Prevalence of HIV and STIs and associated risk factors among female sex workers in Guangdong Province, China.
Prevalence of HIV and STIs and associated risk factors among female sex workers in Guangdong Province, China.
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DOI：
10.1097/qai.0b013e3181c7d72f
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发表时间：
2010-02
期刊：
影响因子：
--
通讯作者：
Wu Z
中科院分区：
文献类型：
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作者：
Li Y;Detels R;Lin P;Fu X;Deng Z;Liu Y;Tan Y;Li J;Wu Z
旨在评估中国广东省女性性工作者 (FSW) 中人类免疫缺陷病毒 (HIV) 和性传播感染 (STI) 的流行情况及相关因素。采用受访者驱动抽样方法招募了 320 名 FSW。招募的参与者使用结构化问卷进行面对面访谈，并接受艾滋病毒、梅毒、淋病和衣原体检测。梅毒、淋病和衣原体的患病率分别为 8.0% (4.6-12.2%)、9.5% (5.6-14.3%) 和 3.9% (1.7-6.2%)，任何性传播感染的患病率为 19.7% (13.9-26.2%)。没有一个参与者是艾滋病毒阳性。上周顾客数量中位数为5个。上周与顾客一致使用安全套的比例为58.0%（50.4%，65.5%），与固定性伴侣和非定期性伴侣使用安全套的比例远低于与顾客的比例。多变量分析表明，受教育年限和对艾滋病毒风险的认知是保护因素。对艾滋病毒/艾滋病的认识、经常性伴侣在发生性行为时决定使用安全套、在酒店、美发/美容院或街道而不是按摩院招募顾客，以及上次性服务的较高费用都与性传播感染有关。未来的干预计划不仅应解决个人风险因素，还应授权 FSW 要求客户和非付费伴侣使用安全套。
To assess the prevalence of human immunodeficiency virus (HIV) and sexually transmitted infections (STIs) and associated factors among female sex workers (FSWs) in Guangdong, China. Respondent driven sampling was used to recruit 320 FSWs. The recruited participants were interviewed face-to-face using a structured questionnaire and tested for HIV, syphilis, gonorrhea, and Chlamydia. The prevalence of syphilis, gonorrhea, and Chlamydia were 8.0% (4.6-12.2%), 9.5% (5.6-14.3%) and 3.9% (1.7-6.2%), respectively, and of any STIs was 19.7% (13.9- 26.2%). None of the participants was HIV-positive. The median number of clients during the previous week was 5. The proportion of consistent condom use with the clients during the previous week was 58.0% (50.4, 65.5%), use with regular non-paying partners and non-regular non-paying partners were much lower than that with clients. Multivariate analysis indicated that years of education and perception of HIV risk were protective factors. Awareness of HIV/AIDS, regular sex partners deciding about condom use when having sex, recruiting clients at hotels, hair/beauty salons, or streets instead of massage parlors, and higher charge for last sexual service were associated with STI infection. Future intervention programs should not only address personal risk factors, but also empower FSWs to require condom use by both clients and non-paying partners.