Yi Siyan, Tuot Sovannary, Chhoun Pheak, Pal Khuondyla, Ngin Chanrith, Chhim Kolab, Brody Carinne
KHANA Center for Population Health Research, No. 33, Street 71, Tonle Bassac, Chamkar Mon, Phnom Penh, Cambodia.
Center for Global Health Research, Public Health Program, Touro University California, Vallejo, USA.
BMC Infect Dis. 2017 Jan 5;17(1):20. doi: 10.1186/s12879-016-2101-2.
Despite the success in promoting condom use in commercial relationships, condom use with regular, noncommercial partners remains low among key populations in Cambodia. This study explores factors associated inconsistent condom use with sweethearts among unmarried sexually active female entertainment workers (FEWs).
In 2014, the probability proportional to size sampling method was used to randomly select 204 FEWs from entertainment venues in Phnom Penh and Siem Reap for face-to-face interviews. Multivariate logistic regression analysis was conducted to examine independent determinants of inconsistent condom use.
Of total, 31.4% of the respondents reported consistent condom use with sweethearts in the past three months. After adjustment, respondents who reported inconsistent condom use with sweethearts remained significantly less likely to report having received any form of sexual and reproductive health education (AOR = 0.49, 95% CI = 0.22-0.99), but more likely to report having been tested for HIV in the past six months (AOR = 2.19, 95% CI = 1.03-4.65). They were significantly more likely to report having used higher amount of alcohol in the past three months (AOR = 1.29, 95% CI = 1.01-1.99) and currently using a contraceptive method other than condoms such as pills (AOR = 4.46, 95% CI = 1.34-10.52) or other methods (AOR = 9.75, 95% CI = 2.07-9.86).
The rate of consistent condom use in romantic relationships among unmarried FEWs in this study is considerably low. The importance of consistent condom use with regular, non-commercial partners should be emphasized in the education sessions and materials, particularly for FEWs who use non-barrier contraceptive methods.
尽管在促进商业关系中使用避孕套方面取得了成功，但柬埔寨关键人群中与固定的非商业性伴侣使用避孕套的比例仍然很低。本研究探讨了未婚性活跃女性娱乐工作者（FEWs）与恋人使用避孕套不一致的相关因素。
2014年，采用按规模大小成比例的概率抽样方法，从金边和暹粒的娱乐场所随机抽取204名女性娱乐工作者进行面对面访谈。进行多因素逻辑回归分析，以检验避孕套使用不一致的独立决定因素。
总体而言，31.4%的受访者报告在过去三个月中与恋人始终坚持使用避孕套。调整后，报告与恋人使用避孕套不一致的受访者接受任何形式性与生殖健康教育的可能性仍然显著较低（调整后比值比[AOR]=0.49，95%置信区间[CI]=0.22-0.99），但在过去六个月中接受HIV检测的可能性更高（AOR=2.19，95%CI=1.03-4.65）。她们报告在过去三个月中饮酒量较高的可能性显著更高（AOR=1.29，95%CI=1.01-1.99），且目前使用除避孕套以外的其他避孕方法（如避孕药）（AOR=4.46，95%CI=1.34-10.52）或其他方法（AOR=9.75，95%CI=2.07-9.86）的可能性也显著更高。
本研究中未婚女性娱乐工作者在恋爱关系中始终坚持使用避孕套的比例相当低。在教育课程和材料中应强调与固定的非商业性伴侣始终坚持使用避孕套的重要性，特别是对于使用非屏障避孕方法的女性娱乐工作者。
