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首页> 外文期刊>International journal of STD & AIDS >Vaginal douching and sexually transmitted infections among female sex workers: a cross-sectional study in three provinces in China
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Vaginal douching and sexually transmitted infections among female sex workers: a cross-sectional study in three provinces in China

机译：女性性工作者中的阴道冲洗和性传播感染：在中国三个省份的横断面研究

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Though vaginal douching is a common practice among female sex workers that could increase the risk of HIV and adverse reproductive health outcomes, it has drawn limited attention. From November 2010 to January 2011, a convenience sample of female sex workers was recruited in three cities in China. Face-to-face interviews were conducted to gather socio-demographic and behavioural information. Blood samples were collected for syphilis serological tests. Endocervical swabs were collected and tested for Neisseria gonorrhoeae and Chlamydia trachomatis by polymerase chain reaction. A logistic regression model was used to determine factors associated with vaginal douching and the association between vaginal douching and sexually transmitted infection. A total of 1032 eligible female sex workers were enrolled. The overall prevalence of any sexually transmitted infection (syphilis, Chlamydia trachomatis or Neisseria gonorrhoeae) and vaginal douching with disinfectant were 23.4% and 23.1%, respectively. Factors independently associated with douching practice included study sites, venue types, ethnicity, having regular partner and sexually transmitted infection history. No significant association was found between vaginal douching and current sexually transmitted infection. Vaginal douching with disinfectant after sex with clients seemed to be a prevalent practice among female sex workers in China. Prevention programmes targeting female sex workers should incorporate components about the adverse health outcomes associated with vaginal douching.
机译：尽管阴道冲洗是女性性工作者中的一种普遍做法，可能增加感染艾滋病毒的风险和不利的生殖健康结果，但它受到的关注有限。从2010年11月到2011年1月，在中国三个城市招募了一个便利的性工作者样本。进行了面对面的采访，以收集社会人口统计资料和行为信息。收集血样用于梅毒血清学测试。收集宫颈拭子并通过聚合酶链反应测试淋病奈瑟氏球菌和沙眼衣原体。使用逻辑回归模型确定与阴道冲洗有关的因素以及阴道冲洗与性传播感染之间的关联。共有1032名合格的女性性工作者参加了该活动。任何性传播感染（梅毒，沙眼衣原体或淋病奈瑟氏球菌）和阴道消毒剂的总感染率分别为23.4％和23.1％。与冲洗行为独立相关的因素包括研究地点，场所类型，种族，有规律的伴侣和性传播感染史。在阴道冲洗和当前的性传播感染之间未发现显着关联。与客户发生性关系后，用消毒剂冲洗阴道似乎是中国女性性工作者中普遍的做法。针对女性性工作者的预防计划应纳入与阴道冲洗有关的不良健康后果的组成部分。

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