Characteristics of female sex workers with US clients in two Mexico-US border cities
Characteristics of female sex workers with US clients in two Mexico-US border cities
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DOI：
10.1097/olq.0b013e31815b0
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发表时间：
2008-03-01
影响因子：
3.1
通讯作者：
Patterson, Thomas L.
中科院分区：
文献类型：
--
作者：
Strathdee, Steffanie A.;Lozada, Remedios;Patterson, Thomas L.
背景在美国边境的两个墨西哥城市蒂华纳和华雷斯城，女性性工作者（FSW）中的艾滋病毒感染率正在上升。这两个城市的准合法卖淫吸引了大量的性游客。我们比较了FSW与美国客户和没有在both countries.Methods：年龄>= 18岁的FSW报告无保护措施的性行为与>= 1客户在过去的2个月内，谁不知情的HIV感染，参加了行为干预研究。在基线时，参与者接受了访谈，艾滋病毒和梅毒抗体检测，以及阴道拭子检测淋病和衣原体。Logistic回归分析确定了与报告> 1 US client.Results相关的因素：在924名FSW中，69%有美国客户。性工作的中位年龄和持续时间分别为32岁和4岁。HIV、传染性梅毒（滴度>= 1：8）、淋病、衣原体和任何性传播感染的患病率分别为6%、14%、6%、13%和27%。与其他FSW相比，与美国客户的FSW更有可能患有梅毒滴度>= 1：8（16% vs. 10%，P = 0.01），淋病（8% vs. 2%，P < 0.001）或任何性传播感染，包括艾滋病毒（30% vs. 20%，P = 0.002）。与美国客户独立相关的因素是：生活在蒂华纳，年轻，讲英语，支付更多的性行为没有安全套，有> 250客户在过去的6个月，梅毒滴度>= 1：8，注射drugs.Conclusions：在这些边境城市，FSW报告美国客户更有可能有目前的性传播感染，并从事高风险的行为。迫切需要加强涉及FSW及其客户的两国预防工作。
Background. HIV prevalence is increasing among female sex workers (FSWs) in Tijuana and Ciudad Juarez, 2 Mexican cities on the US border. Quasilegal prostitution in both cities attracts large numbers of sex tourists. We compared FSWs with and without US clients in both cities.Methods: FSWs aged >= 18 years reporting unprotected sex with >= 1 client within the last 2 months, who were not knowingly HIV-infected, were enrolled in a behavioral intervention study. At baseline, participants underwent interviews, antibody testing for HIV and syphilis, and vaginal swabs for detecting gonorrhea and Chlamydia. Logistic regression identified factors associated with reporting > 1 US client.Results: Of 924 FSWs, 69% had US clients. Median age and duration in sex work were 32 and 4 years. Prevalence of HIV, infectious syphilis (titer >= 1:8), gonorrhea, Chlamydia, and any STI was 6%, 14%, 6%, 13%, and 27%, respectively. Compared with other FSWs, FSWs with US clients were more likely to have syphilis titers,>= 1:8 (16% vs. 10%, P = 0.01), gonorrhea (8% vs. 2%, P < 0.001) or any STI, including HIV (30% vs. 20%, P = 0.002). Factors independently associated with having US clients were: living in Tijuana, being younger, speaking English, being paid more for having sex without a condom, having > 250 clients in the last 6 months, having syphilis titers >= 1:8, and injecting drugs.Conclusions: In these border cities, FSWs reporting US clients were more likely to have current STIs and to engage in higher-risk behaviors. Intensified binational prevention efforts involving both FSWs and their clients are urgently needed.