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首页> 外文期刊>Bulletin of the World Health Organization >How to reach clients of female sex workers: a survey by surprise in brothels in Dakar, Senegal.
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How to reach clients of female sex workers: a survey by surprise in brothels in Dakar, Senegal.

机译：如何吸引女性性工作者的客户：塞内加尔达喀尔的一家妓院意外调查。

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OBJECTIVE: To describe the sampling techniques and survey procedures used in identifying male clients who frequent brothels to buy sexual services from female sex workers in Dakar, Senegal, with the aim of measuring the prevalence of human immunodeficiency virus (HIV) infection and investigating related risk behaviours. METHODS: Surveys were conducted in seven brothels in Dakar, Senegal. Clients were identified "by surprise" and interviewed and requested to donate saliva for HIV testing. RESULTS: Of the 1450 clients of prostitutes who were solicited to enter the study, 1140 (79.8%) agreed to be interviewed; 1083 (95%) of these clients provided saliva samples for testing. Of the samples tested, 47 were positive for HIV-1 or HIV-2, giving an HIV prevalence of 4.4%. CONCLUSION: The procedures adopted were successful in reaching the target population. Men present in the brothels could not deny being there, and it proved possible to explain the purpose of the study and to gain their confidence. Collection of saliva samples was shown to be an excellent method for performing HIV testing in difficult field conditions where it is hard to gain access to the population under study. The surveying of prostitution sites is recommended as a means of identifying core groups for HIV infection with a view to targeting education programmes more effectively. In countries such as Senegal, where the prevalence of HIV infection is still low, interventions among commercial sex workers and their clients may substantially delay the onset of a larger epidemic in the general population.
机译：目的：描述在塞内加尔达喀尔识别经常从妓院向女性性工作者购买性服务的男性顾客中使用的抽样技术和调查程序，目的是测量人类免疫缺陷病毒（HIV）感染的流行率并调查相关风险行为。方法：在塞内加尔达喀尔的七个妓院进行了调查。客户被“惊讶地发现”并接受采访并被要求捐出唾液用于HIV检测。结果：在1450名被邀请参加研究的妓女客户中，有1140名（79.8％）同意接受采访。其中有1083（95％）位客户提供了唾液样本进行测试。在测试的样本中，有47例HIV-1或HIV-2阳性，HIV患病率为4.4％。结论：采用的程序成功地达到了目标人群。妓院里的男人不能否认在那里，而且事实证明可以解释这项研究的目的并获得他们的信心。事实证明，唾液样品的收集是在困难的野外条件下进行HIV检测的极好方法，因为在野外条件下很难接触到正在研究的人群。建议对卖淫场所进行调查，作为确定艾滋病毒感染核心群体的一种手段，以便更有效地针对教育方案。在像塞内加尔这样的国家，艾滋病毒感染率仍然很低，商业性工作者及其服务对象之间的干预可能会大大延迟一般人群中更大流行病的发作。

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