-
摘要:
目的 了解安徽省女性性工作者最近一年接受人类免疫缺陷病毒（human immunodeficiency virus，HIV）检测的状况及其影响因素。 方法 以合肥市、六安市和宁国市3个城市为研究现场，采取方便抽样的方法，对符合纳入标准的女性性工作者进行匿名问卷调查，采用SPSS 17.0软件分析最近一年HIV的检测状况及相关因素。 结果 共调查1 200名女性性工作者，平均年龄（30.9±8.2）岁，最近一年HIV检测率仅53.3%，其中高档娱乐场所女性性工作者最近一年HIV检测率（56.5%）高于中档（54.4%）和低档（49.9%）娱乐场所的检测率，差异无统计学意义（均有P>0.05）。多因素Logistic回归分析模型分析结果显示，年龄为31~40岁和≥ 41岁、小学及以下文化程度、知晓获得性免疫缺陷综合征（acquired immune deficiency syndrome，AIDS）知识、最近一年获得过安全套/宣传材料发放服务、最近一年接受过同伴教育服务、中档娱乐场所的女性性工作者最近一年更有可能接受HIV检测。 结论 安徽省女性性工作者的HIV检测率有待进一步提高，应继续加强对她们尤其是低档娱乐场所女性性工作者的宣传教育和针对性行为干预，提高其AIDS知识知晓率和感染风险意识，促进她们主动接受HIV检测。 Abstract:Objective To understand the status of taking human immunodeficiency virus (HIV) testing and their associated factors among female sex workers (FSW) in Anhui Province. Methods Cross-sectional studies were conducted among FSW in Hefei, Liu'an and Ningguo City in Anhui Province. Convenient sampling method was adopted, and eligible participant received an anonymous survey. SPSS 17.0 software was used to analyze the status of taking HIV testing and associated factors among FSW. Results A total of 1 200 FSW were investigated, and the average age of them was (30.9±8.2) years old. The rate of taking HIV testing in the recent year was only 53.3%. FSW from high-tier venues had higher rate of taking HIV testing than those from middle-tier or low-tier venues, however, the difference was not statistically significant (all P>0.05). The results of multivariate Logistic regression analysis showed that FSW who were aged 31-40 years old or more than 41 years old, had educational level of primary school and below, being knowledge about acquired immune deficiency syndrome (AIDS), received the service of condom/promotional materials distribution in the recent year, received the service of peer education in the recent year, and being from middle-tier venues were more likely to take HIV testing. Conclusion The rate of taking HIV testing among FSW needs to be further improved in Anhui Province. It should continue to strengthen the AIDS health education and targeted behavioral intervention among FSW, especially among those from low-tier venues, to improve the knowledge about AIDS and the risk perception of HIV infection, and to encourage them to take HIV testing more promptly. -
Key words:
- Female sex workers /
- HIV /
- Testing /
- Correlates /
- Condom use
-
表 1 研究对象的基本情况[n(%)]
Table 1. Basic situation of the subjects [n(%)]
