西班牙非静脉吸毒女性性工作者中的HIV-1感染情况。无向模式II演变的证据。
HIV-1 infection among non-intravenous drug user female prostitutes in Spain. No evidence of evolution to pattern II.
作者信息
Pineda J A, Aguado I, Rivero A, Vergara A, Hernández-Quero J, Luque F, Pino R, Abad M A, Santos J, Cruz E
机构信息
Viral Hepatitis and AIDS Study Group, Virgen del Rocío University Hospital, Seville, Spain.
出版信息
AIDS. 1992 Nov;6(11):1365-9. doi: 10.1097/00002030-199211000-00021.
OBJECTIVES
To assess the prevalence of HIV-1 infection among non-intravenous drug user (IVDU) female prostitutes in Spain and to determine risk factors for HIV-1 infection in this population.
DESIGN
Cross-sectional seroepidemiological study of 519 non-IVDU prostitutes.
SETTING
Four university hospitals.
METHODS
All participants completed a questionnaire and provided a serum sample. Serum samples were tested for antibodies against HIV-1, hepatitis C virus (HCV) and Treponema pallidum.
RESULTS
Twelve out of the 519 (2.31%) participants were HIV-1-seropositive. HIV-1 infection was associated with the presence of both HCV and T. pallidum antibodies, multiple sex partners, longer history of prostitution, history of genital ulcers and anal intercourse. Condom use was associated with HIV-1 seronegativity.
CONCLUSIONS
The prevalence of HIV-1 infection in non-IVDU prostitutes in Spain remains relatively low. Risk increases with a higher rate of sexual exposure and practices such as anal intercourse and unprotected coitus.
目的
评估西班牙非静脉注射吸毒女性性工作者中HIV-1感染的流行率，并确定该人群中HIV-1感染的危险因素。
设计
对519名非静脉注射吸毒性工作者进行的横断面血清流行病学研究。
地点
四家大学医院。
方法
所有参与者均完成一份问卷并提供血清样本。检测血清样本中抗HIV-1、丙型肝炎病毒（HCV）和梅毒螺旋体的抗体。
结果
519名参与者中有12名（2.31%）HIV-1血清学检测呈阳性。HIV-1感染与同时存在HCV和梅毒螺旋体抗体、多个性伴侣、较长的卖淫史、生殖器溃疡病史和肛交有关。使用避孕套与HIV-1血清学阴性有关。
结论
西班牙非静脉注射吸毒性工作者中HIV-1感染的流行率仍然相对较低。随着性接触率的提高以及肛交和无保护性交等行为，感染风险会增加。
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