| 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) |
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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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