女性性工作者中避孕套使用不一致的原因：对综合生殖与预防服务的需求。
Reasons for inconsistent condom use among female sex workers: need for integrated reproductive and prevention services.
作者信息
Aho Josephine, Koushik Anita, Rashed Selim
机构信息
Institute of Tropical Medicine, Antwerp, Belgium.
出版信息
World Health Popul. 2013;14(3):5-13. doi: 10.12927/whp.2013.23442.
BACKGROUND
Interventions for condom use promotion have been undertaken for HIV prevention among female sex workers (FSWs). Our aims are to (1) assess the frequency of inconsistent condom use with clients and with the main regular non-client sex partner (RNCP); and (2) investigate factors associated with inconsistent condom use with the RNCP, particularly the desire to have children and links of the RNCP with commercial sex work.
METHODS
A cross-sectional study was conducted in Conakry, Guinea, among 223 FSWs. A questionnaire on socio-demographic characteristics, behaviours and desire for children was administered. Descriptive statistics and logistic regression were performed.
RESULTS
Inconsistent condom use was frequent with the RNCP but rare with the clients (80.4% vs. 1.3%). FSWs' desire for children was strongly associated with inconsistent condom use with the RNCP.
CONCLUSION
Interventions that take into account reproductive health are needed to prevent HIV among FSWs and their children.
背景
已开展促进使用避孕套的干预措施，以预防女性性工作者感染艾滋病毒。我们的目标是：（1）评估与嫖客及主要固定非嫖客性伴侣（RNCP）使用避孕套不一致的频率；（2）调查与与RNCP使用避孕套不一致相关的因素，特别是生育意愿以及RNCP与商业性工作的关联。
方法
在几内亚科纳克里对223名女性性工作者进行了一项横断面研究。发放了一份关于社会人口学特征、行为和生育意愿的问卷。进行了描述性统计和逻辑回归分析。
结果
与RNCP使用避孕套不一致的情况很常见，但与嫖客使用避孕套不一致的情况很少见（80.4%对1.3%）。女性性工作者的生育意愿与与RNCP使用避孕套不一致密切相关。
结论
需要采取考虑生殖健康的干预措施，以预防女性性工作者及其子女感染艾滋病毒。
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