Commercial sex venues, syphilis and methamphetamine use among female sex workers
Commercial sex venues, syphilis and methamphetamine use among female sex workers
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DOI：
10.1080/09540121.2011.560930
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发表时间：
2011-01-01
影响因子：
1.7
通讯作者：
Jia, Yujiang
中科院分区：
文献类型：
--
作者：
Kang, Dianming;Liao, Meizhen;Jia, Yujiang
为了解山东省青岛市不同场所暗娼吸毒、梅毒和无保护性行为的相关因素，对青岛市暗娼中国进行调查。连续三次横断面调查提供了有关人口统计、性和吸毒行为以及艾滋病毒相关服务的信息。在1187名调查对象中，3.0%的人感染梅毒，30.2%的人使用过MA，58.3%的人在过去一个月内发生过无保护措施的商业性行为。从桑拿、夜总会、酒吧或酒店招募的参与者梅毒和使用MA的患病率分别为2.5%和33.0%；以美发/美容沙龙为基础的参与者为2.7%和28.3%；而以街道为基础的参与者为4.5%和15.8%。街头MA用户更有可能是单身的非山东居民，在较小的年龄就有第一次性行为，并在2008年招募(与2006年相比)。桑拿房、夜总会、酒吧或酒店吸毒者更有可能更年轻，首次性行为年龄更小，性工作时间更长，有无保护的商业性行为，以及感染梅毒。以美发/美容沙龙为基础的MA使用者更有可能是非山东居民，更年轻，更有无保护的商业性行为。桑拿、夜总会、酒吧或酒店参与者中的梅毒与MA的使用和曾经接受艾滋病毒检测有关。以美发/美容沙龙为基础的参与者中的梅毒与较长的性工作时间有关。经常在商业性服务场所吸毒的吸毒者正在从事高危行为，并有患梅毒/其他性传播疾病的风险。因此，为减少苯丙胺类药物使用和艾滋病毒/梅毒流行的更有针对性的干预努力应认识到商业性行为场所作为苯丙胺类药物使用和梅毒/性传播疾病传播中心的作用。
The objective of this study was to assess the factors associated with methamphetamine (MA) use, syphilis, and unprotected sex among female sex workers from different type of venues in Qingdao City, Shandong Province of China. Three consecutive cross-sectional surveys provided information on demographics, sexual and drug use behaviors, and HIV-related services. Of 1187 participants, 3.0% were infected with syphilis; 30.2% ever used MA; 58.3% ever had unprotected commercial sex in the past month. The prevalence rates of syphilis and MA use were 2.5% and 33.0% for participants recruited from saunas, night clubs, bars or hotels; 2.7% and 28.3% for hair/beauty salon-based participants; and 4.5% and 15.8% for street-based participants. Street-based MA users were more likely to be single, non-Shandong residents, have first lifetime sex act at younger age, and recruited in 2008 (vs. 2006). Saunas, night clubs, bars, or hotels-based MA users were more likely to be younger, sex debut at younger age, have longer duration of sex work, have unprotected commercial sex, and be syphilis-infected. Hair/beauty salon-based MA users were more likely to be non-Shandong residents, younger, and to have unprotected commercial sex. Syphilis among the sauna-, night club-, bar-, or hotel-based participants was associated with MA use and ever receipt of HIV testing. Syphilis among the hair/beauty salon-based participants was associated with longer duration of sex work. MA users who frequent commercial sex venues are engaging in high-risk behaviors and are at risk for syphilis/other sexually transmitted diseases. Better-targeted intervention efforts to curtail the epidemics of MA use and HIV/syphilis should therefore take cognizance of the role of commercial sex venues as focal points of MA use and syphilis/sexually transmitted disease transmission.