Scale-up of combination prevention and antiretroviral therapy for female sex workers in West Africa: time for action
Scale-up of combination prevention and antiretroviral therapy for female sex workers in West Africa: time for action
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DOI：
10.1097/qad.0b013e32835fd7bd
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发表时间：
2013-06-01
期刊：
影响因子：
3.8
通讯作者：
Nagot, Nicolas
中科院分区：
文献类型：
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作者：
Alary, Michel;Lowndes, Catherine M.;Nagot, Nicolas
监测数据表明，大多数西非国家都经历了集中的艾滋病毒流行。2008年，在有相关数据的11个西非国家中，有9个国家的总人口中艾滋病毒感染率低于2%，而其中10个国家的女性性工作者（FSW）的感染率则高出8倍以上[1]。对艾滋病毒传播动态的分析还表明，艾滋病毒流行病主要集中在这10个国家。例如，在加纳的阿克拉和贝宁的科托努，男性中75%以上的艾滋病毒流行病例与与性工作者性交有关，从性工作者的客户那里传播的艾滋病毒占一般人群中妇女感染的大多数[2-4]。
Surveillance data indicate that most West African countries have experienced concentrated HIVepidemics. Whereas HIV prevalence in the general population was less than 2% in nine of the 11 West African countries where such data were available in 2008, it was more than eight times higher among female sex workers (FSWs) in 10 of these countries [1]. Analysis of HIV transmission dynamics also indicates largely concentrated HIV epidemics in these 10 countries. For example, in Accra, Ghana, and Cotonou, Benin, over 75% of prevalent cases of HIV among men were related to sexual intercourse with FSWs, with onwards transmission from clients of FSWs accounting for most infections in women of the general population [2–4].