The high-risk sexual practices of crack-smoking sex workers recruited from the streets of three American cities
The high-risk sexual practices of crack-smoking sex workers recruited from the streets of three American cities
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DOI：
10.1097/00007435-199804000-00002
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发表时间：
1998-04-01
影响因子：
3.1
通讯作者：
Edlin, BR
中科院分区：
文献类型：
--
作者：
Jones, DL;Irwin, KL;Edlin, BR
背景和目的：小型人种学和临床研究表明，吸可卡因的性工作者感染人类免疫缺陷病毒（HIV）和性传播疾病（STD）的风险很高。研究对象：在街头招募的大量吸可卡因的性工作者中，调查危险性行为、艾滋病毒和性病的流行情况。研究设计：从1991年到1992年，从城市社区招募了419名吸食可卡因的性工作者，进行了访谈和血清学检测。结果：许多女性和男性性工作者报告与注射者发生性行为（30%至41%）或与艾滋病毒感染者发生性行为（8%至19%），有性病病史（73%至93%），不一致使用安全套（所有类型的性行为中50%以上）。在毒品屋或空地上工作的性工作者，被支付可卡因或注射毒品，他们的性行为是最危险的。失智性工作者在第一次吸食可卡因之前就开始从事性工作。HIV（27.9%）、梅毒（37.5%）、单纯疱疹病毒2型（66.8%）感染者超过25%。结论：迫切需要采取干预措施预防吸烟性工作者中艾滋病毒/性病的传播。
Background and Objectives: Small ethnographic and clinic-based studies indicate that crack-smoking sex workers are at high risk for human immunodeficiency virus (HIV) and sexually transmitted diseases (STD).Study Coals: To examine the prevalence of risky sexual behaviors and HIV and STD in a large sample of street-recruited crack-smoking sex workers.Study Design: From 1991 to 1992, 419 crack-smoking sex workers were recruited from urban neighborhoods, interviewed, and serologically tested.Results: Many female and male sex workers reported sex with injectors (30% to 41%) or HIV-infected persons (8% to 19%), past STD (73% to 93%), and inconsistent condom use (>50% for all types of sex). Sex workers who worked in crack houses or vacant lots, were paid with crack, or injected drugs had the riskiest sex practices. PI-lost sex workers initiated sex work before they first smoked crack. More than 25% were infected with HIV (27.9%), syphilis (37.5%), or herpes simplex virus type 2 (66.8%).Conclusions: Interventions to prevent HIV/STD transmission among crack-smoking sex workers are urgently needed.