Rehle T, Brinkmann U K, Siraprapasiri T, Coplan P, Aiemsukawat C, Ungchusak K
Deutsche Gesellschaft für Technische Zusammenarbeit, Eschborn, Germany.
Infection. 1992 Nov-Dec;20(6):328-31. doi: 10.1007/BF01710677.
HIV infection has increased to epidemic proportions in Thailand since 1987. There have been separate epidemics among population groups at high risk of infection and significant increases in different localities. The northeast region of Thailand has been affected by the epidemic since early 1989. The purpose of this study was to identify factors associated with HIV transmission among prostitutes during an early phase of the epidemic in the regional center of Khon Kaen. Three hundred and fifty-six prostitutes known to work in the urban area of Khon Kaen (Ampur Muang) in November 1990 were included in the study. Prostitutes were divided into two groups according to the type of place where they worked: direct prostitutes (in brothels, n = 217) and indirect prostitutes (in massage parlors, n = 139). The prevalence of HIV infection was found to be 12% among direct prostitutes and 2% among indirect prostitutes. Four variables were significantly associated with HIV infection after adjusting for confounders by logistic regression analysis: previous work in an area of high HIV prevalence, working in Khon Kaen less than one month, a low price charged for sex and using injectable contraceptives. Follow-up investigations are currently being carried out to explore in detail the association between the use of injectable contraceptives and HIV infection.
自1987年以来，泰国的艾滋病病毒感染率已上升至流行程度。在高感染风险人群中出现了不同的疫情，不同地区也有显著增长。泰国东北部地区自1989年初以来一直受到该疫情的影响。本研究的目的是确定孔敬地区中心疫情早期阶段妓女中与艾滋病病毒传播相关的因素。1990年11月已知在孔敬市区（直辖县）工作的356名妓女被纳入研究。妓女根据工作场所类型分为两组：直接妓女（在妓院，n = 217）和间接妓女（在按摩院，n = 139）。发现直接妓女中艾滋病病毒感染率为12%，间接妓女中为2%。通过逻辑回归分析调整混杂因素后，有四个变量与艾滋病病毒感染显著相关：曾在艾滋病病毒高流行地区工作、在孔敬工作不到一个月、性交易价格低以及使用注射用避孕药具。目前正在进行后续调查，以详细探讨使用注射用避孕药具与艾滋病病毒感染之间的关联。
