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HIV, hepatitis B, and hepatitis C prevalence and associated risk behaviors among female sex workers in three Afghan cities.

机译：艾滋病毒，乙型肝炎和丙型肝炎患病率和三个阿富汗城市女性性工作者中的相关风险行为。

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OBJECTIVE: To assess prevalence of HIV, syphilis, and hepatitis B (HBV) and C virus (HCV) and associated risk behaviors among female sex workers (FSWs) in three Afghan cities. DESIGN: Cross-sectional prevalence assessment. METHODS: Consented FSWs from Jalalabad, Kabul, and Mazar-i-Sharif completed an interviewer-administered questionnaire, pretest and posttest counseling, and rapid and confirmatory testing for HIV, HCV, HBV, and syphilis. Logistic regression was used to detect correlates associated with HBV infection. RESULTS: Of 520 participants, median age and age of initiating sex work were 29 and 23 years, respectively, and the median number of monthly clients was 12. Few FSWs reported ever having used illicit drugs (6.9%) or alcohol (4.7%). Demographic and risk behaviors varied significantly by enrollment site, with Kabul FSWs more likely to report sexually transmitted infection symptoms, longer sex work duration, and sex work in other cities. Prevalence of HIV was 0.19%, HCV was 1.92%, and HBV was 6.54%, with no cases of syphilis detected. HBV was independently associated with at least 12 clients monthly [adjusted odds ratio (AOR) = 3.15, 95% confidence interval (CI) 1.38-7.17], ever using alcohol (AOR = 2.61, 95%CI 1.45-4.69), anal sex (AOR = 2.42, 95%CI 1.15-5.08), and having children (AOR = 2.12, 95%CI 1.72-2.63) in site-controlled multivariable analysis. CONCLUSION: Although prevalence of HIV, HCV, and syphilis is currently low in these three Afghan cities, risky sexual practices were common and associated with HBV. Programming inclusive of voluntary testing for HIV, viral hepatitis, and sexually transmitted infections, hepatitis vaccination, substance abuse prevention, and condom promotion for both FSWs and clients should be pursued in Afghanistan.
机译：目的：在三个阿富汗城市中评估艾滋病毒，梅毒和乙型肝炎（HBV）和C病毒（HBV）和C病毒（HCV）的相关风险行为的患病率。设计：横断面普遍评估。方法：来自Jalalabad，Kabul和Mazar-I-Shrif的fsws已完成面试官管理的调查问卷，预测试和后域咨询，以及对艾滋病毒，HCV，HBV和梅毒的快速和确认的测试。逻辑回归用于检测与HBV感染相关的相关性。结果：520名参与者，中位年龄和发起性行为的年龄和年龄分别为29日和23年，每月客户的中位数为12.据报道，少数FSWS曾经使用过非法药物（6.9％）或酒精（4.7％） 。人口统计和风险行为由入学遗址显着多种多样，喀布尔FSW更有可能报告性传播的感染症状，更长的性工作时间，以及其他城市的性行为。艾滋病毒的患病率为0.19％，HCV为1.92％，HBV为6.54％，未检测到梅毒病例。 HBV独立关联，每月至少有12个客户（AOR）= 3.15,95％置信区间（CI）1.38-7.17]，兼职（AOR = 2.61,95％CI 1.45-4.69），肛交（AOR = 2.42,95％CI 1.15-5.08），患儿（AOR = 2.12,95％CI 1.72-2.63）在现场控制的多变量分析中。结论：虽然艾滋病毒，HCV和梅毒的患病率目前在这三个阿富汗城市中较低，但危险的性行为常见并与HBV有关。在阿富汗应追求在阿富汗举行对艾滋病毒症，病毒性肝炎和性传播感染，肝炎疫苗接种，预防预防和预防外来风格和客户的避孕套的编程。

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