澳大利亚墨尔本女性性工作者的性行为：2017-18 年匿名横断面问卷调查研究。

Sexual practices of female sex workers in Melbourne, Australia: an anonymous cross-sectional questionnaire study in 2017-18.

机构信息

Melbourne Sexual Health Centre, Alfred Health, 580 Swanston Street, Carlton, Vic. 3053, Australia; and Central Clinical School, Monash University, 99 Commercial Road, Melbourne, Vic. 3004, Australia.

The Kirby Institute, UNSW Sydney, High Street, Kensington, NSW 2052, Australia; and Sydney Sexual Health Centre, Sydney Hospital, 8 Macquarie Street, Sydney, NSW 2000, Australia.

出版信息

Sex Health. 2020 Feb;17(1):53-60. doi: 10.1071/SH19037.

DOI:10.1071/SH19037

PMID:31928612

Abstract

UNLABELLED

Background Sexually transmissible infections (STIs) are rising among female sex workers (FSW) in Australia. The rise might be explained by changes in sexual practices; however, there is limited behavioural data available. This study aimed to explore the current sexual practices among FSW in Melbourne.

METHODS

This cross-sectional study was conducted among FSW at Melbourne Sexual Health Centre between September 2017 and March 2018. Participants were asked about current sexual practices with male clients in an average working week. The frequency and proportion of each sexual practice was calculated.

RESULTS

There were 180 questionnaires included in the analysis. The median age of the FSW was 28 years (interquartile range [IQR]: 25-34). Most FSW (80.6%) worked in brothels. In an average working week, FSW had a median of 10 (IQR: 7-20) male clients. The most common sexual practices included: vaginal sex (98.3%), fellatio (97.2%), cunnilingus (92.2%) and tongue-kissing (83.7%). FSW had a median number of 10 (IQR: 6-18) vaginal, 10 (IQR: 5-18) fellatio, 7 (IQR: 2-10) cunnilingus and 6 (IQR: 2-10) tongue-kissing clients. Consistent condom use with all clients was highest for vaginal sex (97.1%), followed by anal sex (92.3%), then fellatio (78.9%). Only 3.1% used dental dams consistently for cunnilingus.

CONCLUSION

Consistent condom use with all clients was high among FSWs, especially for vaginal and anal sex. However, one-fifth of FSW had condomless fellatio during an average working week. Tongue-kissing was more common than previously published. Peer-led sexual health education on safe sex practice for FSW is of high importance.

摘要

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背景性传播感染（STIs）在澳大利亚的性工作者（FSW）中呈上升趋势。这种上升可能可以通过性行为的变化来解释；然而，现有的行为数据有限。本研究旨在探索墨尔本 FSW 当前的性实践。

方法这项横断面研究于 2017 年 9 月至 2018 年 3 月在墨尔本性健康中心对 FSW 进行。参与者被问及在平均工作周内与男性客户的当前性行为。计算了每种性行为的频率和比例。

结果共有 180 份问卷纳入分析。FSW 的中位年龄为 28 岁（四分位距 [IQR]：25-34）。大多数 FSW（80.6%）在妓院工作。在平均工作周内，FSW 有中位数为 10（IQR：7-20）名男性客户。最常见的性行为包括：阴道性交（98.3%）、口交（97.2%）、舔阴（92.2%）和舌吻（83.7%）。FSW 有中位数为 10（IQR：6-18）名阴道、10（IQR：5-18）名口交、7（IQR：2-10）名舔阴和 6（IQR：2-10）名舌吻客户。所有客户均坚持使用避孕套进行阴道性交的比例最高（97.1%），其次是肛交（92.3%），然后是口交（78.9%）。只有 3.1%的人在平均工作周内始终使用牙坝进行舔阴。

结论在 FSW 中，与所有客户坚持使用避孕套的比例很高，尤其是在阴道和肛交中。然而，五分之一的 FSW 在平均工作周内无套口交。舌吻比以前发表的更常见。针对 FSW 的安全性行为的同行主导的性健康教育非常重要。