목적: 이 연구의 목적은 성매매종사자들이 현행 성병검진서비스에 대해 어떻게 인식하는지를 파악하고, 이러한 인식이 성매매종사자들의 성병검진서비스 이용의도에 어떻게 관련되어 있는가를 살펴보는 데 있다. 방법: 이 연구의 자료는 보건소에서 제공하는 성병검진서비스를 이용한 경험이 있는 성매매종사자들을 대상으로 실시한 설문조사를 통해 수집되었다. 성병검진서비스에 대한 성매매종사자의 인식과 이용의도는 웨어와 그의 동료(Ware and his colleagues)들이 개발한 '환자만족도설문지(PSQ)'의 문항들로 측정하였다. 결과: 대부분의 성매매종사자들은 현재 보건소가 제공하는 성병검진서비스에 대해 만족하고 있으며, 이러한 서비스를 이용하려는 강한 의사를 지니고 있다. 성병검진서비스에 대한 일반적인 만족도와 이용의도를 예측하는 데 있어 사회경제적 변수들은 별다른 영향을 미치지 않았다. 성병검진서비스에 대한 구체적 차원들에서는 기술적인 질과 서비스에 대한 접근성이 일반적인 만족도와 이용의도에 긍정적인 방향으로 영향을 주었다. 성병검진서비스 이용의도의 가장 중요한 결정요인은 성병검진서비스에 대한 일반적인 만족도였다. 결론: 성매매특별법 시행 이후에 성매매종사자를 대상으로 하는 보건소의 성병검진사업은 크게 위축되고 있다. 이번 연구결과에서 나타난 것처럼 성매매종사자들은 보건소의 성병검진사업이 활성화되기를 희망하고 있었다. 따라서 국민의 건강 유지, 증진, 보호를 목적으로 하는 보건소는 성매매특별법의 시행과는 별도로 성병관리 사업을 계속해서 수행할 필요성이 제기된다.
목적: 이 연구의 목적은 성매매종사자들이 현행 성병검진서비스에 대해 어떻게 인식하는지를 파악하고, 이러한 인식이 성매매종사자들의 성병검진서비스 이용의도에 어떻게 관련되어 있는가를 살펴보는 데 있다. 방법: 이 연구의 자료는 보건소에서 제공하는 성병검진서비스를 이용한 경험이 있는 성매매종사자들을 대상으로 실시한 설문조사를 통해 수집되었다. 성병검진서비스에 대한 성매매종사자의 인식과 이용의도는 웨어와 그의 동료(Ware and his colleagues)들이 개발한 '환자만족도설문지(PSQ)'의 문항들로 측정하였다. 결과: 대부분의 성매매종사자들은 현재 보건소가 제공하는 성병검진서비스에 대해 만족하고 있으며, 이러한 서비스를 이용하려는 강한 의사를 지니고 있다. 성병검진서비스에 대한 일반적인 만족도와 이용의도를 예측하는 데 있어 사회경제적 변수들은 별다른 영향을 미치지 않았다. 성병검진서비스에 대한 구체적 차원들에서는 기술적인 질과 서비스에 대한 접근성이 일반적인 만족도와 이용의도에 긍정적인 방향으로 영향을 주었다. 성병검진서비스 이용의도의 가장 중요한 결정요인은 성병검진서비스에 대한 일반적인 만족도였다. 결론: 성매매특별법 시행 이후에 성매매종사자를 대상으로 하는 보건소의 성병검진사업은 크게 위축되고 있다. 이번 연구결과에서 나타난 것처럼 성매매종사자들은 보건소의 성병검진사업이 활성화되기를 희망하고 있었다. 따라서 국민의 건강 유지, 증진, 보호를 목적으로 하는 보건소는 성매매특별법의 시행과는 별도로 성병관리 사업을 계속해서 수행할 필요성이 제기된다.
Objectives: The purpose of this study is to examine how sex workers perceive the current STD examination service and how the perceptions are related with sex workers' intention to use the service. Methods: The data for this study came from a survey among sex workers who had an experience of using ST...
