Assessing Human Immunodeficiency Virus (HIV) Prevention Through Knowledge and Condom Use Among Female Sex Workers at the Border of Haiti and Dominican Republic.
Assessing Human Immunodeficiency Virus (HIV) Prevention Through Knowledge and Condom Use Among Female Sex Workers at the Border of Haiti and Dominican Republic.
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通过海地和多米尼加共和国边境女性性工作者的知识和安全套使用来评估人类免疫缺陷病毒（HIV）的预防。
DOI：
10.1089/apc.2020.0148
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发表时间：
2020
影响因子：
4.9
通讯作者：
Waters,John
中科院分区：
文献类型：
--
作者：
Budhwani,Henna;Hearld,KristineR;Hasbún,Julia;Franklin,SarahG;Vashi,BijalG;Cataldo,NicholasA;Conserve,DonaldsonF;Waters,John
地理边界的研究是相对稀缺的，但有可能告知双边卫生政策，影响女性性工作者（FSW）的福祉谁在这些边境工作，以及那些寻求他们的服务，这两个群体都在人类免疫缺陷病毒（HIV）的高风险。我们应用双变量和多变量技术，在海地-多米尼加共和国边境，使用来自性工作者研究的数据（n= 241，2014），研究了三种伴侣类型的FSW的艾滋病毒知识和安全套使用情况。与多米尼加一侧相比，海地一侧的FSW使用安全套的情况明显较低，但艾滋病毒知识水平相似;具体而言，多米尼加一侧81%的受访者报告每次与客户发生性关系时都使用安全套，而海地的同龄人为38%（p< 0.001）。在引入控制措施后，海地的FSW与客户（p< 0.001），非商业性伴侣（p< 0.001）和固定伴侣（p< 0.05）相比，使用安全套的几率仍然较低。这项独特的边界研究强调了FSW在使用避孕套方面的差异，无论他们是否了解艾滋病毒知识。海地的FSW缺乏持续使用安全套的情况有可能加剧边境的艾滋病毒流行，并影响两国的艾滋病毒发病率。
Geographic border studies are relatively scare, but have the potential to inform bilateral health policies that affect the well-being of female sex workers (FSWs) who work at these borders as well as those individuals who solicit their services, both groups being at high risk for human immunodeficiency virus (HIV). We applied bivariate and multivariate techniques to examine FSWs' HIV knowledge and condom use across three partner types, at the Haiti Dominican Republic border, using data from the Study on Sex Workers (n= 241, 2014). Condom use was significantly lower among FSWs on the Haitian side of the border compared to the Dominican side, yet levels of HIV knowledge were similar; specifically, 81% of respondents on the Dominican side reported using condoms every time they had sex with a client, compared to 38% of peers in Haiti (p< 0.001). After introducing controls, FSWs in Haiti continued to have lower odds of using condoms with clients (p< 0.001), noncommercial partners (p< 0.001), and regular partners (p< 0.05) compared to peers in the Dominican Republic. This unique border study highlights disparities in FSWs' condom use regardless of HIV knowledge. The lack of consistent condom use by FSWs in Haiti has the potential to exacerbate the HIV epidemic at the border and impact both nations' HIV incidence rates.