Use of commercial sex workers among Hispanic migrants in North Carolina: Implications for the spread of HIV
Use of commercial sex workers among Hispanic migrants in North Carolina: Implications for the spread of HIV
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DOI：
10.1111/j.1931-2393.2004.tb00016.x
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发表时间：
2004-07-01
影响因子：
5.8
通讯作者：
McQuiston, C
中科院分区：
文献类型：
--
作者：
Parrado, EA;Flippen, CA;McQuiston, C
上下文美国西班牙裔以及墨西哥和中美洲的移民输出地区的艾滋病毒和艾滋病发病率有所上升，这表明移民与艾滋病毒之间存在联系。然而，人们对男性移民的性风险行为知之甚少，例如使用商业性工作者。在北卡罗来纳州的达勒姆，对442名随机选择的西班牙裔移民进行了商业性工作者使用的流行率和频率检查。Logistic和Poisson回归技术被用来建立商业性工作者使用安全套的预测模型，并对商业性工作者使用安全套的描述性数据进行了分析。28%的受访者报告说，在过去一年中使用过商业性工作者的服务，单身男子的比例达到46%，与妻子分居的已婚男子的比例达到40%。配偶在达勒姆的男性比其他男性更不可能使用商业性工作者（优势比，0。1）。在使用商业性工作者的男性中，就诊频率随着教育程度的提高而下降（发病率比，0。9)而随着时薪的增加（1）。1）。频率和使用随着居住年限的增加而下降，尽管结果具有边缘意义。商业性工作者的安全套使用率很高，但很可能下降，如果熟悉的商业性workers.CONCLUSIONS：商业性工作者代表了一个重要的潜在来源的HIV感染。需要考虑到社会背景并针对最脆弱的移民采取教育和行为干预措施，以帮助移民及其伴侣避免感染艾滋病毒。
CONTEXT. Rates of HIV and AIDS have risen among U.S. Hispanics and in migrant-sending regions of Mexico and Central America, pointing to a link between migration and HIV However, little is known about male migrants' sexual risk behaviors, such as the use of commercial sex workers.METHODS. The prevalence and frequency of commercial sex worker use was examined among 442 randomly selected Hispanic migrants in Durham, North Carolina. Logistic and Poisson regression techniques were used to model predictors of commercial sex worker use, and descriptive data on condom use with commercial sex workers were examinedRESULTS. Twenty-eight percent of respondents reported using the services of a commercial sex worker during the previous year, rates reached 46% among single men and 40% among married men living apart from their wives. Men with spouses in Durham were less likely than other men to use commercial sex workers (odds ratio, 0. 1). Among men who used commercial sex workers, the frequency of visits declined with greater education (incidence rate ratio, 0. 9) and increased with hourly wage (1. 1). Frequency and use declined with years of residence, although the results were of borderline significance. Reported rates of condom use with commercial sex workers were high, but were likely to fall if familiarity with a commercial sex worker increased.CONCLUSIONS: Commercial sex workers represent an important potential source of HIV infection. Educational and behavioral interventions that take into account social context and target the most vulnerable migrants are needed to help migrants and their partners avoid HIV infection.