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

10.6288/TJPH2010-29-06-07

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

預測因子 ； 保險套使用 ； 性工作者 ； 盛行率 ； predictors ； condom use ； sex workers ； prevalence

台灣公共衛生雜誌

29卷6期（2010 / 12 / 01）

528 - 537

英文

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。

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.

1. 姚克武、韓文蕙、徐玉珍、謝佳蓉、張珏(2010)。由公共衛生的觀點看妓權。女學學誌，26，34-59。
   連結：
2. Albert, A.E.,Warner, D.L.,Hatcher, R.A.,Trussell, J.,Bennett, C.(1995).Condom use among female commercial sex workers in Nevada's legal brothels.Am J Public Health,85,1514-1520.
3. Chen, M.Y.,Hung, C.C.,Fang, C.T.,Hsieh, S.M.(2001).Reconstituted immunity against persistent parvovirus B19 infection in a patient with acquired immunodeficiency syndrome after highly active antiretroviral therapy.Clin Infect Dis,32,1361-1365.
4. Chen, S.C.,Wang, S.T.,Chen, K.T.(2006).Analysis of the influence of therapy and viral suppression on highrisk sexual behaviour and sexually transmitted infections among patients infected with human immunodeficiency virus in Taiwan.Clin Microbiol Infect,12,660-665.
5. Chen, Y.M.,Chang, L.Y.,Jen, I.,Fu, C.Y.,Chou, P.(1997).A survey of knowledge, attitudes, and practices concerning AIDS among female sex workers from massage parlors in Taiwan.Taiwan J Public Health,16,37-51.
6. Chen, Y.M.,Yu, P.S.,Lin, C.C.(1998).Jen I. Surveys of HIV-1, HTLV-I, and other sexually transmitted diseases in female sex workers in Taipei City, Taiwan, from 1993 to 1996.J Acquir Immune Defic Syndr Hum Retrovirol,18,299-303.
7. Coughlan, E.,Mindel, A.,Estcourt, C.S.(2001).Male clients of female commercial sex workers: HIV, STDs and risk behaviour.Int J STD AIDS,12,665-669.
8. Cwikel, J.G.,Lazer, T.,Press, F.,Lazer, S.(2008).Sexually transmissible infections among female sex workers: an international review with an emphasis on hard-to-access populations.Sex Health,5,9-16.
9. Day, S.,Ward, H.(1997).Sex workers and the control of sexually transmitted disease.Genitourin Med,73,161-8.
10. Egger, M.,Pauw, J.,Lopatatzidis, A.,Medrano, D.,Paccaud, F.,Smith, G.D.(2000).Promotion of condom use in a high-risk setting in Nicaragua: a randomized controlled trial.Lancet,355,2101-2105.
11. Ford, K.,Wirawan, D.N.,Fajans, P.(1998).Factors related to condom use among four groups of female sex workers in Bali.AIDS Educ Prev,10,34-45.
12. Fox, J.,Tideman, R.L.,Gilmour, S.,Marks, C.,van Beek, I.,Mindel. A.(2006).Sex work practices and condom use in female sex workers in Sydney.Int J STD AIDS,17,319-323.
13. Ghys, P.D.,Jenkins, C.,Pisani, E.(2001).HIV surveillance among female sex workers.AIDS,15(suppl 3),S33-40.
14. Hanenberg, R.S.,Rojanapithayakorn, W.,Kunasol, P.,Sokal, D.C.(1994).Impact of Thailand's HIV-control programme as indicated by the decline of sexually transmitted diseases.Lancet,344,243-245.
15. Hung, C.C.,Chen, M.Y.,Hsiao, C.F.,Hsieh, S.M.,Sheng, W.H.,Chang, S.C.(2003).Improved outcomes of HIV-1-infected adults with tuberculosis in the era of highly active antiretroviral therapy.AIDS,17,2615-2622.
16. Kerrigan, D.,Ellen, J.M.,Moreno, L.(2003).Environmental-structural factors significantly associated with consistent condom use among female sex workers in the Dominican Republic.AIDS,17,415-423.
17. Leigh, B.C.(2002).Alcohol and condom use: a meta-analysis of event-level studies.Sex Transm Dis,29,476-482.
18. Ma, S.,Dukers, N.H.,van den Hoek, A.(2002).Decreasing STD incidence and increasing condom use among Chinese sex workers following a short term intervention: a prospective cohort study.Sex Transm Infect,78,110-114.
19. Meekers, D.,Klein, M.(2002).Understanding gender differences in condom use self-efficacy among youth in urban Cameroon.AIDS Educ Prev,14,62-72.
20. Nelson, K.E.,Celentano, D.D.,Eiumtrakol, S.(1996).Changes in sexual behavior and a decline in HIV infection among young men in Thailand.N Engl J Med,335,297-303.
21. Oladosu, M.(2005).Consistent condom use dynamics among sex workers in Central America: 1997-2000.J Biosoc Sci,37,435-457.
22. Rahman, M.,Wali-ul Islam, M.,Fukui, T.(1998).Knowledge and practices about HIV/AIDS among the commercial sex workers in Bangladesh.J Epidemiol,8,181-183.
23. Rojanapithayakorn, W.,Hanenberg, R.(1996).The 100% condom program in Thailand.AIDS,10,1-7.
24. Sheeran, P.,Taylor, S.(1999).Predicting intentions to use condoms: a meta-analysis and comparison of the theories of reasoned action and planned behaviour.J Appl Soc Psychol,29,1624-1675.
25. Thuy, N.T.,Nhung, V.T.,Thuc, N.V.,Lien, T.X.,Khiem, H.B.(1998).HIV infection and risk factors among female sex workers in southern Vietnam.AIDS,12,425-432.
26. Todd, C.S.,Alibayeva, G.,Khakimov, M.M.,Sanchez, J.L.,Bautista, C.T.,Earhart, K.C.(2007).Prevalence and correlates of condom use and HIV testing among female sex workers in Tashkent, Uzbekistan: implications for HIV transmission.AIDS Behav,11,435-442.
27. Vanwesenbeeck, I.,de Graaf, R.,van Zessen, G.,Straver, C.J.,Visser, J.H.(1995).Professional HIV risk taking, levels of victimization, and well-being in female prostitutes in The Netherlands.Arch Sex Behav,24,503-515.
28. Wong, K.H.,Lee, S.S.,Lo, Y.C.,Lo, K.K.(1994).Condom use among female commercial sex workers and male clients in Hong Kong.Int J STD AIDS,5,287-289.
29. Wong, M.L.,Chan, R.K.,Chua, W.L.,Wee, S.(1999).Sexually transmitted diseases and condom use among female freelance and brothel-based sex workers in Singapore.Sex Transm Dis,26,593-600.
30. 何銘隆、吳唯雅、顏啟華、陳俊傑、李孟智(2004)。台中地區從事性工作青少女之性傳染病調查。台灣家庭醫學研究，2，31-37。
31. 林宜慧(2009)。2008年台灣愛滋新聞報導精要分析。疫情報導，25，179-188。