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Herpes simplex virus type 2 infection among female sex workers in Shanghai, China.

机译:中国上海的女性性工作者中的2型单纯疱疹病毒感染。

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A study with two cross-sectional surveys in two consecutive years was conducted in Shanghai, China to examine the seroprevalence of herpes simplex virus type 2 (HSV-2), syphilis and HIV among female sex workers (FSW). A total of 793 FSW participated in the survey, 382 in 2008 only, 382 in 2009 only, and 29 in both 2008 and 2009. The majority of them were less than 30 years and two-thirds were married. All were migrants and a half was from rural areas. Some of them have stayed in Shanghai and engaged in commercial sex for more than two years. Their knowledge of HIV/AIDS was limited. Condom use was not common for both marital sex and non-commercial extramarital sex but fairly frequent for commercial sex. Two-percent were using drugs in the past year. Nearly one quarter reported having syndromes of sexually transmitted diseases (STD) in the past year, with a substantial proportion of them untreated or treated inappropriately. No one was HIV-infected. The overall HSV-2 seroprevalence was 47.3% (375/793), 45.5% (187/411) in 2008 and 50.1% (206/411) in 2009. The overall prevalence of syphilis was 4.5% (36/793), 7.0% (29/411) in 2008 and 2.4% (10/411) in 2009. Multiple logistic regression analyses indicated that HSV-2 infection was statistically associated with age, type of working venue, origin, and period of staying in Shanghai; whereas syphilis infection was statistically associated with year of participation and smoking status. In conclusion, HSV-2 is highly prevalent among FSW in Shanghai, with a relatively low prevalence of syphilis. The currently low HIV epidemic in this population provides a window of opportunity to implement tailored HIV/STD prevention and control efforts targeting them, with particular attentions to large numbers of HSV-2-infected FSW and their clients.
机译:连续两年在中国上海进行了一项横断面调查研究,以调查女性性工作者(FSW)中2型单纯疱疹病毒(HSV-2),梅毒和HIV的血清阳性率。共有793名FSW参加了调查,仅2008年为382名,仅2009年为382名,而2008年和2009年均为29名。其中大多数未满30岁,三分之二已婚。所有人都是移民,一半来自农村地区。其中一些人已经在上海停留并从事商业色情活动超过两年。他们对艾滋病毒/艾滋病的了解有限。夫妻性行为和非商业性婚外性行为都不常使用避孕套,而商业性行为使用避孕套则相当频繁。过去一年中有百分之二的人使用毒品。在过去的一年中,近四分之一的人报告患有性传播疾病综合症(STD),其中很大一部分未得到治疗或治疗不当。没有人感染艾滋病毒。 HSV-2血清总患病率分别为2008年的47.3%(375/793),45.5%(187/411)和2009年的50.1%(206/411)。梅毒的总患病率为4.5%(36/793),7.0 2008年的百分比(29/411)和2009年的2.4%(10/411)。多重logistic回归分析表明,HSV-2感染与年龄,工作地点类型,出身和在上海的居住时间有统计学关系。而梅毒感染与参加年份和吸烟状况在统计学上相关。总之,HSV-2在上海的FSW中非常流行,梅毒的患病率相对较低。目前该人群中艾滋病毒流行率较低,为针对他们实施有针对性的艾滋病毒/性病预防和控制工作提供了机会之窗,尤其要注意大量被HSV-2感染的FSW及其客户。

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