文章摘要
付笑冰,王冰娜,李艳,杨春,林观喜,林鹏.广东省中低档女性性工作者艾滋病病毒/性传播疾病感染状况及危险因素分析[J].中华流行病学杂志,2014,35(5):510-513
广东省中低档女性性工作者艾滋病病毒/性传播疾病感染状况及危险因素分析
Prevalence of HIV and sexually transmitted diseases as well as related associated risk factors among middle/low level female sex workers in a city in Guangdong province
收稿日期:2013-11-28  出版日期:2014-09-17
DOI:10.3760/cma.j.issn.0254-6450.2014.05.009
中文关键词: 艾滋病病毒;性传播疾病;女性性工作者;危险因素
英文关键词: Human immunodeficiency virus;Sexually transmitted disease;Female sex workers;Risk factors
基金项目:中美艾滋病防治合作项目(03020)
作者单位E-mail
付笑冰 511430 广州, 广东省疾病预防控制中心  
王冰娜 暨南大学  
李艳 511430 广州, 广东省疾病预防控制中心  
杨春 湛江市疾病预防控制中心  
林观喜 湛江市疾病预防控制中心  
林鹏 511430 广州, 广东省疾病预防控制中心 gdcdclp@21cn.com 
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中文摘要:
      目的 了解广东省某经济欠发达地区中低档女性性工作者 (FSW) 感染HIV和性传播疾病 (STD) 的状况并分析其危险因素。方法 横断面调查,通过绘制分布图,采用等比例等概率抽样方法,对抽中的中低档FSW进行调查,获取人口学特征、 性行为、 吸毒行为等信息,并抽取5 ml静脉血进行HIV、 梅毒及单纯疱疹病毒2型 (HSV-2) 检测。结果 该地区中低档FSWs的HIV感染率为0.3% (2/575); STDs感染率32.2%(185/575),其中梅毒感染率为4.9% (28/575),HSV-2感染率为30.6% (176/575)。多因素非条件logistic分析结果显示使用毒品 (OR=3.91,95%CI: 1.17~13.03) 为感染STDs的危险因素; 接受过干预服务 (OR=0.14,95%CI: 0.04~0.52)、 教育程度高 (OR=0.40,95%CI:0.19-0.83)、 中档 (相对于低档)(OR=0.27,95%CI: 0.09~0.79) 为感染STD的保护性因素。结论 广东省某经济欠发达地区中低档FSW均存在不同程度HIV/STD感染及危险行为,低档FSW更为严重,需加强对该类人群的宣传干预,预防当地HIV/STD传播。
英文摘要:
      Objective To explore the prevalence of HIV,sexually transmitted diseases(STDs) and associated factors among medium/low level female sex workers(FSWs) in an under-developed city in Guangdong province. Methods FSWs were reached by probability proportionate to size sampling through mapping. A cross-sectional survey was conducted to investigate data on demographic characteristics, sexual behaviors, condom use and drug use. 5 ml blood samples were collected to test for human immunodeficiency virus(HIV), syphilis and HSV-2. Results The prevalence rates of HIV, syphilis and HSV-2 were 0.3%(2/575), 4.9%(28/575) and 30.6%(176/575) respectively, and 32.2%(185/575) for STDs. Results from multivariate unconditional logistic regression model indicated that drug use(OR=3.91, 95%CI:1.17-13.03) was the independent risk factor for STDs infection. Risks as ever accepted intervention program (OR=0.14, 95%CI:0.04-0.52), with higher education level(OR=0.40, 95%CI:0.19-0.83) and medium-fee charged FSWs(OR=0.27, 95% CI:0.09-0.79) were protective factors for STDs. Conclusion Sources of STDs and related risk factors were comprehensive among medium/low FSWs, especially for the latter, whith all calling for multi-sector cooperation to explore the effective intervention program in this population.
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