Alcohol use, unprotected sex, and sexually transmitted infections among female sex workers in China.
Alcohol use, unprotected sex, and sexually transmitted infections among female sex workers in China.
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DOI：
10.1097/olq.0b013e3181e2118a
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发表时间：
2010-10
影响因子：
3.1
通讯作者：
Fang X
中科院分区：
文献类型：
--
作者：
Wang B;Li X;Stanton B;Zhang L;Fang X
酒精的使用会干扰避孕套的使用，增加性行为的危险性。然而，关于这一做法在女性性工作者中的流行率及其与避孕套使用和性传播感染(STI)的关联的数据有限。数据是通过2004年对广西454名机构女性性工作者中国艾滋病预防项目的基线调查收集的。使用酒精使用的两种衡量标准(酒精中毒和与客户发生性关系前饮酒)进行全球关联和情景分析。多因素Logistic回归分析检验了酒精使用与女性避孕套使用和性传播感染之间的关系。三分之一的女性在之前的6个月中至少每月喝一次酒，约30%的女性报告在与客户发生性关系前饮酒。与在与客户发生性关系之前不饮酒的女性相比，这样做的女性报告说，她们使用避孕套的一致性明显较低，当前性传播感染和性传播感染病史的发生率较高。然而，酒精中毒与避孕套的使用和性传播感染无关。这些发现表明，酒精使用与不一致的避孕套使用和性传播感染之间存在特定事件而不是全球关联。商业性行为前饮酒与无保护措施的性行为和增加性传播感染的风险有关。在商业性行为中同时解决饮酒和艾滋病毒危险行为的干预措施，可能会对预防中国的艾滋病毒传播产生重大影响。
Alcohol use has been suggested to interfere with condom use and to increase sexual risk behaviors. However, data on the prevalence of this practice among female sex workers and its association with condom use and sexually transmitted infections (STIs) are limited. Data were collected through the baseline survey of an HIV prevention project among 454 establishment-based female sex workers in Guangxi, China, in 2004. Both global association and situational analysis were performed using 2 measures of alcohol use (alcohol intoxication and drinking alcohol before having sex with a client). Multiple logistic regression analyses were performed to examine the association of alcohol use with women's condom use and STIs. One-third of women reported being intoxicated with alcohol at least once a month during the previous 6 months, and about 30% reported using alcohol before having sex with clients. In comparison with women who did not use alcohol before engaging in sex with clients, women who did so reported significantly less consistent condom use and higher rates of both current STIs and a history of STI. However, alcohol intoxication was not associated with condom use and STIs. These findings indicate event-specific rather than global associations of alcohol use with inconsistent condom use and STIs. Alcohol use before commercial sex is associated with unprotected sex and increased risk for STIs. Interventions that address both alcohol use and HIV risk behaviors in the context of commercial sex may have a great impact in preventing the spread of HIV in China.