缺陷病毒（human immunodeficiency virus，HIV）和梅毒检测情况的体检证用于追踪、干预低档暗娼。利用Logistic回归分析模型分析持证低档暗娼被再次干预到的相关因素，利用广义线性混合模型分析低档暗娼安全套使用的相关因素。结果 2013-2015年共向220名低档暗娼发放体检证，调查389人次。截至2015年底，接受检测的低档暗娼HIV、梅毒感染比例分别为4.2%（9/213）和30.0%（64/213）。多因素Logistic回归分析结果显示，入行≥ 4年（OR=2.95，95% CI：1.35~6.45）、过去30天在本县从业（OR=11.74，95% CI：5.26~26.20）的低档暗娼被再次干预的比例较高。多因素广义线性混合模型结果显示，发证后被再次干预（OR=3.33，95% CI：1.34~8.27）、初中及以上文化程度（OR=22.79，95% CI：3.75~138.57）、知晓艾滋病知识（OR=3.57，95% CI：1.52~8.38）、平均收费≥ 30元（OR=30.68，95% CI：12.57~74.90）的低档暗娼安全套使用比例较高。结论体检证可作为追踪、持续干预低档暗娼的有效载体，了解其感染情况，对不同特征低档暗娼应采取有针对性的宣传干预措施。
- 体检证 /
- 低档暗娼 /
- 艾滋病 /
- 干预 /
- 安全套使用
Abstract: Objective This objective of the study was to analyze the factors related to being recaptured and condom use among low-fee female sex workers (FSWs) to provide reference in developing human immunodeficiency virus (HIV) intervention strategy. Methods Physical examination certificates were designed by Zhongshan County Center for Disease Control and Prevention to record HIV and syphilis test results for low-fee FSWs from 2013 to 2015. Low-fee FSWs were asked to show physical examination certificates in the next intervention and test. Multivariate Logistic regression was used to analyze factors associated with being captured with physical examination certificates. Generalized linear mixed model was used to analyze factors associated with condom use with clients. Results A total of 220 low-fee FSWs were recruited by using physical examination certificates and received 389 interviews from 2013 to 2015. The proportions of HIV positive and syphilis positive were 4.2% (9/213) and 30.0% (64/213) respectively among those who had HIV and syphilis test. Results of multivariate Logistic regression analysis showed that low-fee FSWs who had been FSWs for more than 4 years (OR=2.95, 95% CI: 1.35-6.45), and worked in the local county in the past 30 days (OR=11.74, 95% CI: 5.26-26.20), were more likely to be captured with physical examination certificates. Results of generalized linear mixed model showed that those who were captured at least once (OR=3.33, 95% CI: 1.34-8.27), had junior middle school education and above (OR=22.79, 95% CI: 3.75-138.57), had high HIV knowledge (OR=3.57, 95% CI: 1.52-8.38), and charged more than 30 yuan for vaginal sex (OR=30.68, 95% CI: 12.57-74.90), were more likely to use condom consistently. Conclusions Physical examination certificates could be used for low-fee FSWs surveillance and intervention and tracking their HIV and syphilis status. The intervention strategy should take these into consideration.
- Physical examination certificate /
- Low-fee female sex worker /
- AIDS /
- Intervention /
- Condom use

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图 1 研究流程图

Figure 1. Participant flowchart of the study

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表 1 2013年9月-2015年6月使用体检证的低档暗娼人口行为学特征[n(%)]

Table 1. Demographic and behavioral characteristics of low-fee female sex workers who used physical examination certificate from September 2013 to June 2015 [n(%)]

变量及分类	总人数(n=220)	被再次干预到(n=92)	未被再次干预到(n=128)
年龄(岁)	40.3±8.0	40.7±7.2	40.0±8.6
教育水平
文盲	44(20.0)	21(22.8)	23(18.0)
小学	151(68.6)	59(64.1)	92(71.9)
初中及以上	25(11.4)	12(13.0)	13(10.2)
婚姻状况
无配偶	20(9.1)	5(5.4)	15(11.7)
有配偶	200(90.9)	87(94.6)	113(88.3)
户籍
外县	117(53.2)	50(54.4)	67(52.3)
本县	103(46.8)	42(45.7)	61(47.7)
入行时长(年)	4.6	4.9	4.5
过去30天工作地点
外县	93(42.3)	15(16.3)	78(60.9)
本县	127(57.7)	77(83.7)	50(39.1)
艾滋病知识
未知晓	111(50.5)	40(43.5)	71(55.5)
知晓(全对)	109(49.6)	52(56.5)	57(44.5)
体检证用途
了解健康状况	98(44.6)	44(47.8)	54(42.2)
作为检测凭证	45(20.5)	10(10.9)	35(27.3)
两种均有	77(35.0)	38(41.3)	39(30.5)
日均接客数(人)	6.9	6.4	7.3
人均收费(元)	32.0±10.2	31.6±10.6	32.3±10.0
过去30天与顾客安全套使用
未坚持使用	136(61.8)	49(53.3)	87(68.0)
坚持使用	84(38.2)	43(46.7)	41(32.0)
艾滋病感染人数	9(4.1)	4(4.3)	5(3.9)
梅毒感染人数	64(29.1)	39(42.4)	25(19.5)

