Prevalence of and Predictors for Consistent Condom Use among Female Sex Workers in Hsinchu City, Taiwan

台灣新竹市女性性工作者持續使用保險套的盛行率和預測因子

徐玉珍(Yu-Chen Hsu) ； 韓文蕙(Wen-Hui Han) ； 李中一(Chung-Yi Li) ； 何秀玉(Hsiu-Yu Ho)

《台灣公共衛生雜誌》 29卷6期 (2010/12) Pp. 528-537

https://doi.org/10.6288/TJPH2010-29-06-07

摘要

目標：本研究目的在於探討台灣新竹市女性性工作者持續使用保險套的盛行率和預測因子。方法：於2006年七月至十月間，利用橫斷式調查研究法，取得155名新竹市女性性工作者問春資料，再以描述性統計、卡方檢定或費雪爾正確概率檢定和邏輯斯迴歸分析該等研究資料。結果：本研究參與者中有63%有持續使用保險套的行為；傾向持續使用保險套者分別是：少喝酒者、知道使用保險套好處者、對於保險套使用覺得不會減少做愛情趣者，或有正確保險套使用技巧者；進一步複邏輯斯回歸分析顯示：「良好的保險套使用技巧」以及「不覺得使用保險套會降低樂趣」兩因素與「持續使用保險套」有顯著的正相關性。結論：本研究發現女性性工作者持續使用保險套行為的盛行率應該要進一步被提昇；而本研究的數據發現是否能外推至本國其他城市也需要進一步被驗證。作者也建議應針對此特定族群進行保險套使用技巧之教育介入。

關鍵字

預測因子 ； 保險套使用 ； 性工作者 ； 盛行率

並列摘要

Objectives: The aims of the study were to explore the prevalence of and predictors for consistent condom use (CCU) among female sex workers (FSWs) in Hsinchu City, Taiwan. Methods: Between July and October 2006, a cross-sectional survey was conducted with 155 FSWs. Descriptive analyses, Chi-square or Fisher's exact tests, and logistic regression analysis were used to analyze the data. Results: CCU was reported by 63% of the study participants. Those who consumed less alcohol, knew the benefits of condom use, perceived no reduction in pleasure with condom use, or had good condom use skills tended to be consistent condom users. Further multiple logistic regression analysis revealed that good condom use skills (OR 14.80; CI 2.85-76.91; p=0.001) and the perception that there was no reduction in pleasure with condom use (OR 7.41; CI 1.14-48.24; p=0.036) were significantly and positively associated with CCU. Conclusions: The prevalence of CCU needs to be enhanced among FSWs. Whether the findings from the participating city can be generalized to other cities of the nation requires further investigation. We also suggest educating FSWs in good condom use skills.

並列關鍵字

predictors ； condom use ； sex workers ； prevalence

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