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目的了解南宁市无固定场所低档暗娼艾滋病干预效果及其影响因素,为制定下一步防治措施提供依据。方法以南宁市区无固定场所暗娼作为研究对象,采用滚雪球抽样法,观察干预前后暗娼对艾滋病知识知晓率、安全套使用率的变化情况及其影响因素。采用Epidata软件录入数据,使用SPSS19.0统计软件包进行统计分析。结果干预后,暗娼对艾滋病知识的知晓率由干预前79.5%(202/254)上升至96.6%(256/265),商业性行为安全套使用比率均有明显提高,最近一次商业性行为安全套使用率和最近一个月安全套坚持使用率分别由干预前的81.9%(208/254)和64.2%(163/254)提高到干预后93.6%(248/265)和81.5%(216/265)。logistic回归显示,暗娼商业性行为安全套使用率受年龄,文化程度,艾滋病知识得分情况及商业性行为价钱等因素的影响。结论应针对无固定场所暗娼安全套使用的影响因素,制定干预措施,提高其自我保护意识和安全套使用率。
Objective To understand the effect and influential factors of HIV / AIDS intervention among low-end female sex workers in non-fixed places in Nanning, and to provide basis for further prevention and control measures. Methods Using non-fixed commercial sex workers in Nanning as a research object, using snowball sampling method to observe the changes of HIV awareness and condom use rate among commercial sex workers before and after the intervention and their influencing factors. Using Epidata software input data, using SPSS19.0 statistical package for statistical analysis. Results After the intervention, the awareness rate of HIV / AIDS among female sex workers increased from 79.5% (202/254) before intervention to 96.6% (256/265), and the rate of condom use for commercial sex was significantly increased. The rate of using commercial sex condom recently And the condom use rate in the last month increased from 81.9% (208/254) and 64.2% (163/254) before intervention to 93.6% (248/265) and 81.5% (216/265) respectively after intervention. Logistic regression showed that the commercial sex condom use rate in commercial sex workers was affected by such factors as age, educational level, knowledge of HIV / AIDS and the price of commercial sex. Conclusion Influencing factors on the use of condom by CSWs should be established in order to improve the self-protection awareness and condom use rate.