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女用安全套(以下简称“女套”)是放入妇女阴道、通过屏障作用来避孕和预防性传播疾病的工具。现在世界上女套产品不止一种,但女套接受性研究目前主要针对世界第一个女套产品FC1/2。该文就女性性工作者(FSW)对女套的接受性、影响因素,以及在该人群中开展女套干预的方法进行综述。由于不同研究的干预设计和所选择的接受性指标的差异,文献报告FSW女套接受性结果变化较大。例如,国外研究中,干预后“调查前1个月,使用女套”的妇女在40%～76%之间,而国内研究中该比例为4%～15%。有研究报告,女套加入男套的干预可以减少FSW无保护性行为。例如国内研究中,干预12个月后,FSW最近1个月坚持使用安全套的比例增加了2～15个百分点。除了干预因素外,女套产品特点、年龄、性服务场所类型以及性伴态度,是影响FSW女套接受性的主要因素。干预中,女套使用技能训练和练习是改善接受性的重要环节。
Female condoms (hereinafter referred to as “female sets”) are devices that are placed in the vagina of women to prevent contraception and prevent sexually transmitted diseases through the barrier function. Nowadays, there are more than one set of women’s products in the world, but the acceptance study of women’s clothing is mainly aimed at FC1 / 2, the world’s first female product. This article reviews the female sex workers’ (FSW) receptivity to female sex workers, the influencing factors, and the ways in which the female sex workers engage in female sex intercourse. Due to differences in the design of interventions and the choice of acceptance criteria for the different studies, the literature reported a large variation in FSW acceptance. For example, in foreign studies, between 40% and 76% of women use a female sleeve 1 month after the intervention, compared with 4% to 15% in the national study. A study reports that the intervention of female sets into male sets can reduce FSW unprotected sex. For example, in the national study, after 12 months of intervention, FSW’s condom use rate increased by 2 to 15 percentage points over the past month. Except for the intervention factors, the characteristics of the women’s product, their age, the type of sexual service place and the attitudes of their partners are the main factors that affect the acceptability of the female FSW. Intervention, the use of skills training and practice sets is an important part of improving acceptance.