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首页> 外文期刊>Nepal Journal of Epidemiology >Systematic Differences in HIV, Syphilis and Risk Behaviors among Street Based and Establishment Based Female Sex Workers in Kathmandu Valley of Nepal
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Systematic Differences in HIV, Syphilis and Risk Behaviors among Street Based and Establishment Based Female Sex Workers in Kathmandu Valley of Nepal

机译：尼泊尔加德满都谷地街头和基层女性性工作者中艾滋病毒，梅毒和风险行为的系统差异

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Background: Female Sex Workers (FSWs) are main drivers of the HIV epidemic in Nepal. The work environment of sex work in Nepal is differentiated into establishment based (e.g. massage parlors, dance restaurants, hotels and lodges) and street based (e.g. streets, parks and markets). The study compares HIV, syphilis and risk behaviours among establishment-based FSWs and street-based FSWs in Kathmandu Valley of Nepal.Materials and Methods: Cross-sectional bio-behavioral surveys in 2006, 2008, 2011 and 2015 aimed to sample 2093 FSWs using two stage cluster sampling in the Kathmandu valley. Statistical analysis used chi-squared tests and logistic regression models to assess differences of HIV, syphilis and risk behaviors among street-based FSWs and establishment-based FSWs.Results: The study included 39.7% street-based FSWs and 60.3% establishment-based FSWs. The street-based FSWs had lower education levels, older age groups, separated, longer duration of sex work and inconsistent condom used with clients than establishment-based FSWs (p<0.05). Establishment-based FSWs were lower exposure to HIV intervention programs and pervasive alcohol consumption and use of drugs (p<0.05). The multivariate analysis showed that street-based FSWs were more likely of HIV test (aOR=1.25, 95%CI=1.04, 1.49), HIV (aOR=4.72, 95%CI=2.19, 10.15) and syphilis (aOR=7.96, 95%CI=3.49, 18.15) than establishment-based FSWs.Conclusion: Street-based FSWs possessed higher risk behaviour and have higher HIV and syphilis prevalence. HIV prevention interventions targeting FSWs should consider risks and vulnerability of street-based FSWs.
机译：背景：性工作者是尼泊尔艾滋病毒流行的主要驱动力。尼泊尔性工作的工作环境分为基于场所的场所（例如按摩室，舞蹈餐厅，酒店和旅馆）和基于街道的场所（例如街道，公园和市场）。该研究比较了尼泊尔加德满都谷地基于场所的FSW和街头基于街道的FSW中的HIV，梅毒和风险行为。材料与方法：2006、2008、2011和2015年的横断面生物行为调查旨在对2093个FSW进行抽样加德满都谷地的两阶段集群采样。统计分析使用卡方检验和逻辑回归模型来评估街头FSW和机构FSW之间的HIV，梅毒和风险行为的差异。结果：该研究包括39.7％的街头FSW和60.3％的FSW。 。与基于场所的FSW相比，基于街头的FSW具有较低的教育水平，较高的年龄段，分离的性工作时间以及与客户使用的避孕套不一致（p <0.05）。以企业为基础的FSWs降低了对HIV干预计划的暴露，降低了普遍饮酒和使用毒品的风险（p <0.05）。多元分析显示，街头FSW更有可能接受HIV测试（aOR = 1.25、95％CI = 1.04、1.49），HIV（aOR = 4.72、95％CI = 2.19、10.15）和梅毒（aOR = 7.96，结论：街头FSW的危险行为较高，HIV和梅毒患病率较高。95％CI = 3.49，18.15）。针对FSW的HIV预防干预措施应考虑街头FSW的风险和脆弱性。

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