摘要
[目的]了解上海市长宁区娱乐场所女性服务人员(female entertainment workers,FEWs)性病检查就医行为及其影响因素。[方法]对辖区内所有涉及性服务的娱乐场所进行分类后,按项目要求调查对象来自大型(女性服务人员数50人以上)和小型场所(女性服务人员数少于10人)的比例应为3:7左右,从大型场所中随机抽取了2家,小场所28家为调查场所,对其中涉及性服务并取得知情同意的125名女性服务人员开展面对面一对一问卷调查。[结果]娱乐场所女性服务人员以中青年为主;月均收入≥5000元人民币者占55.2%,但抚养人数较多,每人平均需抚养(2.06±1.39)人;FEWs每周性服务次数频繁,平均(12.71±8.90)人次。在过去一个月里33.6%的受访者有性病相关主诉,且大小场所主诉情况差异有统计学意义(P<0.05)。较高收入组有性病相关主诉者曾行性病检查的比例高于较低收入者。从就医情况看,74.4%的受访者表示目前没有就诊需求,受访者中选择综合性医院进行性病检查和就医的比例最高。与性病检查相关的影响因素为每周性服务次数和收入情况,每周性服务客人数越多的受访者和收入高的受访者进行性病检查的比例更高。[结论]涉及性服务的FEWs性病检查比例较低,每周性服务嫖客数及收入情况是影响性病检测行为的影响因素,FEWs性病检查就医意愿有待提高。
[Objective] To profile the sexually transmitted diseases（STD） testing behaviors of female entertainment workers（FEWs） in Changning District of Shanghai and study its influencing factors.[Methods] After investigation,2 large-scale（with more than 50 FEWs） and 28 small-scale（with less than 10 FEWs） entertainment venues in Changning District of Shanghai were selected,for this project required the proportion of interviewees from large and small venues should be around 3 ： 7.Then a face-to-face survey was conducted among 125 FEWs there who were involved in sexual services with informed consent signed.[Results] The majority of these interviewees were in young age.Although 55.2% of them earned more than 5000 Yuan per month,they still had heavy burden because they had to financially support（2.06±1.39） persons on average.They provided sexual services quite often,（12.71±8.90） times per week on average.In the past one month,33.6% interviewees had STD related complaints,and the rate of STD related complaints were statistically different between large and small venues（P0.05）.More interviewees with STD complaints in the higher income group had STD checks than those in the lower income group.In respect of seeking medical advice,74.4% interviewees thought they had no medical needs at the moment,and general hospitals were the most popular one when they had such needs.The study found that the more frequently sexual services they provided and the higher income they earned,the higher rate of STD checks they would have.[Conclusion] The rate of STD checks among FEWs are still low,and the main influencing factors of which are the number of clients and income.Their awareness of seeking STD checks and advice needs to be raised.
出处
《环境与职业医学》
CAS
北大核心
2011年第11期723-725,共3页
Journal of Environmental and Occupational Medicine
基金
中国-加拿大艾滋病合作项目(编号:103460-045)
关键词
娱乐场所服务人员
性病检查
就医行为
影响因素
female entertainment workers
STD test
seeking medical advice
influencing factors
