A Cross-Sectional Study of Sexually Transmitted Pathogen Prevalence and Condom Use With Commercial and Noncommercial Sex Partners Among Clients of Female Sex Workers in Southern India
A Cross-Sectional Study of Sexually Transmitted Pathogen Prevalence and Condom Use With Commercial and Noncommercial Sex Partners Among Clients of Female Sex Workers in Southern India
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DOI：
10.1097/olq.0b013e3182904a9a
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发表时间：
2013-06-01
影响因子：
3.1
通讯作者：
Blanchard, James F.
中科院分区：
文献类型：
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作者：
Shaw, Souradet Y.;Bhattacharjee, Parinita;Blanchard, James F.
背景：女性性工作者（FSW）的客户是艾滋病毒和其他性传播感染的重要桥梁人群。然而，风险的程度，女性非商业性合作伙伴（NCPs）的客户端还没有explored.Methods：数据来源于一个横截面的行为和生物调查的FSW客户从5个地区在卡纳塔克邦，印度南部。客户被分为3组：已婚，至少有一个NCP的单身，没有NCP的单身。构建了双变量和多变量逻辑回归模型，以检查FSW和NCP（如适用）的群体成员身份与安全套使用模式之间的关联。艾滋病毒，单纯疱疹病毒2型（HSV-2），和其他性传播感染进行了检查。归一化的权重被用来占一个复杂的抽样design.Results：在我们的样本（n = 2328）大多数受访者已婚（61%）。与没有NCP的单身受访者相比，已婚客户更可能从不使用安全套，偶尔（调整后的比值比[AOR]，1.8; 95%置信区间[CI]，1.3-2.5; P < 0.0001）和定期（AOR，1.7; 95% CI，1.1-2.6; P = 0.015）FSW。在有NCP的客户中，已婚客户从不使用安全套的几率更高（AOR，5.5; 95%CI，3.7-8.1; P < 0.0001）。HIV、HSV-2、梅毒和衣原体或淋病感染的总体患病率分别为5.7%、28.3%、3.6%和2.1%。HSV-2的患病率分别为37%，16%，和19%，在那些谁是已婚的，那些单身的NCP，和那些单身的NCP，respectively.Conclusions：已婚受访者最不可能使用安全套与商业和非商业性的性伴侣，同时也有最高的HSV-2的患病率。这些结果说明了已婚客户的商业伙伴和国家联络点面临的风险。
Background: Clients of female sex workers (FSWs) are an important bridging population for HIV and other sexually transmitted infections. However, the extent of risk to female noncommercial partners (NCPs) of clients has not been explored.Methods: Data originated from a cross-sectional behavioral and biological survey of FSW clients from 5 districts in Karnataka state, southern India. Clients were classified into 3 groups: married, single with at least 1 NCP, and single without an NCP. Bivariate and multivariable logistic regression models were constructed to examine the association between group membership and condom use patterns with FSWs and, where applicable, NCPs. HIV, herpes simplex virus type 2 (HSV-2), and other sexually transmitted infections were examined. Normalized weights were used to account for a complex sampling design.Results: Most respondents in our sample (n = 2328) were married (61%). Compared with single respondents without an NCP, married clients were more likely to never use condoms with both occasional (adjusted odds ratio [AOR], 1.8; 95% confidence interval [CI], 1.3-2.5; P < 0.0001) and regular (AOR, 1.7; 95% CI, 1.1-2.6; P = 0.015) FSWs. Among clients with an NCP, married clients were at higher odds of never using a condom with their NCP (AOR, 5.5; 95% CI, 3.7-8.1; P < 0.0001). Overall prevalence for HIV, HSV-2, syphilis, and chlamydia or gonorrhea infection was 5.7%, 28.3%, 3.6%, and 2.1%, respectively. The prevalence of HSV-2 was 37%, 16%, and 19% among those who were married, those single without an NCP, and those single with an NCP, respectively.Conclusions: Married respondents were least likely to use condoms with both commercial and noncommercial sexual partners, while also having the highest prevalence of HSV-2. These results illustrate the risk posed to both commercial partners and NCPs of married clients.