Ma Qiaoqin, Jiang Jianmin, Pan Xiaohong, Cai Gaofen, Wang Hui, Zhou Xin, Jiang Tingting, Chen Lin
Zhejiang Provincial Center for Disease Control and Prevention, No.3399, Binsheng Road, Hangzhou, 310051, China.
BMC Public Health. 2017 Nov 28;17(1):910. doi: 10.1186/s12889-017-4891-6.
This study investigated condom use among female sex workers (FSWs) at hair salons during commercial sexual interactions over 1 month. We explored the associations of such use with various sexual behaviours, HIV/STI risk perception and related knowledge, self-efficacy regarding condom use, exposure to behavioural interventions, and other factors. This type of information has not been reported in China and is critical for designing and modifying programs aimed at preventing HIV/STI transmission in this group of FSWs and their clients.
Our data were derived from a large cross-sectional study conducted among low-tier FSWs in 21 counties within Zhejiang province, China. Data were collected from September to November 2013.Bivariable and multiple logistic regression analyses were used to identify factors associated with self-reported consistent condom use among FSWs working at hair salons.
Of 1682 FSWs working at hair salons, 50.5% consistently used condom with clients during the previous month. Multivariable analysis revealed that condom use for commercial sex, consistent vaginal douching after commercial sex, adopting contraceptive measures, high scores on perceived self-efficacy regarding condom use, and exposure to interventions were associated with self-reported consistent condom use; early initiation of commercial sex, experiences with oral sex, rarely/sometimes/often using oral contraceptives, and having seen a doctor were associated with not using condoms.
Commercial sex is not effectively protected, and behavioural interventions targeting FSWs should take into account the various factors that are correlated to condom use.
本研究调查了美发店女性性工作者（FSW）在1个月内商业性接触期间的避孕套使用情况。我们探讨了这种使用与各种性行为、艾滋病毒/性传播感染风险认知及相关知识、避孕套使用的自我效能感、行为干预暴露情况以及其他因素之间的关联。此类信息在中国尚未见报道，对于设计和修改旨在预防该类女性性工作者及其客户中艾滋病毒/性传播感染传播的项目至关重要。
我们的数据来自于在中国浙江省21个县对低层次女性性工作者开展的一项大型横断面研究。数据收集于2013年9月至11月。采用双变量和多因素逻辑回归分析来确定在美发店工作的女性性工作者中与自我报告的始终坚持使用避孕套相关的因素。
在1682名美发店女性性工作者中，50.5%在上个月与客户发生性行为时始终使用避孕套。多因素分析显示，商业性行为中使用避孕套、商业性行为后始终进行阴道灌洗、采取避孕措施、在避孕套使用方面的自我效能感得分高以及接受干预与自我报告的始终坚持使用避孕套相关；过早开始商业性行为、有口交经历、很少/有时/经常使用口服避孕药以及看过医生与不使用避孕套相关。
商业性行为未得到有效保护，针对女性性工作者的行为干预应考虑到与避孕套使用相关的各种因素。
