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引文資料
題名:
臺灣北部地區色情三溫暖之女性性工作者對愛滋病的知識、態度及相關行為之研究
書刊名:
中華公共衛生雜誌
作者:
陳宜民
/
張麗雅
/
任一安
/
傅瓊瑤
/
周碧瑟
作者(外文):
Cheng, Yi-ming A.
/
Chang, Li-ya
/
Jen, Ian
/
Fu, Chong-yau
/
Chou, Pesus
出版日期:
1997
卷期:
16:1
頁次:
頁37-51
主題關鍵詞:
後天免疫缺乏症候群
;
人類免疫不全病毒
;
知識態度行為研究
;
女性性工作者
;
Acquired immunodeficiency syndrome
;
AIDS
;
Human immunodeficiency virus
;
KAP study
;
Female sex worker
原始連結:
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相關次數:
被引用次數:期刊(
5
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
5
共同引用:0
點閱:21
性工作者是感染人類免疫不全病毒(簡稱愛滋病病毒)的高危險群之一。而其中 無執照的非法女性性工作者常成為愛滋病防治上的死角。本研究乃針對在臺北市、臺北縣及 桃園縣五家色情三溫暖工作的 139 位女性性工作者, 調查其感染愛滋病病毒第一型、第二 型與梅毒的情形,以及其對愛滋病的知識、態度與相關行為。結果發現研究對象無人感染愛 滋病病毒,但有四人( 2.9% )血清梅毒抗體呈陽性反應。在人口學特性方面,40% 的研究 對象年齡介於 30 ∼ 34 歲之間;65% 的教育程度在高職以上;29% 已婚;23% 離婚。 整體而言,女性性工作者對愛滋病的傳染途徑較為瞭解,對不會傳染愛滋病的知識則較為缺 乏。在對愛滋病的態度三成份方面,認知態度較偏正向;情感方面,害怕感染愛滋病的態度 則視不同情況而有所差異;行為意向方面,則屬中間偏正向的態度。態度三成份之間以情感 與意向的相關最強,認知意向的相關最弱。在愛滋病的相關行為方面,研究對象平均每月工 作 22 天,74% 平均一天接客 4 ∼ 6 人,60% 曾接過外國顧客。 此外,只有 42% 女性性 工作者會要求其男友或先生完全使用保險套,顯著低於其與一般顧客之完全使用保險套的比 率( 94% )。值得注意的是,32% 與其男友或先生性交時從未使用過保險套。有 25% 曾經 使用過鎮靜劑、安眠藥或靜脈注射麻醉藥品;76% 曾接受過愛滋病毒血液抗體檢查。 在愛滋病的知識、態度及行為三者的相關性方面,愛滋病的知識與整體態度呈正向的關係, 尤其是不會傳染愛滋病途徑的知識得分與對愛滋病在認知方面的態度呈有意義的相關。但研 究對象的知識得分與其性對象的保險套使用率則呈負相關,尤其是與男友或先生性交的保險 套使用情形與知識得分的負相關最強。不過值得重視的是,在態度上害怕與先生或男友不戴 保險套性交會感染愛滋病者,其與先生或男友保險套使用率較高;同時,對愛滋病認知危險 性得分高者其主動接受愛滋病血液檢驗的比率亦較高;顯示要改變研究對象的行為,採用改 變其態度的技巧可能較增加其愛滋病的知識更為有效。在影響研究對象對愛滋病之知識、態 度與行為的因素方面,年齡與愛滋病知識得分有顯著正相關;但年齡愈大與先生或男友的保 險套使用率愈低。教育程度為大專者,以及婚姻狀況為已婚者,與接受愛滋病血液篩檢有顯 著相關。以上結果,可提供未來針對女性性工作者設計預防愛滋策略之參考。
以文找文
Commercial sex workers (CSWs)are at high risk for human immunodeficiency virus ( HIV ) infection. Because of their illegal status, unlicensed female CSWs deserve special attention with regards to AIDS education and prevention. In this study, 139 CWSs from 5 massage parlors in Taipei City, Taipei prefecture and Taoyuan prefecture were tested for HIV-1,-2 and syphilis infections and surveyed on their knowledge, attitudes and practices ( KAP ) concerning AIDS. The results showed that none of them had HIV-1/2 infection, while 4 ( 2.9% ) had syphilis. Forty% of them were between 30 and 34 years old ; 65% of them had senior high-school and above level of education; 23% were divorced; 29% were married. Although they demonstrated a good understanding of the routes of HIV-1 infection, many still had misconceptions about the infection. In terms of their attitudes toward AIDS, cognition tended to be positive, affection was dependent on the specific situation and conation was neutral to positive. The affection and conation elements of their attitudes had the strongest association and the association of cognition and conation was the weakest. In average, the CSWs worked 22 days per month. Seventy-four% of them had 4-6 clients per day, 60% of them had foreign clients. In addition, only 42% of the CSWs consistently asked their boyfriends or husbands to wear condoms whem they had sex intercourse, which was significantly lower than the rate of condom usage among their customers ( 94% ).Thirty-two% of CSWs reported that their boyfriends or husbands have never used condoms previously. Twenty-five% of the CSWs have taken sedatives and narcotics. Seventy-six% of the CSWs had previously undergone the HIV-1 blood test. In this study, there is a positive correlation between knowledge and attitudes toward AIDS, especially the association between the knowledge of the ways in which HIV is not transmitted and the cognition element of the attitudes. There is a negative correlation between knowledge and the condom usage rates among those CSW's boyfriends and husbands. Nevertheless, condom usage frequencies by boyfriends and husbands were much higher among those CSWs who stated that they were concerned about contracting HIV-1 infection from their boyfriends or husbands if they did not use condoms. In addition, those CSWs who had scored higher on risk cognition had higher rate of seeking blood test for HIV-1 infection. Finally, factors which related to the KAP of CSWs, including age, marital status and education level were analyzed. This study may provide valuable information for designing AIDS education materials for female CSWs in Taiwan.
