Risk factors and prevalence of HIV and sexually transmitted infections among low-income female commercial sex workers in Mongolia
Risk factors and prevalence of HIV and sexually transmitted infections among low-income female commercial sex workers in Mongolia
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DOI：
10.1097/01.olq.0000237670.59140.0f
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发表时间：
2007-02-01
影响因子：
3.1
通讯作者：
Dulmaa, Nyamkhuu
中科院分区：
文献类型：
--
作者：
Hagan, Jose E.;Dulmaa, Nyamkhuu
背景：尽管性传播感染(STI)率很高，但蒙古的艾滋病毒流行率很低。在蒙古，低收入的女性性工作者(FSWs)可能是感染和传播该疾病的高危人群。本研究的目的是评估蒙古3个城市中心低收入女性商业性工作者感染艾滋病毒、梅毒、淋病和滴虫病的患病率和危险因素。研究设计：对179名低收入暗娼进行艾滋病毒(酶免疫分析)检测，132人进行梅毒(梅毒血凝确认)、淋病(革兰氏染色和培养)和滴虫病(湿片显微镜)检测。149名女性完成了详细的社会经济特征、性行为、吸毒和饮酒、一般健康状况和性病/艾滋病知识的调查问卷。在132名妇女中，分别有57名(43%)、18名(14%)和37名(28%)梅毒、淋病和滴虫检测呈阳性；88名(67%)对一种或多种性传播感染检测阳性，22名(17%)多重感染。社会经济因素与报告的避孕套使用和感染状况相关。结论：蒙古国低收入暗娼是一个独特的高危人群，其HIV感染率非常低。针对这一人群的干预措施是防止蒙古城市艾滋病毒感染可能迅速增加的独特机会。
Background: Mongolia has very low HIV prevalence despite high rates of sexually transmitted infections (STIs). Low-income female sex workers (FSWs) may be at high risk for acquiring and spreading the disease in Mongolia.Goal. The goal of this study was to assess the prevalence and risk factors associated with the acquisition of HIV, syphilis, gonorrhea, and trichomoniasis among low-income female commercial sex workers in 3 urban centers in Mongolia.Study Design: One hundred seventy-nine low-income FSWs were tested for HIV (enzyme immunoassay) and 132 were tested for syphilis (Treponema pallidum hemagglutination-confirmed), gonorrhea (Gram stain and culture), and trichomoniasis (wet mount microscopy). Questionnaires detailing socioeconomic characteristics, sexual behaviors, drug and alcohol use, general health, and STI/HIV knowledge Were completed by 149 women.Results: No HIV infections were found in 179 women. Of 132 women, 57 (43%), 18 (14%), and 37 (28%) tested positive for syphilis, gonorrhea, and trichomonas, respectively; 88 (67%) tested positive for one or more STIs and 22 (17%) were multiply infected. Socioeconomic factors were correlated to reported condom use and infection status.Conclusions: Low-income FSWs in Mongolia represent a unique population of very high-risk individuals with very low rates of HIV infection. Interventions targeting this population represent a unique opportunity to prevent a potentially rapid increase of HIV infection in urban Mongolia.