HIV testing behaviors among female sex workers in Southwest China.

HIV testing behaviors among female sex workers in Southwest China.
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DOI:
10.1007/s10461-011-9960-8
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发表时间:
2012-01
期刊:
影响因子:
4.4
通讯作者:
Liu W
Liu W
中科院分区:
医学2区
文献类型:
--
作者:
Hong Y;Zhang C;Li X;Fang X;Lin X;Zhou Y;Liu W

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尽管艾滋病毒检测在预防、护理和治疗方面的重要性已得到公认,但中国的艾滋病毒检测水平仍然很低。数以百万计的女性性工作者(FSW)在中国不断升级的艾滋病流行中发挥着关键作用。关于这一高危人群中艾滋病毒检测行为的数据有限。本研究基于对西南地区1,022名女性性工作者的横断面调查,试图解决这一文献空白。我们的数据显示,48%的FSW曾经接受过艾滋病毒检测;年龄较大,教育程度较低,在高收入的商业性场所工作以及更好的艾滋病毒知识与艾滋病毒检测有关。那些从未接受过艾滋病毒检测的人更有可能从事高风险行为,包括与客户和稳定伴侣不一致地使用避孕套。还报告了一些心理和结构性障碍。我们呼吁采取文化上适当的干预措施,以降低艾滋病毒风险,并促进中国脆弱的FSW的艾滋病毒检测。
Despite the recognized importance of HIV testing in prevention, care and treatment, HIV testing remains low in China. Millions of female sex workers (FSW) play a critical role in China’s escalating HIV epidemic. Limited data are available regarding HIV testing behavior among this at-risk population. This study, based on a cross-sectional survey of 1,022 FSW recruited from communities in Southwest China, attempted to address the literature gap. Our data revealed that 48% of FSW ever took HIV testing; older age, less education, working in higher-income commercial sex venues and better HIV knowledge were associated with HIV testing. Those who never took HIV testing were more likely to engage in high-risk behaviors including inconsistent condom use with clients and stable partners. A number of psychological and structural barriers to testing were also reported. We call for culturally appropriate interventions to reduce HIV risks and promote HIV testing for vulnerable FSW in China.
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