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目的了解吸毒严重地区暗娼接受过HIV自愿检测情况和检测结果告知意愿及影响因素。方法于2004年12月-2005年1月在四川省西昌市从社区中招募暗娼,调查其社会人口学、高危行为特征、接受过HIV自愿检测情况和检测结果告知配偶或固定性伴的意愿情况。结果19.8%(68/343)的暗娼接受过HIV自愿检测,多因素Logistic回归模型分析结果显示:参加过艾滋病防治项目(OR=3.59;95%CI:1.98~6.52)、农村户口(OR=0.50;95%CI:0.28~0.90)和近1个月与客人100%使用安全套(OR=3.06;95%CI:1.66~5.61)与暗娼接受过HIV自愿检测的关系有统计学意义。62.2%(130/209)的暗娼愿意将HIV检测结果告知配偶或固定性伴,多因素Logistic回归模型分析结果显示:接受过HIV自愿检测(OR=2.54;95%CI:1.13~5.71)、每月与客人性交次数<15次(OR=1.90;95%CI:1.05~3.43)和汉族(OR=3.10;95%CI:1.16~8.27)与暗娼HIV检测结果告知意愿的关系有统计学意义。结论暗娼HIV自愿检测率低,需开展健康教育与干预活动来提高其HIV自愿检测以及接受检测结果告知意愿。
Objective To understand voluntary consent of female sex workers in HIV-infected areas and their willingness and influencing factors. Methods From December 2004 to January 2005, commercial sex workers were recruited from the community in Xichang, Sichuan Province to investigate their socio-demography, characteristics of high-risk behaviors, voluntary HIV testing and test results to inform their spouses or regular partners . Results A total of 19.8% (68/343) of FSWs had HIV voluntary testing. Multivariate logistic regression analysis showed that HIV / AIDS patients had participated in HIV / AIDS prevention and control programs (OR = 3.59; 95% CI: 1.98-6.52) ; 95% CI: 0.28 ~ 0.90), and 100% condom use (OR = 3.06; 95% CI: 1.66 ~ 5.61) with the clients in the past month had statistically significant relationship with the voluntary testing of HIV for the sex workers. 62.2% (130/209) of female sex workers would like to inform the spouses or the fixed partners of HIV test results. The multivariate Logistic regression model analysis showed that: HIV voluntary testing (OR = 2.54; 95% CI: 1.13-5.71) There was a significant relationship between the number of sexual intercourse with the clients <15 times (OR = 1.90; 95% CI: 1.05 ~ 3.43) and Han (OR = 3.10; 95% CI: 1.16 ~ 8.27) CONCLUSIONS The voluntary detection rate of HIV-infected sex workers is low. Health education and interventions are required to increase the willingness of HIV voluntary testing and acceptance of test results.