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首页> 外文期刊>JAIDS: Journal of acquired immune deficiency syndromes >A tale of two countries: HIV among core groups in Togo.
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A tale of two countries: HIV among core groups in Togo.

机译:有两个国家的故事:多哥核心人群中的艾滋病毒。

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摘要

OBJECTIVE: To describe the epidemiology of HIV among core groups in Togo. METHODS: We enumerated sex workers (SWs) and conducted cross-sectional surveys of SWs and their clients in 2003 in Lome and in 2005 in the whole country. RESULTS: Sex work was concentrated in Lome, which comprised 15% of the population, but 52% of the 5397 SWs enumerated in Togo in 2005 and 68% of the estimated 101,376 men who had bought sex in the year before the 2005 survey. HIV prevalence among SWs was highest in Lome (45.4% in 2005) and progressively decreased from south to north. A similar geographical pattern was seen for clients (8.3% were HIV infected in Lome in 2005) and had already been reported for pregnant women. In Lome, the population attributable fraction of prevalent cases of HIV acquired during transactional sex was estimated at 32%; in the rest of the country, this was only 2%. CONCLUSIONS: This is the first study quantifying sex work at a national level in Africa. Variations in HIV prevalence within Togo, with a north-south gradient among SWs, their clients, and pregnant women, may to a large extent reflect the concentration of the sex trade within Lome. Prostitution played only a modest a role in HIV dynamics outside Lome.
机译:目的:描述多哥核心人群中艾滋病毒的流行病学。方法:我们列举了性工作者(SW),并于2003年在洛美和2005年在全国范围内对性工作者及其客户进行了横断面调查。结果:性工作集中在洛美,占人口的15%,但2005年多哥5397名西南妇女的人数为52%,在2005年调查之前的一年中,估计有101,376名男性购买性服务的男子中有68%。在洛美,西南部地区的艾滋病毒流行率最高(2005年为45.4%),并从南到北逐渐下降。服务对象的地理分布也相似(2005年,洛美有8.3%的艾滋病毒感染者),而且孕妇也有报告。在洛美,性交易期间获得的艾滋病毒流行病例的人群可归因比例估计为32%;在其他国家/地区,这一比例仅为2%。结论:这是对非洲国家一级的性工作进行量化的第一项研究。多哥内部艾滋病毒流行率的变化,西南部,其顾客和孕妇之间的南北梯度变化,可能在很大程度上反映了洛美境内性交易的集中。卖淫在洛美以外的艾滋病毒动态中仅发挥了很小的作用。

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