宾馆入住客人性行为安全套使用情况调查
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摘要
目的了解杭州市宾馆内性行为和安全套的使用情况,为宾馆推广免费安全套工程提供依据。方法采用分层随机抽样的方法,抽取杭州市84家宾馆,于2018年1月对宾馆正式入住的551名客人进行匿名自填问卷调查,采用logistic回归进行入住客人安全套使用情况的影响因素分析。结果有237人(占43.01%)在宾馆房间内发生过性行为,只有63人(占26.58%)每次都使用安全套。最近1次性行为对象为临时性伴(非配偶和男女朋友)的比例达15.19%,多因素logistic回归分析显示男性(OR=1.967,95%CI=1.072～3.609)、年龄在26～35岁之间(OR=3.131,95%CI=1.267～7.736)、性伴类型为男/女朋友(OR=3.304,95%CI=1.547～7.056)、艾滋病知识知晓(OR=2.000,95%CI=1.048～3.818)是最近1次性行为使用安全套的促进因素。结论杭州市宾馆入住客人艾滋病知识知晓率较低和安全套使用率较低,应持续加强宾馆入住客人艾滋病相关知识宣传。
Objective To investigate sexual behavior and condom use among hotel lodgers in Hangzhou, and thus to provide scientific evidence for the policy of providing free condoms for hotel lodgers. Methods Using the method of stratified random sampling, 84 hotels were recruited. In Jan 2018, 551 hotel lodgers answered our questionnaire anonymously, and we used logistic regression to analyze the influence factors of condom usage. Results 237 participants reported sex behavior in hotel room and 26.58% of them used condom consistently. 15.19% of them had sex with temporary partners in the last sex behavior. Multivariate logistic regression analysis showed that males(OR=1.967, 95% CI=1.072-3.609), aged between 26-35 years(OR=3.131, 95% CI=1.267-7.736), boy/girlfriend sex partners(OR=3.304, 95% CI=1.547-7.056) and with AIDS knowledge(OR=2.000, 95% CI=1.048-3.818) had higher proportion of condom use for the most recent sexual activity. Conclusion The awareness rate of AIDS knowledge and proportion of condom use is low among hotel lodgers in Hangzhou. AIDS-related knowledge promotion should be continuously strengthened in hotel guests.
Objective To investigate sexual behavior and condom use among hotel lodgers in Hangzhou, and thus to provide scientific evidence for the policy of providing free condoms for hotel lodgers. Methods Using the method of stratified random sampling, 84 hotels were recruited. In Jan 2018, 551 hotel lodgers answered our questionnaire anonymously, and we used logistic regression to analyze the influence factors of condom usage. Results 237 participants reported sex behavior in hotel room and 26.58% of them used condom consistently. 15.19% of them had sex with temporary partners in the last sex behavior. Multivariate logistic regression analysis showed that males(OR=1.967, 95% CI=1.072-3.609), aged between 26-35 years(OR=3.131, 95% CI=1.267-7.736), boy/girlfriend sex partners(OR=3.304, 95% CI=1.547-7.056) and with AIDS knowledge(OR=2.000, 95% CI=1.048-3.818) had higher proportion of condom use for the most recent sexual activity. Conclusion The awareness rate of AIDS knowledge and proportion of condom use is low among hotel lodgers in Hangzhou. AIDS-related knowledge promotion should be continuously strengthened in hotel guests.
引文
[1]豆正东,方艳姣,芮蓓.2011-2015年芜湖市男男性行为人群安全套使用状况及影响因素分析[J].中华疾病控制杂志,2018,22(3):254-257, 286.
[2]严丽英,许亚平,沈云良,等.女性性工作者艾滋病知识和行为干预效果[J].浙江预防医学,2010,22(7):90-91, 95.
[3]郭伟,孟晓军,蔡勇,等.吉林省2010—2015年青年学生艾滋病知识知晓及性行为状况[J].中国学校卫生,2017,(12):1891-1893.
[4]胡健,雷世光.边远民族地区流动人口安全套使用及相关因素[J].现代预防医学,2014,41(20):3708-3711.
