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首页> 外文期刊>JAIDS: Journal of acquired immune deficiency syndromes >HIV infection and risk characteristics among female sex workers in Hanoi, Vietnam.
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HIV infection and risk characteristics among female sex workers in Hanoi, Vietnam.

机译:越南河内的女性性工作者中的艾滋病毒感染和危险特征。

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The prevalence of HIV/sexually transmitted diseases (STDs) was determined, the risk characteristics examined, and factors associated with HIV infection identified among noninstitutionalized female sex workers (FSWs), using a cross-sectional survey with 2-stage cluster sampling. Four hundred FSWs were interviewed face to face using a structured questionnaire and tested for HIV, syphilis, Chlamydia infection, and gonorrhea. HIV seroprevalence was 12%, syphilis 17% (using the treponemal pallidum hemagglutination assay), Chlamydia infection 3.8% (using polymerase chain reaction [PCR]), and gonorrhea 6.3% (PCR). Lower-class FSWs averaged 2 clients per day, and middle-class FSWs about 1.2. Median duration in sex work was 2.3 years. Consistent condom use was 63% with irregular clients, 41% with regular clients, and only 4.8% with "love mates." Fifty-five percent had had sex with a drug user(s). Thirty-eight percent used drugs, of whom 83% injected. Factors associated with HIV included being young, having a low level of education, longer residence in Hanoi, being a lower-class FSW, having higher income compared with peers, perception of self being at low risk for HIV, poor knowledge of HIV, and sharing injecting equipment. Intervention strategies should include reduction of both stigmatization and sharing of drug paraphernalia, promotion of nonstigmatizing voluntary testing and counseling, and aggressive marketing and promotion of condoms.
机译:通过采用两阶段整群抽样的横断面调查,确定了非机构化女性性工作者中的艾滋病毒/性传播疾病(STD)的流行率,所检查的风险特征以及与艾滋病毒感染相关的因素。使用结构化问卷对400名FSW进行了面对面采访,并测试了其HIV,梅毒,衣原体感染和淋病。 HIV血清阳性率为12%,梅毒为17%(使用梅毒螺旋体血凝试验),衣原体感染为3.8%(使用聚合酶链反应[PCR]),淋病为6.3%(PCR)。低级FSW每天平均有2个客户,中级FSW大约为1.2。性工作的中位时间为2.3年。经常性使用安全套的比例分别为63%,41%和4.8%。 55%与吸毒者发生过性行为。 38%使用过毒品,其中83%注射了毒品。与艾滋病毒相关的因素包括:年轻,受教育程度低,在河内的居住时间更长,FSW阶级较低,与同龄人相比收入更高,对自己的艾滋病毒感染风险低,对艾滋病毒知识的了解以及共用注射设备。干预策略应包括减少对毒品用具的污名化和共享,促进不污名的自愿检测和咨询,以及积极销售和推广安全套。

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