Difference in risk behaviors and STD prevalence between street-based and establishment-based FSWs in Guangdong Province, China.
Difference in risk behaviors and STD prevalence between street-based and establishment-based FSWs in Guangdong Province, China.
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DOI:
10.1007/s10461-011-0102-0
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发表时间:
2012-05
影响因子:
4.4
通讯作者:
Tan, Yihe
中科院分区:
文献类型:
--
作者:
Li, Yan;Detels, Roger;Lin, Peng;Fu, Xiaobing;Deng, Zhongming;Liu, Yongying;Huang, Guohua;Li, Jie;Tan, Yihe
The major mode of HIV/AIDS transmission in China is now heterosexual activities, but risk for HIV and sexually transmitted diseases (STDs) may differ among different strata of female sex workers (FSWs). Respondent-driven sampling was used to recruit 320 FSWs in Guangdong Province, China. The respondents were interviewed using a structured questionnaire, and tested for HIV, syphilis, gonorrhea, and Chlamydia. The street-based FSWs had lower education levels, a higher proportion supporting their families, charged less for their services, and had engaged in commercial sex for a longer period of time than establishment-based FSWs. The proportion consistently using condoms with clients and with regular non-paying partners was also lower. The prevalence of syphilis, gonorrhea, and Chlamydia was higher among street-based sex workers. Being a street-based sex worker, having regular non-paying sex partners, and having non-regular non-paying partners were independent risk factors for inconsistent condom. Street-based FSWs had more risk behaviors than establishment-based FSWs, and should therefore be specifically targeted for HIV as well as STD intervention programs.
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