CAJ | 학술논문

目的：了解广西边境地区越南籍跨境流动人口艾滋病传播相关高危行为现状，为进一步提出有针对性的干预措施提供依据。方法使用广西壮族自治区统一的务工人员（流入）和男性长途汽车司乘人员的调查问卷，由经过培训懂双语的外展人员对越南籍跨境务工人群、越南籍长途卡车司机等两类越南籍跨境流动人口进行面对面的问卷调查，分析其中商业性行为者行为特征。结果共调查807人越南籍跨境流动人口，调查对象艾滋病知识知晓率为91.66%，有14.92%的男性调查对象最近一年有过商业性行为，最近一年发生商业性行为时，每次都使用安全套的比例只有52.43%，最近一次商业性行为使用安全套的比例为84.47%，且以上3个比例越南籍长途卡车司机高于越南籍跨境务工人群，差异均有统计学意义（P <0.0001）。通过单因素和多因素Logistic回归分析，工作类型、年龄、文化程度、HIV感染传播与越南籍跨境流动人口的商业性行为有关。结论越南籍跨境流动人口高危性行为比较高，今后干预工作中，应充分考虑不同工作类型跨境流动人口的特征，开展有针对性的安全套推广使用活动，控制艾滋病经性途径传播。
목적：료해엄서변경지구월남적과경류동인구애자병전파상관고위행위현상，위진일보제출유침대성적간예조시제공의거。방법사용엄서장족자치구통일적무공인원（류입）화남성장도기차사승인원적조사문권，유경과배훈동쌍어적외전인원대월남적과경무공인군、월남적장도잡차사궤등량류월남적과경류동인구진행면대면적문권조사，분석기중상업성행위자행위특정。결과공조사807인월남적과경류동인구，조사대상애자병지식지효솔위91.66%，유14.92%적남성조사대상최근일년유과상업성행위，최근일년발생상업성행위시，매차도사용안전투적비례지유52.43%，최근일차상업성행위사용안전투적비례위84.47%，차이상3개비례월남적장도잡차사궤고우월남적과경무공인군，차이균유통계학의의（P <0.0001）。통과단인소화다인소Logistic회귀분석，공작류형、년령、문화정도、HIV감염전파여월남적과경류동인구적상업성행위유관。결론월남적과경류동인구고위성행위비교고，금후간예공작중，응충분고필불동공작류형과경류동인구적특정，개전유침대성적안전투추엄사용활동，공제애자병경성도경전파。
Objectives To understand the HIV/AIDS-related high risk behaviors among Vietnamese cross-border floating population in border areas of Guangxi for providing relevant intervention strategies. Methods Using the standard questionnaire in Guangxi Autonomous Regions, the bilingual outreach workers were trained and the face-to-face survey among Vietnamese cross-border workers and long-distance truck drivers was conducted. Their commercial sex characteristics were analyzed. Results Eight hundred and seven Vietnamese floating workers were investigated, and 14.92% of male workers had commercial sex behavior in the last year.The proportion of insisting on using condoms among male workers who had commercial sex behavior in the last year was 52.43%, and 84.47% of male workers used condoms in the last commercial sex behavior,and 91.66% of participants were aware of HIV/AIDS. These three proportions were higher significantly in Vietnamese long-distance truck drivers than other workers. The univariate analysis of logistic model showed that the type of work, age, educational level and HIV infection were associated with commercial sex behavior. Conclusion Vietnamese floating cross-border population with high proportion had commercial sex behavior. The different characteristics among cross-border population should be paid attention to. Relevant condom promotion should be conducted in the future for prevention of HIV/AIDS transmission.