The Correlation Study Of The Risk Sexual Behavior By Vietnamese Cross-border Female Sex Workers And Social-environmental Factors In Hekou County

Objective To study the risk sexual behavior and social environment factors of Vietnamese cross-border FSWs(female sex workers), in order to find the risk factors for reducing the target population condom using in social environment, and put forward intervention suggestions aimed at the risk factors.Method Research is divided into two stages; the first phase is quantitative research. By using Objective sampling method we collected216Vietnamese cross-border FSWs from four survey sites in Hekou county Yunnan province, from June to July,2012. Self-designed questionnaire, including the general demographic features, condom use behavior, social environmental factors and the relationship with risk sexual behavior, etc. we input data using double parallel way in Epidata3.1and chose10percents data randomly for review. Data analysis use SPSS17.0.The other is the qualitative part. During the October11to19,2012, we interviewed14Vietnamese cross-border FSWs and4workers engaged in sex workers intervention from the4survey site. We designed the interview outline based on the results of data analysis in the first phase, the content including the social environment characteristics of the Vietnamese cross-border FSWs and the influence on risk sexual behavior with the visitor.Results The general demographic characteristicsAmong Vietnamese cross-border FSWs, the youngest is15years old,35people are younger than18. the proportion of education background in junior middle school and the following degrees and marital status in unmarried is similar, which is89.8%and66.7%,82.4%of the respondents is jobless or farming at home before coming to China. The part index of the demographic characteristics has obvious difference between4sites. Found in the interview, most of the Vietnamese cross-border FSWs worked in China less than half a year introduced by acquaintances or friends.Sexual behavior and high risk sexual behaviorVietnamese cross-border FSWs serviced briefly about34people on average weekly, the most The most up to70people a week. The condom usage rate of Vietnamese cross-border FSWs in recent months and the latest respectively were79.6%and82.9%, they don’t use condom is for the unwilling of guest is. After the Logistic analyze, the cultural degree, marital status and job site influence to the dependent variable whether to insist on and the guest to use condoms. Through interviews, there were four Vietnamese cross-border FSWs from Beishan region and NaXi township serviced without condoms in recent months, the main reason is that the guest is unwilling. And they have been sublet by the boss, and during be sublet the condom usage will be significantly reduced.Cultural environment and high risk sexual behavior75percents of the responders have accompanied the custom atmosphere in Hekou China, the most feel Hekou has better custom and more toleration for sex workers than Vietnam.19.9percents Vietnamese cross-border FSWs have a good Chinese level. After the multiple factor analysis, Chinese language barrier is the risk factor of risk sexual behavior by our respondents. Through interviews, almost Vietnamese cross-border FSWs think Hekou has better custom environment, therefore they have no time to take part in. the language is the major barrier of custom environment which influences the condom usage. The living environment and high risk sexual behaviorFor the living environment,52.31percents of respondents think conditions in Hekou is better than Vietnam, they are satisfied with the status such as traffic and medical. Recently a month with the guest to use condoms, the responders had a low condoms use ratio who are not satisfied with living safety conditions (χ2=13.723, P<0.001), in an interview, Vietnamese cross-border FSWs generally said they can adapt to the living environment in China, and satisfied with the medical transportation here. The economic environment and high risk sexual behaviorVietnamese cross-border FSWs with poor economic condition were accounted for63.43%. Providing sexual services on average income53.8Yuan, at least10Yuan, up to80Yuan.37%of respondents send the main part of the income to home. Through multiple factor analysis, the average sexual services revenue and their economic pressure influence to the condom use behavior in commercial service nearly a month, the Vietnamese cross-border FSWs generally have family economic difficulties. The economic reason is the main cause of their cross-border sex work. At the same time,the money problems will influence the use of condoms. Interpersonal environment and high risk sexual behaviorCurrently the boss and sister keep daily communication with the Vietnamese cross-border FSWs who is working in China.51.39%of respondents think that condom use have a certain relationship with the boss, three people were forced to meet the requirements of the guests by the boss after the guest don’t want to use condom. Around23.61%of respondents think sister will affect their choice of condom use. Through multiple factor analysis, the boss’s influence on condom use, the sisters’ influence on condom use, and the boss’s practice after guest are reluctant to use condoms influence to the condom use behavior last month. the Vietnamese cross-border FSWs keep contacts only with the boss and sisters. And they have few friends including relatives. The Vietnamese cross-border FSWs were largely restrained by their boss. Nearly half of them do everything what the boss called. the comprehensive research of social environment factors and high risk sexual behaviorthrough multiple factors analysis of the variables which is related to the Vietnamese cross-border FSWs commercial service condom use from social culture, life, economy, human environmental factors, the Chinese language level, the influence of the working place and the boss’s influence on condom use are related to the condom use behavior in commercial services, meanwhile, Chinese level and the boss’s influence on the condom use is different between disparate place. Do interaction analysis between Chinese level and the boss’s influence on the condom use, the influence of attribution AP=0.4387.Conclusion:There is a closely relationship between social environmental factors and the condom use behavior of Vietnamese cross-border FSWs. The interaction influences between environmental factors seriously threaten their health and the AIDS epidemic in border area. The behavior will be changed accordingly with the different social environment. At the same time, the language barrier and the behavior constraint of boss is the significant risk factors, it is important to intervene it.We should hold the Chinese ability training and carry out some cultural and entertainment activities for Vietnamese cross-border FSWs, as we do propaganda education and behavior intervention. Meanwhile promoting the necessary education and behavior intervention for client and boss is significant. At the same time, we need strengthen the cross-border cooperation, to organize the staff of china and Vietnam to hold joint Intervention and establish long-term intervention centre, to help target population.