Correlates of chlamydia and gonorrhea infection among female sex workers: the untold story of Jiangsu, China.
Correlates of chlamydia and gonorrhea infection among female sex workers: the untold story of Jiangsu, China.
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女性性工作者中衣原体和淋病感染的相关性：中国江苏不为人知的故事
DOI：
10.1371/journal.pone.0085985
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
Fu GF
中科院分区：
文献类型：
--
作者：
Tang W;Pan J;Jiang N;Hu HY;Mahapatra T;Yin YP;Mahapatra S;Wang XL;Chen XS;Lin N;Zhang X;Huan XP;Yang HT;Fu GF
目的了解江苏省女性性工作者（fsw）性传播感染（STIs）的流行情况，探讨沙眼衣原体（CT）和淋病奈瑟菌（NG）感染的相关性及其可能的相关因素。设计以江苏省扬州市和常州市的代表性FSWs为样本进行横断面研究。方法采用分层随机抽样的方法，选取扬州市185个性工作场所和常州市174个性工作场所。在这些场所对2972名15岁及以上自愿参加HIV和梅毒检测并提供血样的女性自愿工作者（其中扬州1108名，常州1864名）进行了访谈。然后随机选择849名参与者的宫颈标本进行CT和NG检测。结果年轻、受过教育、已婚、独居、外省移民、近3个月无保护阴道性交的女工比例较高。HIV、梅毒、CT、NG患病率分别为0.20%、4.88%、14.61%、5.42%。年龄较小，独居或与伴侣/家庭成员以外的人一起生活，从事紫外线照射和患有其他性传播感染似乎与CT或NG感染的风险较高有关。离婚/丧偶和在中低级别场所工作被认为是NG的额外风险因素。结论基于代表性样本，本研究初步确定了江苏省农民工中CT/NG感染的相关因素，表明在发现大量性病病例的扬州和常州，迫切需要针对高危农民工的重点干预措施来控制STI流行。
Objective(s) To estimate the prevalence of sexually transmitted infections (STIs) among female sex workers (FSWs) in the Jiangsu Province, China and measure the association of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) infections with their potential correlates. Design A cross-sectional study on a representative sample of FSWs in Yangzhou and Changzhou cities of Jiangsu was conducted. Methods 185 sex-work venues in Yangzhou and 174 in Changzhou were selected by stratified random sampling. 2972 FSWs (1108 in Yangzhou and 1864 in Changzhou), aged 15 years or more, who agreed to participate and provided blood sample for HIV and syphilis testing were interviewed in these venues. Cervical specimens from 849 randomly chosen participants were then tested for CT and NG. Results Proportions of young, school-educated, currently married FSWs who were living alone, migrated from other provinces and engaged in unprotected vaginal intercourse in past 3 months (UVI) were relatively high. Prevalence of HIV, syphilis, CT and NG were 0.20%, 4.88%, 14.61% and 5.42% respectively. Younger age, living alone or with persons other than partners/family members, engaging in UVI and having other STIs seemed to be associated with higher risk of CT or NG infection. Being divorced/widowed and working in middle/low-level venues were identified as additional risk factors for NG. Conclusions Based on a representative sample, this initial effort to identify the correlates of CT/NG infections among FSWs of Jiangsu revealed that focused interventions targeting high-risk FSWs are urgently required for controlling STI epidemics in Yangzhou and Changzhou where substantial number of STI cases were identified.
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影响因子：
4.4
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