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表 2 持体检证低档暗娼被再次干预到影响因素分析

Table 2. Factors associated with being captured with physical examination certificates among low-fee female sex workers

变量及分类	体检证发放数	被再次干预到	单因素分析		多因素分析
变量及分类	体检证发放数	例(%)	OR(95% CI)值	P值	OR(95% CI)值	P值
年龄(岁)
19~	60	21(35.0)	1.00		1.00
36~	107	53(49.5)	1.82(0.95~3.50)	0.071	2.02(0.83~4.95)	0.124
46~63	53	18(34.0)	0.96(0.44~2.08)	0.908	1.10(0.37~3.25)	0.862
教育水平
文盲	44	21(47.7)	1.00		1.00
小学	151	59(39.1)	0.70(0.36~1.38)	0.306	0.47(0.19~1.21)	0.120
初中及以上	25	12(48.0)	1.01(0.38~2.70)	0.983	1.64(0.39~6.84)	0.495
婚姻状况
无配偶	20	5(25.0)	1.00		1.00
有配偶	200	87(43.5)	2.31(0.81~6.60)	0.118	2.24(0.59~8.56)	0.237
户籍
外县	117	50(42.7)	1.00
本县	103	42(40.8)	0.92(0.54~1.58)	0.769
入行时长(年)
< 4	90	32(35.6)	1.00		1.00
≥4	130	60(46.2)	1.55(0.89~2.70)	0.118	2.95(1.35~6.45)	0.007
过去30天工作地点
外县	93	15(16.1)	1.00		1.00
本县	127	77(60.6)	8.01(4.15~15.45)	< 0.001	11.74(5.26~26.20)	< 0.001
艾滋病知识
未知晓	111	40(36.0)	1.00		1.00
知晓(全对)	109	52(47.7)	1.62(0.94~2.78)	0.080	0.69(0.30~1.57)	0.371
体检证用途
了解健康状况	98	44(44.9)	1.00		1.00
作为检测凭证	45	10(22.2)	0.35(0.16~0.79)	0.011	0.49(0.18~1.37)	0.174
两种均有	77	38(49.4)	1.20(0.66~2.18)	0.558	1.56(0.74~3.28)	0.241

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表 3 钟山县低档暗娼安全套使用影响因素分析

Table 3. Factors associated with condom use with clients among low-fee female sex workers in Zhongshan County

变量及分类	调查人数	每次均用	单因素分析		多因素分析
变量及分类	调查人数	例(%)	OR(95% CI)值	P值	OR(95% CI)值	P值
年龄(岁)
19~	90	66(73.3)	1.00		1.00
36~	208	71(34.1)	0.14(0.07~0.31)	< 0.001	0.71(0.25~1.99)	0.513
46~63	91	17(18.7)	0.05(0.02~0.13)	< 0.001	0.96(0.25~3.64)	0.946
教育水平
文盲	89	13(14.6)	1.00		1.00
小学	256	100(39.1)	4.18(1.81~9.65)	0.001	2.65(0.91~7.69)	0.074
初中及以上	44	41(93.2)	94.60(21~426.2)	< 0.001	22.79(3.75~138.57)	0.001
婚姻状况
无配偶	33	4(12.1)	1.00		1.00
有配偶	356	150(42.1)	4.34(1.20~15.65)	0.025	2.20(0.38~12.84)	0.379
入行时长(年)
< 4	145	72(49.7)	1.00		1.00
≥4	244	82(33.6)	0.42(0.23~0.77)	0.005	1.01(0.43~2.37)	0.976
艾滋病知识
未知晓	133	16(12.0)	1.00		1.00
知晓(全对)	256	138(53.9)	8.52(4.36~16.63)	< 0.001	3.57(1.52~8.38)	0.004
是否被再次干预到
否	128	41(32.0)	1.00		1.00
是	261	113(43.3)	1.67(0.91~3.05)	0.097	3.33(1.34~8.27)	0.010
人均收费(元)
15~	248	36(14.5)	1.00		1.00
31~50	141	118(83.7)	35.81(18.17~70.56)	< 0.001	30.68(12.57~74.90)	< 0.001

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