变量 调查人数(n=1 200) 最近一年接受HIV检测 χ2值 P值 否(n=560) 是(n=640) 年龄(岁) 25.422 < 0.001 ≤24 315(26.3) 171(30.5) 144(22.5) 25~ 332(27.7) 163(29.1) 169(26.4) 31~ 384(32.0) 140(25.0) 244(38.1) ≥41 169(14.1) 86(15.4) 83(13.0) 婚姻状况 16.152 < 0.001 未婚 410(34.2) 219(39.1) 191(29.8) 在婚/同居 697(58.1) 291(52.0) 406(63.4) 离异/丧偶 93(7.8) 50(8.9) 43(6.7) 文化程度 31.598 < 0.001 小学及以下 299(24.9) 144(25.7) 155(24.2) 初中 611(50.9) 243(43.4) 368(57.5) 高中及以上 290(24.2) 173(30.9) 117(18.3) 户籍所在地 3.435 0.064 本省 789(65.8) 353(63.0) 436(68.1) 外省 411(34.3) 207(37.0) 204(31.9) 在调查城市居住时间(月) 10.896 0.012 >12 492(41.0) 217(38.8) 275(43.0) 7~ 429(35.8) 193(34.5) 236(36.9) 1~ 227(18.9) 116(20.7) 111(17.3) < 1 52(4.3) 34(6.1) 18(2.8) 场所档次 3.513 0.173 低档 427(35.6) 214(38.2) 213(33.3) 中档 467(38.9) 213(38.0) 254(39.7) 高档 306(25.5) 133(23.8) 173(27.0) 知晓AIDS知识 1 049(87.4) 444(79.3) 605(94.5) 63.108 < 0.001 最近一次与客人发生性行为时使用安全套 1 067(88.9) 472(84.3) 595(93.0) 22.849 < 0.001 最近一个月与客人发生性行为时安全套使用频率 46.843 < 0.001 从未使用 13(1.1) 11(2.0) 2(0.3) 有时使用 364(30.3) 218(38.9) 146(22.8) 每次都用 823(68.6) 331(59.1) 492(76.9) 最近一年患有性病 26(2.2) 15(2.7) 11(1.7) 1.298 0.255 最近一年接受过安全套/宣传材料发放服务 986(82.2) 363(64.8) 623(97.3) 215.587 < 0.001 最近一年接受过同伴教育 291(24.3) 85(15.2) 206(32.2) 47.038 < 0.001 
下载: 导出CSV
表 2 最近一年接受HIV检测的多因素分析
Table 2. Factors associated with HIV testing in the recent year among female sex workers
变量 β值 OR(95% CI)值 P值 年龄(岁) 0.002 ≤24 1.000 25~ 0.252 1.287(0.865~1.914) 0.214 31~ 0.890 2.436(1.493~3.975) < 0.001 ≥41 0.661 1.936(1.047~3.580) 0.035 婚姻状况 0.445 未婚 1.000 在婚/同居 -0.037 0.964(0.651~1.427) 0.853 离异/丧偶 0.362 1.436(0.701~2.941) 0.323 文化程度 < 0.001 小学及以下 1.000 初中 0.043 1.044(0.733~1.486) 0.813 高中及以上 -0.626 0.535(0.351~0.814) 0.003 在调查城市居住时间(月) 0.516 >12 1.000 7~ -0.088 0.915(0.668~1.254) 0.582 1~ -0.154 0.857(0.589~1.248) 0.421 < 1 -0.490 0.612(0.309~1.215) 0.161 知晓AIDS知识 是 0.809 2.245(1.380~3.652) 0.001 否 1.000 最近一次与客人发生性行为时使用安全套 是 -0.135 0.874(0.506~1.510) 0.629 否 1.000 最近一个月与客人发生性行为时安全套使用频率 0.187 从未使用 1.000 有时使用 0.730 2.075(0.310~13.888) 0.452 每次都用 1.026 2.789(0.403~19.312) 0.299 最近一年接受过安全套/宣传材料发放 是 2.840 17.120(9.871~29.693) < 0.001 否 1.000 最近一年接受过同伴教育 是 0.451 1.569(1.140~2.161) 0.006 否 1.000 场所档次 0.056 低档 1.000 中档 0.413 1.512(1.078~2.120) 0.017 高档 0.237 1.267(0.863~1.861) 0.227 常数项 -4.399 0.012 < 0.001
下载: 导出CSV
-
[1] 中国疾病预防控制中心性病艾滋病预防控制中心性病控制中心. 2017年12月全国艾滋病性病疫情[J].中国艾滋病性病, 2018, 24(2):111. DOI: 10.13419/j.cnki.aids.2018.02.01.NCAIDS, NCSTD, China CDC. Update on the AIDS/STD epidemic in China in December 2017[J]. Chin J AIDS STD, 2018, 24(2):111. DOI: 10.13419/j.cnki.aids.2018.02.01. [2] Zhou Y, Li X, Zhang C, et al. Rates of HIV, syphilis, and HCV infections among different demographic groups of female sex workers in Guangxi China:evidence from 2010 national sentinel surveillance data[J]. AIDS Care, 2013, 25(11):1433-1441. DOI: 10.1080/09540121.2013.772282. [3] Baral S, Beyrer C, Muessig K, et al. Burden of HIV among female sex workers in low-income and middle-income countries:a systematic review and meta-analysis[J]. Lancet Infect Dis, 2012, 12(7):538-549. DOI: 10.1016/S1473-3099(12)70066-X. [4] Cohen MS, Chen YQ, McCauley