新加坡以妓院为基础的女性性工作者中与口交时使用避孕套相关的因素。
Factors associated with condom use for oral sex among female brothel-based sex workers in Singapore.
作者信息
Wong M L, Chan R K, Koh D, Wee S
机构信息
Department of Community, Occupational and Family Medicine, Faculty of Medicine, National University of Singapore, Singapore.
出版信息
Sex Transm Dis. 2000 Jan;27(1):39-45. doi: 10.1097/00007435-200001000-00008.
BACKGROUND AND OBJECTIVE
The prevalence of oral sex increased from 27.1% in 1992 to 81.1% in 1997, with a concomitant increase in pharyngeal gonorrhea, among female sex workers in Singapore. The extent of condom use for oral sex among them is unknown.
GOAL
To determine the prevalence of and factors associated with consistent condom use during oral sex.
STUDY DESIGN
A cross-sectional study of 225 women randomly selected from the surveillance scheme register of female brothel-based sex workers with a history of oral sex documented in their medical records.
RESULTS
Slightly more than half (56.9%) consistently used condoms for oral sex compared to 97% for vaginal sex. Condom use was significantly higher among middle than high class sex workers (adjusted rate ratio: 1.52, 95% CI: 1.01-2.29) and those with negotiation skills (adjusted rate ratio: 1.95, 95% CI: 1.32-2.07).
CONCLUSION
Sex workers should be taught skills to negotiate condom use for oral sex.
背景与目的
在新加坡的女性性工作者中，口交的流行率从1992年的27.1%上升至1997年的81.1%，同时咽部淋病的发病率也有所上升。她们在口交时使用避孕套的情况尚不清楚。
目标
确定口交时始终坚持使用避孕套的流行率及相关因素。
研究设计
一项横断面研究，从以妓院为基础的女性性工作者监测计划登记册中随机选取225名有口交史且病历中有记录的女性。
结果
略多于一半（56.9%）的人在口交时始终使用避孕套，而阴道性交时这一比例为97%。中等阶层性工作者的避孕套使用率显著高于高等阶层性工作者（调整率比：1.52，95%可信区间：1.01 - 2.29），有谈判技巧的性工作者也是如此（调整率比：1.95，95%可信区间：1.32 - 2.07）。
结论
应教导性工作者掌握就口交时使用避孕套进行谈判的技巧。
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