Differences in risk behaviours and HIV/STI prevalence between low-fee and medium-fee female sex workers in three provinces in China.
Differences in risk behaviours and HIV/STI prevalence between low-fee and medium-fee female sex workers in three provinces in China.
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DOI：
10.1136/sextrans-2015-052173
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发表时间：
2016-06
影响因子：
3.6
通讯作者：
Bulterys M
中科院分区：
文献类型：
--
作者：
Han L;Zhou C;Li Z;Poon AN;Rou K;Fuller S;Li Y;Shen L;Kang D;Huang L;Liao M;Fu X;Shepard C;Wu Z;Bulterys M
更好地了解与低收费女性性工作者（FSW）相关的风险行为和因素，支持中国这一重点人群的艾滋病毒/性传播感染（STI）疫情控制。 2012 年，在三个省份开展了一项横断面研究，利用便利抽样招募了 1487 名符合资格的低费和中费 FSW。参与者使用结构化问卷进行访谈，并接受 HIV-1、单纯疱疹病毒 (HSV)-2 和梅毒抗体检测。对数二项式模型用于估计患病率（PR）并检查与低费用性工作相关的因素。 HIV-1、梅毒和HSV-2抗体阳性率分别为0.5%、4.8%和27.8%。与中等费用的 FSW 相比，低费用的 FSW 更有可能感染 HSV-2（调整后患病率（APR）=1.3，95% CI 1.1 至 1.7），但感染 HIV-1 和梅毒的可能性并不高。与中等费用的 FSW 相比，低费用的 FSW 更有可能年龄≥35 岁（APR=2.1，95% CI 1.3 至 3.6），每周从事性工作≥6 天（APR=1.7，95% CI 1.2 至 2.6），每天有 ≥ 3 个嫖客（APR=2.2，95% CI 1.5 至 3.3），让客户决定使用安全套（APR=1.6，95% CI 1.1 至 2.3），未能说服客户使用安全套（APR=1.6，95% CI 1.1 至 2.6），表示愿意进行无保护性行为以换取更高的费用（APR=1.8，95% CI 1.2 至 2.8），过去一年出现过生殖器症状（APR=1.4，95% CI 1.1 至 1.8），并且从另一个城市。中国的低费用 FSW 具有感染艾滋病毒/性传播感染的独特风险，部分原因是更大的经济压力。迫切需要针对低费用 FSW 采取量身定制的干预措施，并纳入他们对艾滋病毒/性传播感染风险的普遍看法以及他们面临的安全套使用谈判挑战。
To better understand risk behaviours and factors associated with low-fee female sex workers (FSW) and support HIV/sexually transmitted infections (STI) epidemic control among this key population in China. A cross-sectional study using convenience sampling to recruit 1487 eligible low-fee and medium-fee FSW was conducted in 2012 in three provinces. The participants were interviewed using a structured questionnaire and tested for HIV-1, herpes simplex virus (HSV)-2 and syphilis antibody. Log-binomial modelling was used to estimate prevalence ratios (PR) and examine factors associated with low-fee sex work. Prevalence of HIV-1, syphilis and HSV-2 antibody positive were 0.5%, 4.8% and 27.8%, respectively. Low-fee FSW were more likely to have HSV-2 infection (adjusted prevalence ratio (APR)=1.3, 95% CI 1.1 to 1.7), but not more likely to have HIV-1 and syphilis infection compared with medium-fee FSW. Compared with medium-fee FSW, low-fee FSW were more likely to be ≥35 years of age (APR=2.1, 95% CI 1.3 to 3.6), engage in sex work ≥6 days/per week (APR=1.7, 95% CI 1.2 to 2.6), have ≥3 clients per day (APR=2.2, 95% CI 1.5 to 3.3), have clients decide condom use (APR=1.6, 95% CI 1.1 to 2.3), fail to persuade clients to use condoms (APR=1.6, 95% CI 1.1 to 2.6), express willingness to have unprotected sex in return for receipt of a higher fee (APR=1.8, 95% CI 1.2 to 2.8), have had genital symptoms in the past year (APR=1.4, 95% CI 1.1 to 1.8) and have migrated from another city. Low-fee FSW in China have unique risks for acquiring HIV/STI, in part due to greater economic pressures. Tailored interventions targeting low-fee FSW and incorporating their prevailing perception of HIV/STI risks and condom use negotiation challenges that they face are urgently needed.
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DOI：
10.1080/09540120220104721
发表时间：
2002-04-01
影响因子：
1.7
作者：
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