A study on female sex workers in southern China (Shenzhen): HIV-related knowledge, condom use and STD history

A study on female sex workers in southern China (Shenzhen): HIV-related knowledge, condom use and STD history
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DOI:
10.1080/09540120220104721
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发表时间:
2002-04-01
影响因子:
1.7
通讯作者:
Zhang, KL
Zhang, KL
中科院分区:
医学4区
文献类型:
--
作者:
Lau, JTF;Tsui, HY;Zhang, KL

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本研究旨在探讨中华人民共和国深圳市妇女再教育中心(WRC)女性性工作者(FSW)艾滋病病毒/艾滋病(HIV/AIDS)与安全套相关知识、安全套使用情况、性传播疾病(STD)史及安全套使用预测因素之间的前瞻性关系。701名女性性工作者接受了访谈。虽然受访者对艾滋病毒的传播途径有一定的准确认识,但仍普遍存在误解。安全套相关知识知晓率不高。与客户一起使用避孕套的流行率相对较低-15%-22%的人报告说没有一贯使用避孕套。其中一个主要障碍是“客户拒绝”。年龄、文化程度、平均每天接受避孕套的次数、避孕套使用能力和既往性传播疾病史是影响顾客安全套使用一致性的重要因素。受访者可能会主观地评估他们的客户是否患有性病,从而产生一种错误的安全感,但他们并不知道艾滋病毒携带者可能根本没有明显的症状。这些数据证实了人们对跨境商业性网络活动可能导致艾滋病毒传播的“桥梁效应”的担忧。
The present study aims to investigate the perspective relations between HIV/AIDS and condom-related knowledge, condom use, history of sexually transmitted diseases (STDs) and predictive factors of condom use by female sex workers (FSW) who were sent to the Women Re-education Center (WRC) in Shenzhen, People's Republic of China. Seven hundred and one FSW were interviewed. Whereas respondents had attained certain accurate knowledge about the HIV transmission routes, misconceptions were still commonly reported. Level of condom related knowledge was not high. The prevalence of using condoms with clients was relatively low-15%-22% reported not using condoms consistently. One of the major obstacles was 'Refusal by clients'. Significant predictive factors associated with consistency of condom use with clients were age, educational background, average number of client intakes per day, capacity in determining the use of condoms and past STD history. The respondents may have developed a false sense of safety by subjectively assessing whether their clients had a STD but they were unaware that HIV carriers may show no obvious symptoms at all. The data has confirmed the worries regarding the potential 'bridging effect' of HIV transmission as resulted by cross-border commercial sex-networking activities.