Alcohol and sexual risk behavior among migrant female sex workers and male workers in districts with high in-migration from four high HIV prevalence states in India.

Alcohol and sexual risk behavior among migrant female sex workers and male workers in districts with high in-migration from four high HIV prevalence states in India.
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DOI:
10.1007/s10461-010-9731-y
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发表时间:
2010-08
期刊:
影响因子:
4.4
通讯作者:
Swain, Suvakanta N.
Swain, Suvakanta N.
中科院分区:
医学2区
文献类型:
--
作者:
Verma, Ravi K.;Saggurti, Niranjan;Singh, Ajay K.;Swain, Suvakanta N.

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本文研究了生活在同一地理区域的两个关键移民人群——移民男性和女性性工作者(FSWs)——酒精使用与性风险之间的关系。数据来自对印度四个艾滋病高发邦的14个地区的外来务工人员和男性工人的两次独立调查。在这篇论文中,我们研究了流动性程度和性行为前饮酒对艾滋病毒风险行为的独立影响。近三分之二的女服务员和相似比例的男性移徙工人,以及十分之九的女服务员的客户饮酒。超过一半的女服务员和他们的客户在性行为前饮酒。性服务人员及其客户在性行为前饮酒的做法与有偿和无偿性行为期间不一致使用安全套有显著关联,而且这些影响与活动程度无关。结果表明,有必要深入了解酒精在增加艾滋病毒风险方面的作用,特别是在经常从一个地方迁移到另一个地方的移民人群中。
This paper examines the association between alcohol use and sexual risk in two critical migrant populations living within the same geographical areas—migrant men and female sex-workers (FSWs). Data are drawn from two independent surveys of migrant FSWs and male workers in 14 districts of four high HIV prevalent Indian states. In the paper we have examined the independent effects of degree of mobility and alcohol use prior to sex on HIV risk behaviors. Nearly two-thirds of FSWs and a similar proportion of male migrant workers, as well as nine out of ten clients of FSWs consume alcohol. More than half of the FSWs and their clients consumed alcohol prior to sex. The practice of alcohol use prior to sex among both FSWs and their clients has a significant association with inconsistent condom use during paid as well as unpaid sex, and these effects are independent of degree of mobility. The results suggest a need for developing an in-depth understanding of the role of alcohol in accentuating HIV risk particularly among migrant populations who move frequently from one place another.
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