Clients of female sex workers in Gonaives and St-Marc, Haiti characteristics, sexually transmitted infection prevalence and risk factors
Clients of female sex workers in Gonaives and St-Marc, Haiti characteristics, sexually transmitted infection prevalence and risk factors
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DOI：
10.1097/olq.0b013e318177ec5c
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发表时间：
2008-10-01
影响因子：
3.1
通讯作者：
Zunzunegui, Maria-Victoria
中科院分区：
文献类型：
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作者：
Couture, Marie-Claude;Soto, Julio C.;Zunzunegui, Maria-Victoria
背景：关于女性性工作者(FSWs)的客户在性传播中的作用的数据很少。本研究调查了海地暗娼服务对象的社会人口学特征、危险行为和性传播感染患病率。方法：对378名暗娼服务人员进行横断面调查。客户是通过直接在商业性网站上与当地FSWs合作来招募的。用干血样检测HIV、梅毒和单纯疱疹病毒2型(HSV-2)的感染率。结果：88%的受访者年龄在30岁以下，60.7%的人与伴侣同居。59%的客户报告经常与性工作者一起使用避孕套，32.8%的客户与稳定的伴侣一起使用避孕套，44.9%的客户与临时伴侣一起使用避孕套。客户的伴侣数量很多；39.9%的客户在过去3个月内有10个或更多的伴侣。HIV-1、既往或活动期梅毒和HSV-2的感染率分别为7.2%、13.4%和22%。多变量分析表明，尝试过大麻、信奉伏都教、有性传播感染史或感染过HSV-2的客户更容易出现HIV阳性。居住在戈纳伊夫、不是新教徒、受雇于工作和尝试过大麻与梅毒感染有关。年龄较大的暗娼、戈纳伊夫居民和巫毒从业人员感染HSV-2的可能性较大。结论：暗娼性病感染率较高。这些男性有许多性伴侣，避孕套的使用也有所不同，这取决于伴侣的类别。暗娼的服务对象可能充当桥梁人群，促进性传播感染在海地普通人群中的传播，应该成为预防计划的目标。
Background: Few data exist on the role of clients of female sex workers (FSWs) in STI transmission. This study examined sociodemographic characteristics, risk behaviors, and STI prevalence among clients of FSWs in Haiti.Methods: A cross-sectional survey among clients of FWSs (n = 378). Clients were recruited by collaborating local FSWs directly on commercial sex sites. Dried blood spot samples were used to determine prevalence of HIV, syphilis, and herpes simplex virus 2 (HSV-2).Results: Of the respondents, 88% were younger than 30 years, and 60.7% were living with a partner. Fifty-nine percent of clients reported always using condoms with FSWs, 32.8% did so with their stable partners, and 44.9% with casual partners. Clients had a high number of partners; 39.9% had 10 or more within the previous 3 months. The prevalence of HIV-1, previous or active syphilis, and HSV-2 was 7.2%, 13.4%, and 22%, respectively. Multivariate analysis indicated that clients who had tried marijuana, were practicing Voodoo, had a history of STI or were infected with HSV-2 were more often HIV-positive. Living in Gonaives, not being Protestant, being employed, and having tried marijuana were associated with syphilis infection. Older clients, residents of Gonaives and Voodoo practitioners were more likely to be infected with HSV-2.Conclusion: STI prevalence was remarkably high among clients of FSWs. These men had many sex partners and condom use differed, depending on the category of partner. Clients of FSWs likely act as a bridge population, facilitating the spread of STI throughout the general population in Haiti, and should be targeted in prevention programs.