Migration/mobility and risk factors for HIV among female sex workers in Andhra Pradesh, India: implications for HIV prevention.
Migration/mobility and risk factors for HIV among female sex workers in Andhra Pradesh, India: implications for HIV prevention.
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DOI：
10.1258/ijsa.2009.009421
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发表时间：
2012-04-01
影响因子：
1.4
通讯作者：
Blankenship, K M
中科院分区：
文献类型：
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作者：
Reed, E;Gupta, J;Blankenship, K M
我们调查了印度安得拉邦女性性工作者样本中的高流动性/迁徙(过去一年中在三个或更多的村庄/城镇从事性工作)与艾滋病毒风险因素之间的关系。我们通过被调查者驱动的抽样方式招募了年龄在18岁的暗娼(n=673)，进行了一项关于‰风险的调查。调整后的Logistic和线性回归模型评估了高流动性与性和身体受害、性传播感染(STI)症状和治疗、避孕套使用和谈判、性交易数量和/或类型、客户数量和工作天数的关系。12%(n=82)的暗娼是高流动性的；那些流动性高的暗娼更有可能报告最近的艾滋病毒危险因素：性暴力(调整后的优势比[AOR]=5.2；95%可信区间[CI]：3.0-8.9)，身体暴力(AOR=1.7；95%CI：1.1-2.7)，为了更多的钱进行无保护的性行为(AOR=1.7；95%CI：1.1-3.0)，至少有一种性传播感染症状(AOR=1.9；95%可信区间：1.1~3.1)、阴道性交易次数较多(β=3.9，P=0.003)、顾客人数较多(β=2.5，P=0.02)、与顾客发生肛交(比值比：2.4；95%可信区间：1.4~4.1)。这项研究的结果突出了流动/移徙妇女所面临的暴力和与艾滋病毒有关的脆弱性，并强调了宣传和调整相关预防战略的必要性。
We examined the relation between high mobility/migration (sex work in three or more villages/towns within the past year) and HIV risk factors among a sample of female sex workers (FSWs) in Andhra Pradesh, India. We recruited FSWs aged ≥18 years (n = 673) through respondent-driven sampling for a survey on HIV risk. Adjusted logistic and linear regression models assessed high mobility in relation to sexual and physical victimization, sexually transmitted infection (STI) symptoms and treatment, condom use and negotiation, number and/or types of sex trades, number of clients and number of days worked. Twelve percent (n = 82) of FSWs were highly mobile; those with high mobility were more likely to report recent HIV risk factors: sexual violence (adjusted odds ratio [AOR] = 5.2; 95% confidence interval [CI]: 3.0-8.9), physical violence (AOR = 1.7; 95% CI: 1.1-2.7), unprotected sex for more money (AOR = 1.7; 95% CI: 1.1-3.0), at least one STI symptom (AOR = 1.9; 95% CI: 1.1-3.1), a greater number of vaginal sex trades (beta = 3.9, P = 0.003), a greater number of clients (beta = 2.5, P = 0.02) and anal sex with clients (AOR = 2.4; 95% CI: 1.4-4.1). Findings from this study underscore the violence and HIV-related vulnerability faced by mobile/migrant FSWs and highlight the need to inform and tailor related prevention strategies.