[5]郝瑞岗.太原市不同人群艾滋病知识、行为、态度调查分析[D].太原:山西医科大学,2011.
[6]黄正林,秦侠,胡志.宾馆行业利用安全套预防HIV/AIDS现状[J].中国社会医学杂志,2007,(1):62-64.
[7]丛黎明,潘晓红,陈琳,等.宾(旅)馆入住者性行为发生及安全套使用影响因素分析[J].中国预防医学杂志,2010,(12):1243-1245.
[8]曾祥,窦倩如,鲍宇刚,等.方便提供安全套对预防HIV经性传播的效果研究[J].中华疾病控制杂志,2016,(12):1244-1248.
[9] O'Neal JD, Berteau LC. Revitalizing condom-centered HIV prevention strategies[J]. Current HIV/AIDS Reports, 2015, 12(1):139-144.
[10] Chamratrithirong A, Kaiser P. The dynamics of condom use with regular and casual partners:analysis of the 2006 National sexual behavior survey of Thailand[J]. PLOS One, 2012, 7(7):e42009.
[11]吴尊友.艾滋病危险行为与行为干预[J].中华流行病学杂志,2001,(5):7-8.
[12]孙红敏,张茜,范引光,等.安徽省HIV感染未治疗者安全套使用情况及影响因素研究[J].中华疾病控制杂志,2014,18(12):1195-1198.
[13]吴亚平,周曾娣,彭林,等.在预防AIDS/STD中影响安全套推广使用的相关因素分析[J].中国艾滋病性病,2005,(6):418-420.
[14]潘先海,何启亚,黄好壮,等.海南省STD/AIDS防治行为干预研究[J].中国公共卫生,2000,(8):87-88.
[15]孙晓云,于建平,李民,等.北京市西城区旅店业安全套推广模式探讨[J].中国预防医学杂志,2011,(3):288-289.
[2]严丽英,许亚平,沈云良,等.女性性工作者艾滋病知识和行为干预效果[J].浙江预防医学,2010,22(7):90-91, 95.
[3]郭伟,孟晓军,蔡勇,等.吉林省2010—2015年青年学生艾滋病知识知晓及性行为状况[J].中国学校卫生,2017,(12):1891-1893.
[4]胡健,雷世光.边远民族地区流动人口安全套使用及相关因素[J].现代预防医学,2014,41(20):3708-3711.
[5]郝瑞岗.太原市不同人群艾滋病知识、行为、态度调查分析[D].太原:山西医科大学,2011.
[6]黄正林,秦侠,胡志.宾馆行业利用安全套预防HIV/AIDS现状[J].中国社会医学杂志,2007,(1):62-64.
[7]丛黎明,潘晓红,陈琳,等.宾(旅)馆入住者性行为发生及安全套使用影响因素分析[J].中国预防医学杂志,2010,(12):1243-1245.
[8]曾祥,窦倩如,鲍宇刚,等.方便提供安全套对预防HIV经性传播的效果研究[J].中华疾病控制杂志,2016,(12):1244-1248.
[9] O'Neal JD, Berteau LC. Revitalizing condom-centered HIV prevention strategies[J]. Current HIV/AIDS Reports, 2015, 12(1):139-144.
[10] Chamratrithirong A, Kaiser P. The dynamics of condom use with regular and casual partners:analysis of the 2006 National sexual behavior survey of Thailand[J]. PLOS One, 2012, 7(7):e42009.
[11]吴尊友.艾滋病危险行为与行为干预[J].中华流行病学杂志,2001,(5):7-8.
[12]孙红敏,张茜,范引光,等.安徽省HIV感染未治疗者安全套使用情况及影响因素研究[J].中华疾病控制杂志,2014,18(12):1195-1198.
[13]吴亚平,周曾娣,彭林,等.在预防AIDS/STD中影响安全套推广使用的相关因素分析[J].中国艾滋病性病,2005,(6):418-420.
[14]潘先海,何启亚,黄好壮,等.海南省STD/AIDS防治行为干预研究[J].中国公共卫生,2000,(8):87-88.
[15]孙晓云,于建平,李民,等.北京市西城区旅店业安全套推广模式探讨[J].中国预防医学杂志,2011,(3):288-289.