HIV knowledge and risk behaviour of female sex workers in Yunnan Province, China: Potential as bridging groups to the general population
HIV knowledge and risk behaviour of female sex workers in Yunnan Province, China: Potential as bridging groups to the general population
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DOI：
10.1080/09540120500100676
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发表时间：
2005-11-01
影响因子：
1.7
通讯作者：
Qiang, DJ
中科院分区：
文献类型：
--
作者：
Hesketh, T;Zhang, J;Qiang, DJ
越来越多的证据表明，女性性工作者（FSW）及其客户作为艾滋病毒流行病的桥梁群体的重要性。在中国，FSW的作用是疫情未来发展的关键。本研究旨在探讨可能增加FSW作为HIV传播媒介的可能性的因素。对云南省盈江县两类妓院的84名性工作者进行了半结构式访谈，结果发现：性工作者年轻，（中位年龄17.8岁），他们从事性工作是短期的，（69%的人计划工作不到一年），客户吞吐量低（23%每周只有1 - 2个客户，71%不到7个）。对艾滋病毒、性传播感染和安全套使用的认识总体上是好的，但只有32%的人一直使用安全套，18%的人从不使用。55%的人做过健康检查.在不常使用安全套的廉价、高吞吐量妓院，FSW是通向一般人群的潜在桥梁。干预措施必须侧重于这些FSW及其客户，以防止他们成为流行病的驱动因素。
There is growing evidence about the importance of female sex workers ( FSWs) and their clients as bridging groups for the HIV epidemic. In China the role of FSWs is key to the future trajectory of the epidemic. This study was carried out to explore factors which may increase the potential for FSWs to act as vectors for HIV transmission. Semi- structured interviews were carried out with 84 sex workers in two types of brothel in Yingjiang County of Yunnan Province, where sex work and injecting drug use are common.The key findings are that the FSWs are young, ( median age 17.8 years), their engagement in sex work is short term ( 69% plan to work for less than one year) and the throughput of clients is low ( 23% only 1 - 2 clients per week, 71% less than seven). Awareness of HIV, STIs and condom use was generally good, but only 32% always used condoms and 18% never did. Fifty- five percent had had a health check. FSWs at the cheaper, higher throughput brothels where condom use is uncommon are a potential bridge to the general population. Interventions must focus on these FSWs and their clients to prevent them from becoming drivers of the epidemic.