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首页> 外文期刊>AIDS and behavior >Prevalence of HIV, Sexually Transmitted Infections, and Risk Behaviours Among Female Sex Workers in Nairobi, Kenya: Results of a Respondent Driven Sampling Study
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Prevalence of HIV, Sexually Transmitted Infections, and Risk Behaviours Among Female Sex Workers in Nairobi, Kenya: Results of a Respondent Driven Sampling Study

机译：肯尼亚内罗毕女性性工作者中的艾滋病毒，性传播感染和危险行为的流行：受访者驱动抽样研究的结果

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We conducted a respondent driven sampling survey to estimate HIV prevalence and risk behavior among female sex workers (FSWs) in Nairobi, Kenya. Women aged 18 years and older who reported selling sex to a man at least once in the past 3 months were eligible to participate. Consenting FSWs completed a behavioral questionnaire and were tested for HIV and sexually transmitted infections (STIs). Adjusted population-based prevalence and 95 % confidence intervals (CI) were estimated using RDS analysis tool. Factors significantly associated with HIV infection were assessed using log-binomial regression analysis. A total of 596 eligible participants were included in the analysis. Overall HIV prevalence was 29.5 % (95 % CI 24.7-34.9). Median age was 30 years (IQR 25-38 years); median duration of sex work was 12 years (IQR 8-17 years). The most frequent client-seeking venues were bars (76.6 %) and roadsides (29.3 %). The median number of clients per week was seven (IQR 4-18 clients). HIV testing was high with 86.6 % reported ever been tested for HIV and, of these, 63.1 % testing within the past 12 months. Of all women, 59.7 % perceived themselves at 'great risk' for HIV infection. Of HIV-positive women, 51.0 % were aware of their infection. In multivariable analysis, increasing age, inconsistent condom use with paying clients, and use of a male condom as a method of contraception were independently associated with unrecognized HIV infection. Prevalence among STIs was low, ranging from 0.9 % for syphilis, 1.1 % for gonorrhea, and 3.1 % for Chlamydia. The data suggest high prevalence of HIV among FSWs in Nairobi. Targeted and routine HIV and STI combination prevention strategies need to be scaled up or established to meet the needs of this population.
机译：我们进行了一项由受访者推动的抽样调查，以估计肯尼亚内罗毕的女性性工作者（FSW）中的艾滋病毒感染率和风险行为。在过去3个月内至少有一次向男人出售过性行为的18岁以上的女性有资格参加。同意的FSW完成了行为问卷，并接受了HIV和性传播感染（STI）的测试。使用RDS分析工具估算出调整后的人群患病率和95％置信区间（CI）。使用对数二项回归分析评估与HIV感染显着相关的因素。分析中总共包括596位合格参与者。总体艾滋病毒感染率为29.5％（95％CI 24.7-34.9）。中位年龄为30岁（IQR 25-38岁）;性工作的中位时间为12年（IQR 8-17岁）。寻求客户最多的场所是酒吧（76.6％）和路边（29.3％）。每周的客户中位数为七个（IQR 4-18个客户）。 HIV检测率很高，据报告曾经检测过HIV检测率为86.6％，其中过去12个月中检测率为63.1％。在所有妇女中，有59.7％的人认为自己处于HIV感染的“最大风险”中。在HIV阳性女性中，有51.0％的女性意识到自己的感染。在多变量分析中，年龄增长，与付费对象使用避孕套不一致，使用男性避孕套作为避孕方法均与无法识别的HIV感染相关。性传播感染的患病率很低，梅毒为0.9％，淋病为1.1％，衣原体为3.1％。数据表明，在内罗毕的性工作者中，艾滋病毒的患病率很高。需要扩大或建立有针对性的常规艾滋病毒和性传播感染联合预防策略，以满足该人群的需求。

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