Predictors of visits to commercial sex workers by male attendees at sexually transmitted disease clinics in southern Vietnam
Predictors of visits to commercial sex workers by male attendees at sexually transmitted disease clinics in southern Vietnam
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DOI：
10.1097/00002030-199904160-00013
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发表时间：
1999-04-16
期刊：
影响因子：
3.8
通讯作者：
Khiem, HB
中科院分区：
文献类型：
--
作者：
Nguyen, TTT;Lindan, CP;Khiem, HB
目的：确定性传播疾病 (STD) 诊所男性患者的 HIV/性传播疾病 (STD) 状况以及与越南南部频繁拜访商业性工作者 (CSW) 相关的因素。设计：横断面调查。方法：对湄公河三角洲两个半农村省份的 STD 诊所的 804 名男性患者进行保密访谈以及身体和实验室评估。结果：HIV 血清阳性率为 0.5%。尿道炎综合征的患病率为 19.3%，淋病为 10.2%（革兰氏染色阳性），梅毒为 2%（反应性快速血浆反应素试验）。所有男性都曾访问过 CSW，其中 58% 的男性有过与 CSW 的第一次性经历； 73% 的人在过去 3 年访问过 CSW。已婚男性与单身男性拥有临时伴侣或拜访过 CSW 的可能性相同。男性从街头招募 CSW 的比例（45%）多于从妓院（38%）。过去 3 年内与拜访 CSW 独立相关的因素包括单身 [比值比 (OR, 2.2)]、年龄低于 20 岁 (OR, 1.9)、与 CSW 首次发生性行为 (OR, 2.1)、没有现任女友 (OR, 2.1)、性行为前饮酒 (OR, 2.7) 和吸毒 (OR, 1.8)。只有 7% 的男性始终使用安全套； 70% 的人从未使用过它们。只有 37% 的人上次与 CSW 性交时使用了安全套。结论：越南男性的预防计划，特别是年轻或单身男性，需要重点关注减少毒品和酒精的消耗，并改善使用 CSW 的安全套。 (C) 1999 年利平科特·威廉姆斯和威尔金斯。
Objectives: To determine the HIV/sexually transmitted disease (STD) status of male patients at STD clinics and factors associated with frequent visits to commercial sex workers (CSW) in southern Vietnam.Design: Cross-sectional survey.Methods: Confidential interviews and physical and laboratory evaluation of 804 male patients at STD clinics in two semi-rural provinces in the Mekong delta.Results: HIV seroprevalence was 0.5%. The prevalence of urethritis syndrome was 19.3%, gonorrhea 10.2% (Gram-stain positive) and syphilis 2% (reactive rapid plasma reagin test). All the men had visited CSW in the past and 58% had their first sexual experience with a CSW; 73% had visited a CSW in the last 3 years. Married men were equally as likely as single men to have casual partners or to have visited a CSW. The men recruited CSW more From the streets (45%) than from brothels (38%). Factors independently associated with visiting a CSW in the last 3 years included being single [odds ratio (OR), 2.2], age under 20 years (OR, 1.9), having first sexual intercourse with a CSW (OR, 2.1), not having a current girlfriend (OR, 2.1), using alcohol before sex (OR, 2.7) and drug use (OR, 1.8). Only 7% of men used condoms consistently; 70% had never used them. Only 37% had used a condom last time they had intercourse with a CSW.Conclusions: Prevention programs for men in Vietnam, particularly those who are young or single, need to focus on reducing drug and alcohol consumption and improving condom use with CSWs. (C) 1999 Lippincott Williams & Wilkins.