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HIV prevalence and risk behaviour among prostitutes and clients in Amsterdam: migrants at increased risk for HIV infection.

机译：阿姆斯特丹妓女和clients客中艾滋病毒的流行和危险行为：移民中艾滋病毒感染风险增加。

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OBJECTIVES--To study groups of prostitutes and clients of prostitutes in order (i) to determine HIV prevalence and sexual risk behaviour, (ii) to determine differences between samples recruited within and outside a clinic for sexually transmitted diseases (STD) and (iii) to determine correlates of inconsistent condom use (ICU) among both groups. DESIGN--Participants were interviewed and anonymously tested for HIV-antibody; approximately half were recruited at a clinic for sexually transmitted diseases (STD) and half at prostitute working places. SETTING--An STD clinic and prostitute working places in Amsterdam in 1991. SUBJECTS--201 female prostitutes without a history of injecting drugs and 213 male clients of female prostitutes. MAIN OUTCOME MEASURES--antibodies to HIV, consistency of condom use in commercial vaginal contacts in the preceding 6 months. RESULTS--HIV prevalence was low: three prostitutes (1.5%; 95% CI 0.5-4.6%) and one client (0.5%; 95% CI 0.1-3.3%) were infected. All three HIV positive prostitutes originated from AIDS-endemic countries, came to the Netherlands only recently and were recruited outside the STD clinic. Large differences between subgroups resulted from the two recruitment methods: while clients of prostitutes with relatively high risk behaviour were strongly represented among the STD clinic sample, high risk prostitutes were underrepresented in this sample. Consistent condom use (with 100% of contacts) was reported by 66% of prostitutes and 56% of clients of prostitutes. Inconsistent condom use was found to be high among prostitutes who had migrated from Latin America and among migrant clients of prostitutes. CONCLUSIONS--When monitoring HIV infection one must take into account imported cases. HIV prevention efforts should be particularly focused at prostitutes from Latin America and at clients of prostitutes who migrated to the Netherlands.
机译：目的-研究妓女和妓女团体，以便（i）确定HIV患病率和性危险行为，（ii）确定在性传播疾病（STD）诊所内外收集的样本之间的差异，以及（iii） ）以确定两组中避孕套使用不一致的相关因素。设计-参与者接受了采访，并接受了HIV抗体的匿名检测；大约一半是在性传播疾病诊所招募的，另一半是在妓女工作场所招募的。地点-1991年在阿姆斯特丹的一家性病诊所和妓女工作场所。对象– 201名没有注射毒品史的女妓女和213名女妓的男性顾客。主要观察指标-前六个月对HIV抗体，在商业阴道接触中使用安全套的一致性。结果-HIV感染率很低：三名妓女（1.5％; 95％CI 0.5-4.6％）和一名客户（0.5％; 95％CI 0.1-3.3％）被感染。这三名艾滋病毒阳性妓女均来自艾滋病流行国家，直到最近才来到荷兰，并在性病诊所外招募。两种招募方法导致亚组之间的巨大差异：尽管性病诊所样本中具有较高风险行为的妓女客户占很大比例，但本样本中高风险妓女的人数却不足。据报告，有66％的妓女和56％的妓女坚持使用安全套（有100％的接触者）。在从拉丁美洲移居的妓女和妓女的移徙者中，使用避孕套的情况不一致。结论-在监测HIV感染时，必须考虑到进口病例。艾滋病毒的预防工作应特别针对拉丁美洲的妓女和移民到荷兰的妓女的客户。

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