High prevalence of HIV and sexually transmitted infections among indirect sex workers in Cambodia
High prevalence of HIV and sexually transmitted infections among indirect sex workers in Cambodia
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DOI：
10.1097/01.olq.0000175384.44106.be
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发表时间：
2005-12-01
影响因子：
3.1
通讯作者：
Page-Shafer, K
中科院分区：
文献类型：
--
作者：
Kim, AA;Sun, LP;Page-Shafer, K
目的：本研究的目的是评估在柬埔寨马德望参加行为干预的啤酒女孩中艾滋病毒和其他性传播感染（sti）的基线患病率和危险因素。方法：114名妇女中有92名参加了基线访谈、艾滋病毒/性传播感染检测和性传播感染治疗。对血样进行了梅毒和艾滋病毒感染检测。自行使用阴道拭子检测滴虫、细菌性阴道病（BV）、淋病和衣原体感染。结果：HIV感染率为26%。性病患病率为：衣原体14%，滴虫12%，淋病3%，梅毒0%。BV患病率为43%。82%的人有过性工作史。据报告，与客户一致使用安全套的比例为39%。性伴侣数量和性传播感染症状的增加与艾滋病毒感染显著相关。讨论：这些数据表明柬埔寨卖啤酒的女孩有很高的性风险。这一人群迫切需要有针对性和频繁的艾滋病毒和性传播感染干预措施。
Objectives: The goal of this study was to assess the baseline prevalence of and risk factors for HIV and other sexually transmitted infections (STIs) among beer girls enrolled in a behavioral intervention in Battambang, Cambodia.Methods: Ninety-two of 114 women participated in baseline interviewing, HIV/STI testing, and STI treatment. Blood specimens were tested for syphilis and HIV infection. Self-administered vaginal swabs were tested for trichomonas, bacterial vaginosis (BV), gonorrhea, and chlamydia infections.Results: HIV prevalence was 26%. STI prevalences were: 14% chlamydia, 12% trichomonas, 3% gonorrhea, and 0% syphilis. The prevalence of BV was 43%. A history of sex work was reported by 82%. Consistent condom use with clients was reported by 39%. Increased number of partners and symptoms of STI were significantly associated with HIV infection.Discussion: These data suggest high sexual risk among beer girls in Cambodia. Targeted and frequent HIV and STI interventions are urgently needed in this population.