Lau J T F, Tsui H Y, Siah P C, Zhang K L
Community Research Programme on AIDS, Centre for Clinical Trials & Epidemiological Research, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, NT, Hong Kong.
AIDS Care. 2002 Apr;14(2):219-33. doi: 10.1080/09540120220104721.
The present study aims to investigate the perspective relations between HIV/AIDS and condom-related knowledge, condom use, history of sexually transmitted diseases (STDs) and predictive factors of condom use by female sex workers (FSW) who were sent to the Women Re-education Center (WRC) in Shenzhen, People's Republic of China. Seven hundred and one FSW were interviewed. Whereas respondents had attained certain accurate knowledge about the HIV transmission routes, misconceptions were still commonly reported. Level of condom related knowledge was not high. The prevalence of using condoms with clients was relatively low-15%- 22% reported not using condoms consistently. One of the major obstacles was 'Refusal by clients'. Significant predictive factors associated with consistency of condom use with clients were age, educational background, average number of client intakes per day, capacity in determining the use of condoms and past STD history. The respondents may have developed a false sense of safety by subjectively assessing whether their clients had a STD but they were unaware that HIV carriers may show no obvious symptoms at all. The data has confirmed the worries regarding the potential 'bridging effect' of HIV transmission as resulted by cross-border commercial sex-networking activities.
本研究旨在调查中国深圳妇女教养中心的女性性工作者（FSW）中，艾滋病病毒/艾滋病（HIV/AIDS）与避孕套相关知识、避孕套使用情况、性传播疾病（STD）病史以及避孕套使用预测因素之间的关系。对711名女性性工作者进行了访谈。尽管受访者对HIV传播途径有一定的准确认识，但仍普遍存在误解。与避孕套相关的知识水平不高。与嫖客使用避孕套的比例相对较低——15% - 22%的人报告称未始终坚持使用避孕套。主要障碍之一是“嫖客拒绝”。与与嫖客始终坚持使用避孕套相关的重要预测因素包括年龄、教育背景、每天接待嫖客的平均数量、决定使用避孕套的能力以及过去的性传播疾病病史。受访者可能通过主观判断嫖客是否患有性传播疾病而产生了一种错误的安全感，但她们并未意识到艾滋病毒携带者可能根本没有明显症状。数据证实了对跨境商业性网络活动导致HIV传播潜在“桥梁效应”的担忧。
