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Unprotected sex with their clients among low-paying female sex workers in southwest China

机译：中国西南地区低薪女性性工作者中与客户的无保护性行为

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摘要

China has been experiencing a rapid increase in the HIV epidemic for decades. Commercial sex plays a critical role in heterosexual transmission of HIV. Limited studies suggested that low-paying female sex workers (FSWs) faced a higher risk of HIV infection. Low-paying FSWs are women who usually encounter their clients on the street or small establishments in rural or less-developed areas, or who charge low fees for each sexual service. A total of 720 low-paying FSWs from 130 commercial sex venues/locations in southwest China were included in the data analysis. Multivariate regression models were employed to examine the associations of unprotected sex with a number of exploratory variables among the study sample. About 33.9 and 61.5% of low-paying FSWs reported unprotected sex with clients in the last sex act and in the last month, respectively. After controlling for confounders, women's HIV knowledge, risk perception, experience of police arrest, and venue types were significantly associated with unprotected sex among low-paying FSWs. Low-paying FSWs are at an alarmingly high risk of HIV infection. HIV prevention programs are urgently needed to address risk factors posit in both individual and contextual levels among this most-at-risk population in order to curb the HIV epidemic in China. ? 2013
机译：几十年来，中国一直在迅速增加艾滋病毒的流行。商业性行为在艾滋病毒的异性传播中起着至关重要的作用。有限的研究表明，低薪女性性工作者面临着更高的HIV感染风险。低收入的性工作者是通常在街上或农村或欠发达地区的小型机构中遇到客户的妇女，或者每次性服务收取低廉费用的妇女。数据分析包括来自中国西南地区130个商业性场所的720个低薪性工作者。多变量回归模型用于研究样本中未保护性行为与许多探索性变量的关联。大约33.9和61.5％的低薪FSW分别在上一次性行为和上个月与客户发生未保护的性行为。在控制了混杂因素之后，低薪FSW中妇女的艾滋病毒知识，风险感知，被警察逮捕的经历以及场所类型与未受保护的性行为显着相关。低薪FSW感染艾滋病毒的危险高得惊人。为了遏制中国的艾滋病毒流行，迫切需要开展艾滋病毒预防计划，以解决这一风险最高的人群在个体和背景方面的风险因素。 ？ 2013年

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