HIV, HCV, HBV, HSV, and syphilis prevalence among female sex workers in Tehran, Iran, by using respondent-driven sampling
HIV, HCV, HBV, HSV, and syphilis prevalence among female sex workers in Tehran, Iran, by using respondent-driven sampling
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DOI：
10.1080/09540121.2015.1109582
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发表时间：
2016-04-02
影响因子：
1.7
通讯作者：
Mohraz, Minoo
中科院分区：
文献类型：
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作者：
Moayedi-Nia, Saeedeh;Jozani, Zahra Bayat;Mohraz, Minoo
为了解德黑兰女性性工作者中HIV、丙型肝炎病毒、乙肝病毒、单纯疱疹病毒和梅毒的感染情况，采用调查对象驱动抽样(RDS)方法进行了横断面调查。从2012年12月至2013年4月，在德黑兰招募了妇女妇女。纳入标准包括研究前12个月内的性交易和参与者一生中至少6个月的性交易。在161名自愿的参与者中，5%的人感染了艾滋病毒。暗娼中8.1%为丙型肝炎病毒阳性，37.9%为单纯疱疹病毒1型/2型，1.2%为乙肝病毒感染者，无一例感染梅毒。HIV阳性的参与者在本研究之前的七天内明显更有可能同时感染HSV 1/2，更年轻，有更多的性伴侣，特别是更多的客户，在研究之前的12个月内报告有更多至少一种性传播感染症状的病史。多因素Logistic回归分析显示，单纯疱疹病毒感染和年龄在25岁以下与HIV感染独立相关。与德黑兰普通人群中艾滋病毒的流行率相比，应该考虑暗娼中艾滋病毒和其他病毒感染的相对较高的流行率。总而言之，如果目标是防止这些病毒向普通人群传播，对这一高危群体采取有效的应对措施至关重要。
To find out the prevalence of HIV, HCV, HBV, HSV, and syphilis infections among female sex workers (FSWs) in Tehran, a cross-sectional study by using respondent-driven sampling (RDS) method was conducted. From December 2012 to April 2013 FSWs in Tehran were recruited. Inclusion criteria consisted of trading sex during the 12 months prior to this study and selling sex for at least 6 months in participants' lifetime. Among 161 consenting participants, 5% were infected with HIV. Moreover, 8.1% of FSWs were HCV positive, 37.9% were of HSV type1/type2, 1.2% of participants were infected with HBV, and none of the participants were infected with syphilis. HIV-positive participants were significantly more likely to be co-infected with HSV type1/type2, be younger, have more sexual partners and especially more clients during seven days prior to this study and report more history of having at least one of sexually transmitted infections symptoms in 12 months prior the study. In the multiple logistic regression analysis, being infected with HSV and also being under 25 years of age were found to be independently associated with HIV infection. Compared with the prevalence of HIV among general population of Tehran, relatively high prevalence of HIV and other viral infections among FSWs should be considered. All in all, it is critical to commence effective counter-measures for this high-risk group if the aim is to prevent spreading of these viruses to general population.