马达加斯加性工作者对使用避孕套的感知控制：一项队列研究。
Perceived control over condom use among sex workers in Madagascar: a cohort study.
机构信息
Department of Epidemiology, University of North Carolina, Chapel Hill, USA.
出版信息
BMC Womens Health. 2010 Jan 28;10:4. doi: 10.1186/1472-6874-10-4.
BACKGROUND
Women's perceived control over condom use has been found to be an important determinant of actual condom use in some studies. However, many existing analyses used cross-sectional data and little quantitative information exists to characterize the relationships between perceived control and actual condom use among sex worker populations.
METHODS
We assessed the association between measures of perceived condom use control and self-reported use of male condoms employing data from a longitudinal pilot study among 192 sex workers in Madagascar.
RESULTS
In multivariable models, a lack of perceived control over condom use with a main partner and having a main partner ever refuse to use a condom when asked were both associated with an increased number of sex acts unprotected by condoms in the past week with a main partner (RR 1.86; 95% CI 1.21-2.85; RR 1.34; 95% CI 1.03-1.73, respectively). Conversely, no measure of condom use control was significantly associated with condom use with clients.
CONCLUSION
Perceived control over condom use was an important determinant of condom use with main partners, but not clients, among sex workers in Madagascar. Programs working with sex workers should reach out to main and commercial partners of sex workers to increase male condom use.
背景
在一些研究中，女性对避孕套使用的感知控制被发现是实际使用避孕套的一个重要决定因素。然而，许多现有的分析使用了横断面数据，对于性工作者人群中感知控制与实际避孕套使用之间的关系，定量信息很少。
方法
我们评估了在马达加斯加进行的一项纵向试点研究中，192 名性工作者的感知避孕套使用控制措施与自我报告的男用避孕套使用之间的关联。
结果
在多变量模型中，与主要伴侣之间缺乏感知的避孕套使用控制以及主要伴侣曾经拒绝在被要求时使用避孕套均与过去一周与主要伴侣发生的无保护性行为次数增加有关（RR 1.86；95%CI 1.21-2.85；RR 1.34；95%CI 1.03-1.73）。相反，没有一项避孕套使用控制措施与与客户使用避孕套显著相关。
结论
在马达加斯加的性工作者中，避孕套使用的感知控制是与主要伴侣使用避孕套的一个重要决定因素，但与客户使用避孕套无关。与性工作者合作的项目应该接触性工作者的主要和商业伴侣，以增加男性避孕套的使用。
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