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HIV prevalence and characteristics of sex work among female sex workers in Hargeisa, Somaliland, Somalia.

机译:哈格萨,索马里兰·索马里的女性性工作者中性别工作的艾滋病毒患病率和特点。

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OBJECTIVE: To measure prevalence of HIV and syphilis and describe characteristics of sex work among female sex workers (FSWs) in Hargeisa, Somaliland, Somalia. METHODS: A cross-sectional survey recruited 237 FSWs using respondent-driven sampling (RDS). A face-to-face, structured interview using handheld-assisted personal interviewing (HAPI) on personal digital assistants (PDAs) was completed and blood collected for serological testing. RESULTS: FSWs 15-19 years old accounted for 6.9% of the population; 20-24 year-old constituted an additional 18.0%. The majority (86.6%) never attended school. International (59.0%) and interzonal (10.7%) migration was common. Most (95.7%) reported no other source of income; 13.8% had five or more clients in the last 7 days. A minority (38.4%) had heard of STIs, even fewer (6.9%) held no misconceptions about HIV. Only 24% of FSW reported using a condom at last transactional sex, and 4% reported ever been tested for HIV. HIV prevalence was 5.2% and syphilis prevalence was 3.1%. CONCLUSION: Sex work in Hargeisa, Somaliland, Somalia, is characterized by high numbers of sexual acts and extremely low knowledge of HIV. This study illustrates the need for targeted HIV prevention interventions focusing on HIV testing, risk-reduction awareness raising, and review of condom availability and distribution mechanisms among FSWs and males engaging with FSWs.
机译:目的:衡量艾滋病毒和梅毒的患病率,并描述哈格萨,索马里兰索马里,索马里的女性性工作者(FSW)中性工作的特征。方法:使用受访者驱动的采样(RDS)招聘了237 FSW的横断面调查。在个人数字助理(PDA)上使用手持辅助个人访谈(HAPI)的面对面,结构化面试已完成,血液收集血清学检测。结果:FSWS 15-19岁占人口的6.9%; 20-24岁,额外的18.0%。大多数人(86.6%)从未参加过上学。国际(59.0%)和界面(10.7%)迁移很常见。大多数(95.7%)报告没有其他收入来源; 13.8%在过去7天内有五个或更多的客户。少数群体(38.4%)听说过STI,甚至更少(6.9%)对艾滋病毒感到没有误解。只有24%的FSW报告使用最后一次交易性行为的避孕套,据报告的4%曾经考验过艾滋病毒。艾滋病毒患病率为5.2%,梅毒患病率为3.1%。结论:哈格萨,索马里和索马里的性别工作,其特点是高位的性行为和对艾滋病毒的知识极低。本研究说明了针对艾滋病毒检测,风险减少意识提升和对FSWS之间的避孕套可用性和分配机制的靶向艾滋病毒预防干预措施的需求。

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