Yimin Cheng, Zhaohui Li, Xianmi Wang, Shiying Wang, Lingzhi Hu, Yueying Xie, Xiaolan Huang, Lifen Xu, Yunzhen Wu, Shaolan Zheng, Yulian Liu
National Research Institute for Family Planning, People's Republic of, Beijing,
Contraception. 2002 Sep;66(3):179-85. doi: 10.1016/s0010-7824(02)00350-5.
There is lack of barrier method use among sex workers (SWs) in China. Our objective was to find new ways to introduce female condoms (FCs) among SWs, and to increase knowledge of, support for, and use of this method in this population. We used the intervention study method and provided the SWs of experimental groups with information, education, and communication on FCs and provided them with FCs. We recruited 330 SWs as the participants of the study in Enping City, China. The selected 330 SWs were randomly divided into the experimental group (165 SWs to use female condom) and the others into the reference group (165 SWs to use male condom). Questionnaires were used to evaluate the intervention study. At the end of our study, 15 SWs were lost of follow-up, so only 315 were included in the analysis. After intervention, about 97% of SWs in the intervention group expressed that they would use FC in the future. The rate of SWs who reported liking FC increased from 60% at pre-intervention to 94% at post-intervention. The rate of SWs who considered their clients could accept FC increased from 27% to 92%, and the rate of SWs who were willing to recommend FC to others increased from 19% to 70%. In comparison with the first several uses, during last several uses about 80% of SWs expressed that it became easier to use FC. Our intervention increased knowledge of, positive attitudes towards, and correct use of FC in this population of SWs.
在中国，性工作者中屏障避孕法的使用率较低。我们的目标是找到新方法，在性工作者中推广女用避孕套，并提高她们对该方法的认知度、支持度及使用率。我们采用干预研究方法，为实验组的性工作者提供关于女用避孕套的信息、教育和宣传，并为她们提供女用避孕套。我们在中国恩平市招募了330名性工作者作为研究参与者。所选的330名性工作者被随机分为实验组（165名使用女用避孕套）和对照组（165名使用男用避孕套）。通过问卷调查来评估干预研究。在研究结束时，有15名性工作者失访，因此仅315名被纳入分析。干预后，干预组中约97%的性工作者表示未来会使用女用避孕套。报告喜欢女用避孕套的性工作者比例从干预前的60%增至干预后的94%。认为其客户能接受女用避孕套的性工作者比例从27%增至92%，愿意向他人推荐女用避孕套的性工作者比例从19%增至70%。与最初几次使用相比，在最后几次使用时，约80%的性工作者表示使用女用避孕套变得更容易了。我们的干预提高了性工作者群体对女用避孕套的认知度、积极态度及正确使用率。
