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目的了解FCSW的地理网络特征,为艾滋病行为干预提供新的依据。方法某县123名FCSW接受了“以个人为中心”的社会网络以及地理网络调查。结果调查对象53.66%为该市其他地区居民,61.71%在该县居住时间在6个月以内。最近1月,商业性行为和非商业行为中安全套坚持使用率分别为17.39%和56.10%(P<0.05)。网络成员以暗娼为主(28.21%),无医务人员,教师也仅占0.57%。45.89%调查对象会与其网络成员聊一些很私密/敏感的话题。54.81%的调查对象会向其网络成员介绍生殖健康知识,反之为55.94%。61.48%和54.10%的FCSW愿意在诊所和药店接受干预服务。38.21%和60.98%的FCSW最近1月空闲时间常去诊所和药店。结论 FCSW流动性较大,针对FCSW的干预应依据地理网络特征,选择娱乐场所较为集中区域的诊所,作为干预场所,以保护“生殖健康”作为切入点进行干预,干预者应具备FCSW社会网络成员的重要特征。选择流动性小、相对固定的FCSW作为同伴教育者。
Objective To understand the geographical network characteristics of FCSW and provide a new basis for AIDS behavioral intervention. Methods 123 FCSWs in a county accepted a social network of “individual-centered” as well as a geographic network survey. Results 53.66% of respondents were residents in other areas of the city, 61.71% lived in the county within 6 months. In recent January, the prevalence rates of condom use in commercial and non-commercial activities were 17.39% and 56.10%, respectively (P <0.05). The main members of the network are female sex workers (28.21%), with no medical staff and teachers only accounting for 0.57%. 45.89% The respondents would talk to their members about some very private / sensitive topics. 54.81% of the respondents introduced their members to reproductive health knowledge, on the contrary, 55.94%. 61.48% and 54.10% of FCSWs are willing to accept intervention services in clinics and pharmacies. 38.21% and 60.98% of the FCSW went to clinics and pharmacies during the most recent January free time. Conclusion The FCSW is more fluid and the FCSW intervention should be based on the characteristics of geographical network, choose clinics with more concentrated entertainment venues as intervention sites, and protect “reproductive health ” as the starting point for intervention. Intervention should have FCSW community An important feature of network members. Choose a small, relatively fixed FCSW as a peer educator.