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The effect of serostatus on HIV risk behaviour change among women sex workers in Miami, Florida.

机译:血清状态对佛罗里达州迈阿密女性性工作者中HIV风险行为变化的影响。

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摘要

HIV prevention and risk reduction are especially salient and timely issues for women, particularly among those who are drug-involved or who exchange sex for drugs or money. Studies suggest that HIV-prevention measures can be effective with highly vulnerable women, and have the potential to produce significant reductions in risk behaviours among both HIV-negative and HIV-positive women. Within this context, this paper examines risk behaviours and HIV serostatus among 407 drug-involved women sex workers in Miami, Florida, and investigates the effects of participation in HIV testing, counselling, and a risk-reduction intervention on subsequent behavioural change among this population. Overall, at follow-up, the HIV-positive women were 2.4 times more likely than the HIV-negative women to have entered residential treatment for drug abuse, 2.2 times more likely to have decreased the number of their sex partners, 1.9 times more likely to have decreased the frequency of unprotected sex, 1.9 times more likely to have reduced their levels of alcohol use, and 2.3 times more likely to have decreased their crack use. These data support the importance of HIV testing and risk-reduction programmes for drug-involved women sex workers.
机译:艾滋病毒的预防和减少风险对妇女而言尤其是突出和及时的问题,特别是在那些涉及毒品或以性行为换取毒品或金钱的妇女中。研究表明,预防艾滋病毒的措施可以对高度脆弱的妇女有效,​​并且有可能显着降低艾滋病毒阴性和艾滋病毒阳性妇女的危险行为。在此背景下,本文研究了佛罗里达州迈阿密市407名吸毒的女性性工作者中的风险行为和HIV血清状况,并调查了参与HIV检测,咨询和降低风险干预措施对该人群随后行为改变的影响。总体而言,在随访中,艾滋病毒阳性妇女因药物滥用而接受住院治疗的可能性是艾滋病毒阴性妇女的2.4倍,减少性伴侣人数的可能性是2.2倍,可能性为1.9倍减少无保护的性行为的频率,减少酒精使用量的可能性是1.9倍,减少使用裂缝的可能性的可能性是2.3倍。这些数据支持了对吸毒的女性性工作者进行艾滋病毒检测和降低风险计划的重要性。

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