Objectives: The purpose of this study is to examine how sex workers perceive the current STD examination service and how the perceptions are related with sex workers' intention to use the service. Methods: The data for this study came from a survey among sex workers who had an experience of using STD examination service provided by local public health centers. Sex workers' perceptions to STD examination service and their intention to use the service were measured with multiple items adapted from the Patient Satisfaction Questionnaire (PSQ) developed by Ware and his colleagues. Results: Most sex workers are satisfied with the current STD examination service provided by local public health centers and they have a strong intention to use the service. In predicting general satisfaction and intention to use STD examination service, few socioeconomic variables play a significant role. Among specific dimensions of STD test service, technical quality and accessibility of the service affect both general satisfaction and intention to use the service in a positive direction. The most important determinant of sex workers' intention to use STD examination service is their general satisfaction with the service. Conclusion: With the existing laws that still officially justify STD examination programs, the demand and need for STD examination service by sex workers further the current STD examination programs. Health authorities which aim at health maintenance, health promotion and health protection for the people, thus, need to continue their STD control programs actively and effectively regardless of the Special Law on Sex Trade.
Objectives: The purpose of this study is to examine how sex workers perceive the current STD examination service and how the perceptions are related with sex workers' intention to use the service. Methods: The data for this study came from a survey among sex workers who had an experience of using STD examination service provided by local public health centers. Sex workers' perceptions to STD examination service and their intention to use the service were measured with multiple items adapted from the Patient Satisfaction Questionnaire (PSQ) developed by Ware and his colleagues. Results: Most sex workers are satisfied with the current STD examination service provided by local public health centers and they have a strong intention to use the service. In predicting general satisfaction and intention to use STD examination service, few socioeconomic variables play a significant role. Among specific dimensions of STD test service, technical quality and accessibility of the service affect both general satisfaction and intention to use the service in a positive direction. The most important determinant of sex workers' intention to use STD examination service is their general satisfaction with the service. Conclusion: With the existing laws that still officially justify STD examination programs, the demand and need for STD examination service by sex workers further the current STD examination programs. Health authorities which aim at health maintenance, health promotion and health protection for the people, thus, need to continue their STD control programs actively and effectively regardless of the Special Law on Sex Trade.
* AI 자동 식별 결과로 적합하지 않은 문장이 있을 수 있으니, 이용에 유의하시기 바랍니다.
문제 정의
The major goal of this study is to identify a general overview of sex workers' perceptions of STD examination service.
제안 방법
Although PSQ is composed of seven aspects of medical care including technical quality, interpersonal manner, communication, financial aspects of care, time spent with doctor, accessibility of care, and general satisfaction, this study adopted five of them except financial aspects of care and time spent with doctor because STD examination service for sex workers at public health centers is free of charge and because there are not many cases that sex workers meet doctors for STD examination at public health centers.
Since this study intends to identify sex workers' perceptions of STD examination service and to investigate their effects on the intention of sex workers to use the service, variables in the study are classified into three types including independent, dependent and control variables.
The data was analyzed in three steps: analysis of measurement scale and confirmation of latent variable, descriptive data on variables, and regression models of general satisfaction and intention to use the STD examination service based on factors of satisfaction with specific aspects of the service and socioeconomic variables. Prior to the analysis, responses to the negative statements were reverse coded.
The samples was drawn from by multi-stage sampling procedure, in which we first chose 36 public health centers participating in the National STD Surveillance System (NSTDSS) across the nation and 30 public health centers selected randomly from the ones which are not participating in the system, then, we sampled sex workers from the selected health centers in the proportion of age.
The study adopted control variables to clarify the relationship between sex workers' satisfaction with STD examination service and intention to use it.
We estimated a series of regression equations to examine the ways in which socioeconomic status and satisfaction with the three specific dimensions of STD examination service affect general satisfaction and intention to use the service, and the extent to which the socioeconomic background characteristics and satisfaction with the specific dimensions of the service intervene between general satisfaction with STD examination service and intention to use the service. In model 1 and 2 shown in Table 3, we predict general satisfaction as a function of respondent's characteristics and satisfaction with concrete aspects of STD examination service.
