Sex work, drug use, HIV infection, and spread of sexually transmitted infections in Moscow, Russian Federation
Sex work, drug use, HIV infection, and spread of sexually transmitted infections in Moscow, Russian Federation
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DOI：
10.1016/s0140-6736(05)66828-6
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发表时间：
2005-07-02
期刊：
影响因子：
168.9
通讯作者：
Ryan, CA
中科院分区：
文献类型：
--
作者：
Shakarishvili, A;Dubovskaya, LK;Ryan, CA
在俄罗斯联邦，艾滋病毒-1感染率迅速上升，性传播感染继续以惊人的速度蔓延。我们在少年拘留所的街头青年、无家可归者拘留中心的成年人以及莫斯科还押中心的妇女和男子中进行了一项关于性传播感染、艾滋病毒感染和毒品使用的横断面研究。还押中心的160名妇女（79%）是性工作者。91例（51%）无家可归妇女患有梅毒。在97名（58%）女性少年被拘留者、120名（64%）还押中心的妇女和133名（75%）无家可归的妇女中，至少存在一种细菌性性传播感染。在还押中心的妇女（n = 7 [4%]）、青少年男性被拘留者（5 [3%]）和无家可归妇女（4 [2%]）中，艾滋病毒血清阳性率较高。鉴于性传播感染与艾滋病毒感染之间的相互作用，这些关于性传播感染高流行率的调查结果表明，这些被剥夺权利的人口有可能对艾滋病毒流行病的爆炸性增长作出不成比例的巨大贡献，除非在俄罗斯联邦实施针对这些群体的干预措施。
Rates of HIV-1 infection are growing rapidly, and the epidemic of sexually transmitted infections is continuing at an alarming rate, in the Russian Federation. We did a cross-sectional study of sexually transmitted infections, HIV infection, and drug use in street youth at a juvenile detention facility, adults at homeless detention centres, and women and men at a remand Centre in Moscow. 160 (79%) women at the remand Centre were sex workers. 91 (51%) homeless women had syphilis. At least one bacterial sexually transmitted infection was present in 97 (58%) female juvenile detainees, 120 (64%) women at the remand Centre, and 133 (75%) homeless women. HIV seroprevalence was high in women at the remand Centre (n=7 [4%]), adolescent male detainees (5 [3%]), and homeless women (4 [2%]). In view of the interaction between sexually transmitted infections and HIV infection, these findings of high prevalence of sexually transmitted infections show that these disenfranchised populations have the potential to make a disproportionately high contribution to the explosive growth of the HIV epidemic unless interventions targeting these groups are implemented in the Russian Federation.