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Female sex work and HIV risks in Croatia.

机译:克罗地亚的女性性工作和艾滋病毒风险。

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The aim of this paper was to analyze and compare the prevalence of HIV-related sexual risk taking among Croatian female sex workers (FSW) in two major urban areas. Two groups of FSWs were interviewed in Zagreb (n=65) and Split (n=89). Participants' mean age was 33.3 (SD=8.32). Interviews were conducted by outreach organizations that provide health services to sex workers in the two cities. The study used a brief questionnaire with standardized behavioral and HIV knowledge indicators. The two groups of FSWs differed significantly in most socio-demographic and socio-sexual indicators. Women from the Split sample were somewhat younger (chi(2)=6.87, p<0.05), less educated (chi(2)=7.71, p<0.05), less likely to be single (chi(2)=19.81, p<0.001), and less likely to be unemployed (chi(2)=5.22, p<0.05). In addition, they injected drugs in higher proportion (chi(2)=35.03, p<0.001), but had less clients in the preceding month (chi(2)=12.54, p<0.001) and were less likely to be abused by them (chi(2)=7.18, p<0.01). HIV testing was significantly more prevalent among participants in the Split sample (chi(2)=4.95, p<0.05). In multivariate analysis, selling sex in Zagreb (OR = 14.48, p<0.01), having secondary or higher education (OR = 4.76, p<0.05), ever tested for HIV (OR = 8.34, p<0.05), and having assessed the risk of getting infected with HIV as high (OR = 0.23, p<0.05) were significantly associated with consistent condom use with clients in the last month. The findings of this first systematic study on HIV-related risks among FSWs in Croatia point to the need to update targeted intervention programs by improving the prevention of HIV risks associated with injecting drug use (Split) and by a more efficient HIV educational approach.
机译:本文的目的是分析和比较在两个主要城市地区的克罗地亚女性性工作者中感染艾滋病毒的性风险。在萨格勒布(n = 65)和斯普利特(n = 89)采访了两组FSW。参与者的平均年龄为33.3(SD = 8.32)。采访由向两个城市的性工作者提供卫生服务的外展组织进行。该研究使用了简短的问卷,其中包含标准化的行为和艾滋病毒知识指标。两组FSW在大多数社会人口统计学和社会性别指标上均存在显着差异。拆分样本中的女性年龄较小(chi(2)= 6.87,p <0.05),受教育程度较低(chi(2)= 7.71,p <0.05),单身的可能性较小(chi(2)= 19.81,p <0.001),失业的可能性较小(chi(2)= 5.22,p <0.05)。此外,他们以较高的比例注射药物(chi(2)= 35.03,p <0.001),但前一个月的客户较少(chi(2)= 12.54,p <0.001),被滥用的可能性较小他们(chi(2)= 7.18,p <0.01)。在拆分样本的参与者中,艾滋病毒检测更为普遍(chi(2)= 4.95,p <0.05)。在多变量分析中,萨格勒布的性交易(OR = 14.48,p <0.01),受过中等或更高学历(OR = 4.76,p <0.05),曾经接受过HIV检测(OR = 8.34,p <0.05)并进行了评估在最后一个月中,与患者一致使用安全套与高感染艾滋病毒(OR = 0.23,p <0.05)的风险显着相关。这项关于克罗地亚FSW中与HIV相关的风险的首次系统研究的结果表明,需要通过提高对预防与注射毒品有关的HIV风险的预防,以及通过更有效的HIV教育方法来更新有针对性的干预计划。

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