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首页> 美国卫生研究院文献>Bulletin of the New York Academy of Medicine >Prevalence and Correlates of HIV and Sexually Transmitted Infections among Female Sex Workers and Their Non-commercial Male Partners in Two Mexico-USA Border Cities
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Prevalence and Correlates of HIV and Sexually Transmitted Infections among Female Sex Workers and Their Non-commercial Male Partners in Two Mexico-USA Border Cities

机译：在两个墨西哥-美国边境城市的女性性工作者及其非商业性男性伴侣中HIV和性传播感染的患病率和相关性

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Female sex workers (FSWs) acquire HIV and other sexually transmitted infections (STIs) through unprotected sex with commercial and non-commercial (intimate) male partners. Little research has focused on FSWs' intimate relationships, within which condom use is rare. We sought to determine the prevalence and correlates of HIV/STIs within FSWs' intimate relationships in Northern Mexico. From 2010 to 2011, we conducted a cross-sectional survey of FSWs and their non-commercial male partners in Tijuana and Ciudad Juárez, Mexico. Eligible FSWs and their verified male partners were aged ≥18 years; FSWs reported lifetime use of heroin, cocaine, crack, or methamphetamine and recently exchanged sex (past month). Participants completed baseline questionnaires and testing for HIV, chlamydia, gonorrhea, and syphilis. We determined the prevalence and correlates of individuals' HIV/STI positivity using bivariate probit regression. Among 212 couples (n = 424), prevalence of HIV was 2.6 % (n = 11). Forty-two (9.9 %) tested positive for any HIV/STIs, which was more prevalent among women than men (12.7 % vs. 7.1 %, p < 0.05). FSWs with regular sex work clients were less likely to test positive for HIV/STIs than those without regular clients. Similarly, male partners of FSWs who had regular clients were 9 % less likely to have HIV/STIs. Higher sexual decision-making power was protective against HIV/STIs for women. Men who recently used methamphetamine or reported perpetrating any conflict within steady relationships were more likely to test positive for HIV/STIs. Within FSWs' intimate relationships in two Mexican-US border cities, nearly one in ten partners tested positive for HIV/STIs. Couple-based prevention interventions should recognize how intimate relationship factors and social contexts influence HIV/STI vulnerability.
机译：女性性工作者（FSW）通过与商业和非商业（亲密）男性伴侣的无保护性行为感染艾滋病毒和其他性传播感染。很少有研究集中在FSW的亲密关系上，很少使用安全套。我们试图确定在北部墨西哥FSW亲密关系中HIV / STI的患病率和相关性。从2010年到2011年，我们在墨西哥蒂华纳和华雷斯城对FSW及其非商业性男性伴侣进行了横断面调查。合格的FSW及其经过验证的男性伴侣年龄≥18岁; FSW报告了终身使用海洛因，可卡因，裂纹或甲基苯丙胺以及最近进行过性行为（过去一个月）。参加者完成了基线调查问卷并进行了HIV，衣原体，淋病和梅毒的检测。我们使用双变量概率回归确定了个体HIV / STI阳性的患病率和相关性。在212对夫妇中（n = 424），艾滋病毒的患病率为2.6％（n = 11）。 42（9.9％）的任何HIV / STIs呈阳性反应，在女性中比男性更普遍（12.7％对7.1％，p <0.05）。具有固定性服务对象的FSW与没有固定对象的FSW相比，其HIV / STIs呈阳性的可能性较小。同样，有固定客户的FSW的男性伴侣患HIV / STI的可能性要低9％。较高的性决策权可以预防妇女感染艾滋病毒/性传播疾病。最近使用甲基苯丙胺或报告称在稳定关系中发生任何冲突的男性更有可能对HIV / STIs呈阳性反应。在FSW在两个墨西哥-美国边境城市的亲密关系中，近十分之一的合作伙伴检测出的艾滋病毒/性传播感染呈阳性。基于夫妇的预防干预措施应认识到亲密关系因素和社会环境如何影响艾滋病毒/性传播感染的脆弱性。

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