Organizational policy recommendations for control of STI/HIV among female sex workers in China: regular examination of workers in social hygiene clinics.
Organizational policy recommendations for control of STI/HIV among female sex workers in China: regular examination of workers in social hygiene clinics.
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DOI：
10.1080/09540121.2011.554520
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发表时间：
2011-06
期刊：
影响因子：
1.7
通讯作者：
Urada LA
中科院分区：
文献类型：
--
作者：
Morisky DE;Urada LA
本文旨在通过在国家层面上提出已在其他国家取得有效成果的循证社会结构干预措施和政策，来解决中国女性性工作者感染艾滋病毒的高风险问题。菲律宾和香港等国家政府已经采用了社会卫生诊所（SHC）模式。类似的国家政策在中国可能非常有效。循证研究结果表明，中国和菲律宾的性工作者性传播感染显著减少，并坚持使用安全套。在这两个国家，安全套的持续使用仍然与人际和场所因素显著相关。在菲律宾，避孕套保持率较高的人坚持使用避孕套的比率较高（OR = 2.7，95%CI =1.6 - 3.7），性传播感染的比率显著较低（OR= 0.43，95%CI = 0.26 - 0.57）。中国可以从省开始，这些省的性服务机构和当地卫生部门已经建立了良好的关系，中国可以制定城市条例和性服务机构条例，开始要求在当地性传播感染诊所对女性性工作者和演艺人员进行定期检查。
This article aims to address female sex workers at high risk for contracting HIV in China by recommending evidence-based socio-structural interventions and policies at the national level that have yielded effective outcomes in other countries. National governments such as the Philippines and Hong Kong have utilized the Social Hygiene Clinic (SHC) model. A similar national policy can be highly effective in China. Evidence-based research study results indicate significant reductions in STI and consistent condom use among female sex workers in both China and the Philippines. Consistent condom use in both countries continues to be significantly associated with interpersonal- and venue-level factors. Individuals who had higher appointment-keeping ratios in the Philippines had higher rates of consistent condom use (OR 2.7 95% CI=1.6 – 3.7) and significantly lower rates of STI (OR= .43, 95% CI= .26 – .57). By beginning with provinces, which already have a good relationship between establishment venues and the local Health Department, China can develop city ordinances and establishment regulations that begin to require regular examinations of female sex workers and entertainers in the local STI clinic.
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DOI：
10.1097/qai.0b013e3181c7d72f
发表时间：
2010-02
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Li Y;Detels R;Lin P;Fu X;Deng Z;Liu Y;Tan Y;Li J;Wu Z
通讯作者：
Wu Z
DOI：
10.1080/09540120701402798
发表时间：
2007-10-01
影响因子：
1.7
作者：
Chiao, C.;Morisky, D. E.;Malow, R. M.
通讯作者：
Malow, R. M.
影响因子：
4.4
作者：
Hong, Yan;Li, Xiaoming
通讯作者：
Li, Xiaoming
影响因子：
6.3
作者：
Dimich-Ward, H;Lawson, J;Chan-Yeung, M
通讯作者：
Chan-Yeung, M
影响因子：
3.6
作者：
Lau, J. T. F.;Wan, S. P.;Zhang, J.
通讯作者：
Zhang, J.