M, et al. Prevention of HIV-1 infection with early antiretroviral therapy[J]. N Engl J Med, 2011, 365(6):493-505. DOI: 10.1056/NEJMoa1105243. [5] Hall HI, Holtgrave DR, Maulsby C. HIV transmission rates from persons living with HIV who are aware and unaware of their infection[J]. AIDS, 2012, 26(7):893-896. DOI: 10.1097/QAD.0b013e328351f73f. [6] Chen XS, Liang GJ, Wang QQ, et al. HIV prevalence varies between female sex workers from different types of venues in southern China[J]. Sex Transm Dis, 2012, 39(11):868-870. DOI: 10.1097/OLQ.0b013e318264c3ba. [7] Yang Z, Su J, Peng X, et al. A decline in HIV and syphilis epidemics in chinese female sex workers (2000-2011):a systematic review and meta-analysis[J]. PLoS One, 2013, 8(12):e82451. DOI: 10.1371/journal.pone.0082451. [8] Chow EP, Muessig KE, Yuan L, et al. Risk behaviours among female sex workers in China:a systematic review and data synthesis[J]. PLoS One, 2015, 10(3):e0120595. DOI: 10.1371/journal.pone.0120595. [9] Zhang L, Shah IH, Li X, et al. Does the use of HIV testing and counseling services influence condom use among low-paid female sex workers in Guangxi, China?[J]. AIDS Care, 2017, 29(3):335-338. DOI: 10.1080/09540121.2016.1220482. [10] 黄璜, 田考聪, 钟晓妮, 等.我国西部四省区女性性工作者HIV检测现况及其影响因素研究[J].第三军医大学学报, 2014, 36(2):159-163. DOI: 10.16016/j.1000-5404.2014.02.009.Huang H, Tian KC, Zhong XN, et al. HIV testing situation and its influencing factors among female sex workers in western China[J]. J Third Mil Med Univ, 2014, 36(2):159-163. DOI: 10.16016/j.1000-5404.2014.02.009. [11] Joint United Nations Programme on HIV/AIDS (UNAIDS). 90-90-90 An ambitious treatment target to help end the AIDS epidemic. 2014. https://pancap.org/pc/pcc/media/pancap_document/90-90-90_Targets.pdf. [12] Shokoohi M, Noori A, Karamouzian M, et al. Remaining gap in HIV testing uptake among female sex workers in Iran[J]. AIDS Behav, 2017, 21(8):2401-2411. DOI: 10.1007/s10461-017-1844-0. [13] Li C, Yang L, Kong J. Cognitive factors associated with the willingness for HIV testing among pregnant women in China[J]. Chin Med J (Engl), 2014, 127(19):3423-3427. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zhcmj201419012 [14] Fan YG, Liu JJ, Zhang YJ, et al. HIV, other sexually transmitted infections, and risk behaviors among female sex workers in Liuzhou, China[J]. Int J Gynaecol Obstet, 2015, 128(1):18-22. DOI: 10.1016/j.ijgo.2014.07.024. -
- 中国精品科技期刊
- 《中文核心期刊要目总览》收录期刊
- RCCSE 中国核心期刊(5/114,A+)
- Scopus收录期刊
- 美国《化学文摘》(CA)收录期刊
- WHO 西太平洋地区医学索引(WPRIM)收录期刊
- 《中国科学引文数据库(CSCD)》核心库期刊 (C)
- 中国科技核心期刊
- 中国科技论文统计源期刊
- 《日本科学技术振兴机构数据库(中国)》(JSTChina)收录期刊
- 美国《乌利希期刊指南》(UIrichsweb)收录期刊
- 中华预防医学会系列杂志优秀期刊(2019年)
留言板
尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!
| 姓名 | |
|---|---|
| 邮箱 | |
| 手机号码 | |
| 标题 | |
| |
