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
期刊:
影响因子:
4.4
通讯作者:
Tan, Yihe
Tan, Yihe
中科院分区:
医学2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

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在中国,艾滋病的主要传播方式是异性性行为,但不同阶层的女性性工作者(FSW)感染艾滋病和性传播疾病(STD)的风险可能存在差异。本研究采用问卷调查的方法,在广东省抽取了320名暗娼。受访者进行了采访,使用结构式问卷,并测试艾滋病毒,梅毒,淋病和衣原体。街头性工作者的教育水平较低,养家糊口的比例较高,服务收费较低,从事商业性活动的时间较长。与客户和经常不付费的伴侣一起持续使用避孕套的比例也较低。街头性工作者中梅毒、淋病和衣原体的患病率较高。街头性工作者、有固定性伴和非固定性伴是安全套使用不一致的独立危险因素。基于街道的FSW有更多的危险行为比建立基于FSW,因此,应该特别针对艾滋病毒和性病干预计划。
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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