Part time female sex workers in a suburban community in Kenya: a vulnerable hidden population
Part time female sex workers in a suburban community in Kenya: a vulnerable hidden population
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DOI：
10.1136/sti.78.4.271
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发表时间：
2002-08-01
影响因子：
3.6
通讯作者：
Temmerman, M
中科院分区：
文献类型：
--
作者：
Hawken, MP;Melis, RDJ;Temmerman, M
背景：在撒哈拉以南非洲地区，女性性工作者（FSW）是感染和传播性传播感染（STI）和艾滋病毒的易感高危群体。 目的：研究性行为参数以及对性传播感染和艾滋病毒的了解，描述与性传播感染相关的就医行为，并测量淋病、衣原体、梅毒和 HIV-1 的患病率，为有针对性的性传播感染和艾滋病毒预防干预措施提供基线数据。 2000 年 2 月至 3 月间，通过滚雪球式招募的分段调查，肯尼亚蒙巴萨郊区的 503 名自我认定的 FSW 接受了结构化问卷访谈，并进行了淋病、衣原体、梅毒和 HIV-1 筛查。 结果：前一周的平均性伴侣数量为 2.8（标准差 1.6）。上周非固定客户和固定客户的平均数量分别为 1.5 (1.0) 和 1.0 (0.9)。性工作的周收入中位数为 15 美元。共有 337 名 (67%) 妇女在非正规部门拥有替代收入。分别有 146 名 (29%) 和 145 名 (45%) 的受访者从未与客户和非付费伴侣使用过安全套。淋病、衣原体和梅毒的患病率分别为1.8%、4.2%和2.0%。总体 HIV-1 血清阳性率为 30.6%。结论：在兼职 FSW 中非常需要强化性传播感染和艾滋病毒预防干预措施。
Background: In sub-Saharan Africa, female sex workers (FSWs) are a vulnerable high risk group for the acquisition and transmission of sexually transmitted infections (STI) and HIV.Objectives: To study parameters of sexual behaviour and knowledge of STI and HIV, to describe health seeking behaviour related to STI, and to measure the prevalence of gonorrhoea, chlamydia, syphilis, and HIV-1, to provide baseline data for targeted STI and HIV prevention interventions.Methods: In a cross sectional survey with snowballing recruitment, between February and March 2000, 503 self identified FSWs in a suburb in Mombasa, Kenya, were interviewed with a structured questionnaire and screened for gonorrhoea, chlamydia, syphilis, and HIV-1.Results: The mean number of sexual partners in the previous week was 2.8 (SD 1.6). The mean number of non-regular clients and regular clients in the previous week was 1.5 (1.0) and 1.0 (0.9) respectively. The median weekly income from sex work was $US15. A total of 337 (67%) women had an alternative income in the informal sector. 146 (29%) and 145 (45%) never used a condom with a client and non-paying partner respectively. The prevalence of gonorrhoea, chlamydia, and syphilis was 1.8%, 4.2%, and 2.0% respectively. The overall HIV-1 seroprevalence was 30.6%.Conclusions: There is a large need for intensive STI and HIV prevention interventions in part time FSW.