Resl V, Kumpová M, Cerná L, Novák M, Pazdiora P
Department of Dermatology and Venereology, Charles University, Pilsen, Czech Republic.
Sex Transm Infect. 2003 Dec;79(6):E3. doi: 10.1136/sti.79.6.e3.
The STD problem emerged in the Czech Republic as a result of geopolitical and social and economic changes in the state. Prostitution is concentrated mainly around border areas with Austria and Germany, contributing to the increase in STDs. The Czech-German project "Jana," based on a project umbrella network of the WHO, was organised.
To prevent STDs, including HIV/AIDS, and assessment of STD prevalence in the target group.
Prostitutes working in night clubs and in the streets and roads of three districts in the West Bohemian Region of the Czech Republic bordering on Germany were studied. Interactions included street work, venereology check up, psychology and sociology counselling, psychological preparation on possible treatment, and continuous and regular contact.
The number of "love clubs" involved in project "Jana" increased from 46 in 1997 to 72 in 2000. Of 561 street girls registered in the project during 1997-2001, there was one HIV positive, every 11th prostitute had syphilis, and one in 93 women had gonorrhoea, whereas incidence of syphilis in the Czech Republic was 10.2/100000 and that of gonorrhoea 9.5/100000 inhabitants in 2001, 31 women had Chlamydia trachomatis urinary tract and genital infection, and 25 were HBsAg positives. STD frequency revealed in project participants significantly exceeds numbers of STDs in the other inhabitants of the Czech Republic. The majority of prostitutes were foreigners, mostly Ukrainians and Russians.
The situation in the border areas is alarming. The priority must be to concentrate efforts on prevention of spread of venereal diseases in borders of economically disparate states.
由于该国的地缘政治以及社会和经济变革，捷克共和国出现了性传播疾病问题。卖淫主要集中在与奥地利和德国接壤的边境地区，这导致了性传播疾病的增加。基于世界卫生组织的项目伞状网络，组织了捷克 - 德国项目“Jana”。
预防包括艾滋病毒/艾滋病在内的性传播疾病，并评估目标群体中性传播疾病的患病率。
对在捷克共和国西波希米亚地区与德国接壤的三个区的夜总会及街道从事卖淫活动的女性进行了研究。互动内容包括街头工作、性病检查、心理和社会学咨询、针对可能治疗的心理准备以及持续定期联系。
参与“Jana”项目的“爱情俱乐部”数量从1997年的46个增加到2000年的72个。在1997 - 2001年期间该项目登记的561名街头女性中，有1例艾滋病毒呈阳性，每11名妓女中有1例患有梅毒，每93名女性中有1例患有淋病，而2001年捷克共和国梅毒发病率为10.2/10万，淋病发病率为9.5/10万居民，31名女性患有沙眼衣原体泌尿系统和生殖器感染，25名乙肝表面抗原呈阳性。项目参与者中发现的性传播疾病频率显著超过捷克共和国其他居民中的性传播疾病数量。大多数妓女是外国人，主要是乌克兰人和俄罗斯人。
边境地区的情况令人担忧。必须优先集中精力预防性病在经济状况不同的国家边境地区的传播。