以文找文
期刊論文
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Lewis, D.(1995)。GPA update HIV estimates。Global AIDS News,1,5。
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Mariasy. J.、Racllett, M.(1990)。Women, the vulnerable sex。AIDS Watch,10,2-3。
6.
(1995)。Taiwan's sex-workers have less than 1% infection。AIDS Analysis Asia,1,2。
7.
陳九五(1990)。大學生對愛滋病之態度調查。公共衛生,17(1),47-58。
延伸查詢
8.
黃蔚綱(1992)。省立醫院護理人員對後天免疫缺乏症候群之知識態度及對該病病人接受度調查度研究。公共衛生,19,308-323。
延伸查詢
9.
周勵志、江美珠(1993)。護理人員對愛滋之知識與態度調查。公共衛生,20,124-133。
延伸查詢
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Chetwynd, J.、Plumridge, E.(1994)。Knowledge, attitudes and activities of male clients of female sex workers: risk factors for HIV。New Zealand Med J,107,351-353。
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Catonia, J. A.(1990)。Towards an understanding of risk behavior: an AIDS risk reduction model (ARRM)。Health Educ Q,17,53-72。
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Day, S.、Ward, H.(1993)。Prostitution and risk of HIV: male partners of female prostitutes。Brit Med J,307,359-361。
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Aidukovic, D.、Ajdukovic, M.(1991)。University students and AIDS: knowledge, attitudes and behavioral adjustment。Psychol Reports,69,203-210。
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Ndeki, S. S.、Klepp, K. I.、Seha, A. M.、Leshabari, M. T.(1994)。Exposure to HIV/AIDS information, AIDS knowledge, perceived risk and attitudes toward people with AIDS among primary school children in northern Tanzania。AIDS Care,6,183-191。
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Mann, J. H.(1960)。The differential nature of prejudice reduction。Journal of Social Psychology,52,339-343。
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邱志彥(19901000)。臺灣地區高中學生對預防後天免疫缺乏症候群的健康信念與行為調查研究。公共衛生,17(3),256-272。
延伸查詢
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會議論文
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楊文山(1992)。高危險群安非他命使用調查。安非他命防治研討會。財團法人吳尊賢文教公益基金會。53。
延伸查詢
圖書
1.
任一安(1997)。性行為模式之初探:著重於娼妓與人類免疫缺乏病毒感染之關聯。預防醫學出版社。
延伸查詢
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Hovland, C. I.、Rosenberg, M. J.(1960)。Attitude organization and change。Yale University Press。
其他
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行政院衛生署(1996)。台閩地區法定傳染病及報告傳染病個案報告表。
延伸查詢
圖書論文
1.
Lifson, A. R.(1992)。Transmission of the human immunodeficiency virus。AIDS, Etiology, Diagnosis, Treatment and Prevention。Philadelphia:J. B. Lippincott。
2.
Mann, J.、Tarantola, D. J. M.、Netter, T. W.(1992)。The HIV pandemic: status and trends。AIDS in the World。Harvard University。
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沈美真(1990)。台灣娼妓問題之嚴重性。台灣被害娼妓與娼妓政策。前衛出版社。
延伸查詢
4.
Plant, M.(1990)。Sex work, alcohol, drugs, and AIDS。AIDS, Drugs and Prostitution。London and New York:Routledge。
5.
Gelmon, L. J.、Plot, P.(1996)。The interactions between HIV and other sexually transmitted infections。AIDS in the World II。Oxford University Press。
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