대상 데이터
The data for this study come from a survey conducted in April 2007 among sex workers who had an experience of using STD examination service provided by local public health centers in Korea. The samples was drawn from by multi-stage sampling procedure, in which we first chose 36 public health centers participating in the National STD Surveillance System (NSTDSS) across the nation and 30 public health centers selected randomly from the ones which are not participating in the system, then, we sampled sex workers from the selected health centers in the proportion of age.
이론/모형
This study adapted the Patient Satisfaction Questionnaire (PSQ) developed by Ware and his colleagues to measure the sex workers' satisfaction (Ware et al., 1976a, 1976b; Ware et al., 1983).
후속연구
Although there have been many studies on conditions of STD infection among sex workers, little is known about the attitudes of sex workers towards STD examination and factors influencing their willingness to seek the examination. The results from the study could contribute to the identification of issues and problems that the current STD examination service has and provide data for developing and improving STD prevention programs for sex workers.
CDC (Centers for Disease Control and Prevention). 2008. Division of STD Prevention Strategic Plan 2008- 2013. Washington D.C.: CDC
Cho, Kyung-Soon, Na, Young-Ran, Joe, Hyeon-Cheol, Lee, Jung-Hee and Jung, Myung-Ju. 2006. Distribution of Sexually Transmitted Viral Diseases in Busan. The Korean Journal of Microbiology 42(3):177-184
Chosunilbo. 2007. 8 October. Variant Forms of Sex Trade Mocking Special Law on Sex Trade
Hair, J., William Black, Barry Babin, Rolph Anderson and Ronald Tatham, 2006. Multivariate Data Analysis. Upper Saddle River, NJ: Pearson Education
KCDC (Korea Centers for Disease Control and Prevention). 2007. Current Status of Registrants for STD Examination. KCDC
KCDC. 2008. Record of STD Examination by Registrants for Periodic STD Examination. KCDC
KCDC (Korea Centers for Disease Control and Prevention). 2009. 2009 STD Control Guidelines. KCDC
Kim, Joung-soon and Ju-hyun Lee. 1999. Current Occurrence of Sexually Transmitted Diseases Including AIDS and Its Prevention Strategies. Korean Journal of Public Health 36(1):1-11
NPA (National Police Agency). 2007. Current Conditions of Red-light Districts. NPA.
NPA (National Police Agency). 2008. Current Conditions of Red-light Districts, Control over Sex Trades, and Sex Businesses. NPA
Segyeilbo. 2008. 22 September. Over Half of Sex Trades Uncovered Occur in Variant Forms of Business such as Massage Parlors
Sweat, M., Gregorich, S., Sangiwa, G., Furlonge, C., Balmer, D., Kamenga, C., et al. 2000. Cost-effectiveness of Voluntary HIV-1 Counselling and Examination in Reducing Sexual Transmission of HIV-1 in Kenya and Tanzania. Lancet 356:113-121
Thielman, N.M., Chu, H.Y., Ostermann, J., Itemba, D.K., Mgonja, A., Mtweve, S., et al., 2006. Cost-effectiveness of Free HIV Voluntary Counselling and Examination through a Community-based AIDS Service Organization in Northern Tanzania. American Journal of Public Health 96:114-119
UNAIDS (The Joint United Nations Programme on HIV/AIDS). 1998. The Public Health Approach to STD Control. Geneva: UNAIDS
Ware, J.M. Snyder and W. Wright. 1976a. Development and Validation of Scales to
Ware, J.M., Snyder and W. Wright. 1976b. Development and Validation of Scales to Measure Patient Satisfaction with Medical Care Services. Vol, I, part B: Results Regarding Scales Constructed from the Patient Satisfaction Questionnaire and Measure of Other Health Care Perceptions. Springfield, VA: National Technical Information Service
Ware, J.M., Snyder, W. Wright and A. Davies. 1983. Defining and Measuring Patient Satisfaction with Medical Care. Evaluation Program Planning 6:247-263
※ AI-Helper는 부적절한 답변을 할 수 있습니다.