Management of sexually transmitted diseases and HIV prevention in men at high risk:: targeting clients and non-paying sexual partners of female sex workers in Benin
Management of sexually transmitted diseases and HIV prevention in men at high risk:: targeting clients and non-paying sexual partners of female sex workers in Benin
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DOI：
10.1097/00002030-200011100-00015
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发表时间：
2000-11-10
期刊：
影响因子：
3.8
通讯作者：
Anagonou, S
中科院分区：
文献类型：
--
作者：
Lowndes, CM;Alary, M;Anagonou, S
目标：在撒哈拉以南非洲地区，女性性工作者的男性顾客很少成为艾滋病毒/性传播疾病 (STD) 干预措施的具体目标。我们评估了贝宁科托努为预防艾滋病毒/性病而联系女性性工作者性伴侣的外展方法的有效性。设计和方法：与业主/经理、外展人员和女性性工作者合作，在卖淫场所现场招募了 404 名嫖客，并在与女性性工作者发生性行为之前提供尿样进行白细胞酯酶试纸 (LED)、性病和艾滋病毒检测。发生性行为后，他们接受了面谈和体检。没有支付参与研究的费用。还招募了卖淫场所工作人员（n = 41）和女性性工作者的男朋友（n = 56）。结果：在所有接触的嫖客中，有 68% 同意参与。现场LED检测和免费性病治疗是参与的重要因素。 HIV-1 感染率比科托努一般人群高几倍，顾客、工作人员和男朋友的 HIV-1 感染率分别为 8.4%、12.2% 和 16.1%，并且与女性性工作者年龄增长和不使用安全套有关。女性性工作者的顾客的安全套使用率不可忽视，但不是最理想的，而且与固定伴侣的安全套使用率较低。大约三分之一有固定伴侣的顾客也有其他非女性性工作者的性伴侣。由于性工作者数量众多、安全套使用率极低以及艾滋病毒感染率高，女性性工作者的男朋友尤其受到关注。结论：研究结果表明，女性性工作者的男性性伴侣构成了艾滋病毒/性病传播给女性性工作者以及从女性性工作者传播给一般女性群体（特别是普通女性伴侣）的“桥梁人群”。 (C) 2000 Lippincott Williams & Wilkins。
Objectives: Male clients of female sex workers have rarely been specific targets for HIV/sexually transmitted diseases (STD) interventions in sub-Saharan Africa. We assessed the effectiveness of outreach methodology for contacting sexual partners of female sex workers for purposes of HIV/STD prevention in Cotonou, Benin.Design and methods: In collaboration with owners/managers, outreach personnel and female sex workers, 404 clients were recruited on-site at prostitution venues, and provided urine samples for leukocyte esterase dipstick (LED), STD and HIV testing before having sex with female sex workers. After having sex they underwent an interview and physical examination. No payment was made for study participation. Prostitution site personnel (n = 41) and boyfriends of female sex workers (n = 56) were also recruited.Results: In all 68% of the clients approached agreed to participate. On-site LED testing and free STD treatment were important factors in participation. HIV-1 prevalence was several-fold higher than in the general population in Cotonou, at 8.4, 12.2 and 16.1% in clients, personnel and boyfriends respectively, and was associated with increasing age and lack of condom use with female sex workers. Condom use rates by clients with female sex workers were non-negligible but sub-optimal, and low with regular partners. Approximately one-third of clients with regular partners also had other non-female sex worker sex partners. Boyfriends of female sex workers are of particular concern due to high numbers of partners, very low condom use rates and high HIV prevalence.Conclusions: Study findings indicate that male sex partners of female sex workers form a 'bridging population' for HIV/STD transmission both to female sex workers, as well as from female sex workers to the general population of women, particularly regular female partners. (C) 2000 Lippincott Williams & Wilkins.