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首页> 外文期刊>AIDS care. >Surviving the sex trade: a comparison of HIV risk behaviours among street-involved women in two Canadian cities who inject drugs.
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Surviving the sex trade: a comparison of HIV risk behaviours among street-involved women in two Canadian cities who inject drugs.

机译：幸存的性交易：在加拿大两个注射毒品的城市中，街头流浪妇女的艾滋病毒风险行为比较。

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In Canada, very little is known about the factors and processes that cause drug-related harm among female intravenous drug users (IDUs). Women who inject drugs and participate in the survival sex trade are considered to be at increased risk for sexual and drug-related harms, including HIV infection. Between September 1999 and September 2000, women participating in the VIDUS cohort in Vancouver and the St. Luc Cohort in Montreal completed interviewer-administered questionnaires. Analyses were conducted to compare the demographic characteristics, sexual risk behaviours, risky injection practices and drug use patterns among women who self-identified as participating in the sex trade with those who did not identify as participating in the sex trade. Logistic regression was used to identify factors independently associated with exchanging sex for money or drugs. HIV prevalence at the study visit (September 1999-2000) was 29% for sex trade workers and 29.2% for non-sex trade workers. While patterns of sexualrisk were similar, the risky injection practice and drug use patterns between sex trade workers and non-sex trade workers were markedly different. Logistic regression analysis of cross-sectional data revealed that independent behaviours associated with the sex trade included: greater than once per day use of heroin (adjusted OR 2.7), smokeable crack cocaine (adjusted OR = 3.3) and borrowing used syringes (adjusted OR = 2.0). Creative, client-driven interventions are urgently needed for women who trade sex for money or for drugs.
机译：在加拿大，对女性静脉吸毒者（IDU）中与毒品有关的危害的因素和过程知之甚少。注射毒品并参加性生活的妇女被认为遭受包括艾滋病毒在内的性危害和与毒品有关的危害的风险增加。在1999年9月至2000年9月期间，参加温哥华VIDUS队列和蒙特利尔St.Luc队列的妇女填写了由访调员管理的问卷。进行了分析，以比较自认参与性交易的妇女和不认同参与性交易的妇女的人口统计学特征，性危险行为，危险的注射做法和药物使用方式。 Logistic回归用于确定与金钱或毒品换性独立相关的因素。研究访问（1999年9月至2000年9月）中，性交易工作者的艾滋病毒流行率为29％，非性交易工作者的艾滋病毒流行率为29.2％。尽管性风险的模式相似，但性交易工作者与非性交易工作者之间的高风险注射做法和毒品使用模式明显不同。横截面数据的逻辑回归分析显示，与性交易有关的独立行为包括：每天使用海洛因（调整为OR 2.7），可吸烟的可卡因（调整为OR = 3.3）和借用二手注射器（调整为OR =每天一次）以上2.0）。对于以性交易为金钱或毒品的妇女，迫切需要以客户为导向的创新干预措施。

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