- 期刊
影響遠洋漁船船員之嫖妓行為及梅毒抗體感染之因素分析
The Analysis of Factors Affecting the Sexual Behavior and Antibody Against Syphilis of Deep Sea Fishermen
摘要
妓女主要為性傳染病的傳染源，嫖客則為傳播者，為防止此類傳染病的感染，妓女於接客時要求使用用保險套則不失為有效的保護措施。遠洋漁船船員經年累月停留在海上，這些船隻一靠岸，某些船員可能去嫖妓，所以本研究以此族群為研究的對象，來探討影響嫖妓行為素，及保險套的使用情形。 從民國八十年一月至同年六月於高雄港口共收集859位本國籍船員，其中曾經嫖妓者有628位(73.1%)，而以山地原住民最高(83.8%)，平地原住民最低(68.3%)，但經對數迴歸調整後，影響嫖妓行為的因素主要有婚姻、教育程度、抽菸及喝酒等習慣。在這628位嫖妓者中(其中四位資料不全)，其保險套的使用頻率，若不分族別，都有使用者有100位(16.0%)，時用時不用者有110位(17.6%)，未曾使用保險套者有414位(66.4%)。在族別上，山地原住民有91.1%(113/124)於嫖妓時未使用保險套，佔最高比率，平地原住民及非原住民分別有84.0%、81.8%於嫖妓時未使用保險套；在教育程度方面，教育年數9年以下者(含9年)，經常使用保險套者14.7%，教育年數9年以上者則為24.4%，經對數迴歸調整後，保險套的使用情形與種族及教育程度在統計上仍有顯著性的差異。 本研究並未發現感染梅毒抗體與嫖妓行為、保險套的使用有直接相關。
關鍵字
無資料並列摘要
Prostitutes may be regarded as the re-servoir of sexual transmitted diseases and their customers as the transmitters. The use of con-dom for sexual intercourse with prostitutes is an effective way of preventing sexually trans-mitted infections. Deep sea fishermen usually spend a long period of time sailing the oceans, and many have contacts with prostitutes when their boat stays in harbor. This is a study of the factors which affect the fishermen who are cus-tomers of prostitutes and condom using. In all 859 Taiwanese deep sea fishermen were interviewed and samples of their blood se-rum were collected between January and June of 1991. Of the interviewees, 628 (73.1%) used at one time the services of a prostitute; 84% of aborigines from reserved areas and 68% of aborigines from non-reserved areas. The fac-tors which were found to be related to a sailor’s tendency to become the customer of a pros-titute after adjustments in logistic regressions were marital status, educational level, tobacco smoking and alcohol consumption. Of the 628 men 100 claimed to use condoms always, 110 sometimes and the remaining 414 men never. The vast majority of aborigines from reserved areas (113/124; 91.1%) never used condoms as compared with 84.0% of aborigines from non-reserved areas and 81.8% of non-aborigines (in-cluded Hakka). As might be expected, the lesser educate as well as the aborigines from reserved areas use condoms the least frequently.