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目的了解上海市暗娼和普通流动妇女的吸烟情况及其相关影响因素。方法采用二阶段整群抽样方法抽取上海市闵行区721例暗娼以及675例普通流动妇女,并进行了问卷调查,收集调查对象的一般人口学特征及吸烟情况等资料,同时用生活质量评估简表(WHOQOL-BREF)评估其生活质量。结果上海市暗娼的吸烟率(39.1%)显著高于普通流动妇女(2.7%)(!2=274.46,P<0.001)。暗娼的生活质量得分在4个领域(生理领域F=55.50,P<0.001;心理领域F=59.07,P<0.001;社会关系领域F=157.46,P<0.001;环境领域F=65.08,P<0.001)均显著低于普通流动妇女。多因素分析结果显示心理领域得分越高(OR=0.893,95%CI0.839~0.950)、结婚(OR=0.590,95%CI 0.395~0.880)、处于高年龄组(26~35岁、36岁以上)(OR=0.516,95%CI 0.386~0.691)及普通流动人群(OR=0.077,95%CI 0.043~0.141)是吸烟的保护因素,而无固定性伴侣(OR=1.610,95%CI1.114~2.328)、在上海居住时间≤1年(OR=1.537,95%CI 1.109~2.132)及收入少(OR=1.956,95%CI 1.445~2.650)是影响吸烟的危险因素。结论上海市暗娼的吸烟率高于普通流动妇女,应在目标人群中结合危险因素开展有针对性的措施以减少吸烟。
Objective To understand the smoking status and related factors of Shanghai commercial sex workers and ordinary migrant women. Methods A total of 721 female sex workers and 675 ordinary migrant women in Minhang District of Shanghai were recruited by two-stage cluster sampling method. Questionnaires were also conducted to collect the general demographic characteristics and smoking status of the survey subjects. At the same time, (WHOQOL-BREF) to assess their quality of life. Results The prevalence of smoking among female sex workers in Shanghai was significantly higher (39.1%) than that of ordinary migrant women (2.7%) (2 = 274.46, P <0.001). The quality of life of female sex workers was scored in 4 fields (F = 55.50, P <0.001 in physiological field, F = 59.07, P <0.001 in social field, F = 157.46, P <0.001 in social field, F = 65.08, P <0.001 in environmental field) ) Were significantly lower than ordinary migrant women. Multivariate analysis showed that the higher the score in the psychological field (OR = 0.893, 95% CI: 0.839-0.950), the higher the marriage rate (OR = 0.590,95% CI: 0.395-0.880) (OR = 0.516, 95% CI 0.386-0.691) and common mobile population (OR = 0.077, 95% CI 0.043-0.141) were the protective factors of smoking without any fixed partners (OR = 1.610,95% CI1). (OR = 1.537, 95% CI 1.109-2.13 2) and low income (OR = 1.956, 95% CI 1.445-2.650) were the risk factors for smoking in Shanghai. Conclusion The prevalence of smoking among female sex workers in Shanghai is higher than that of ordinary migrant women. Targeted measures should be taken in combination with risk factors to reduce smoking.