Ding Yanpeng, Detels Roger, Zhao Zaiwei, Zhu Yong, Zhu Guanghui, Zhang Bowei, Shen Tao, Xue Xueshan
Chinese Center for Disease Control and Prevention, Beijing, China.
J Acquir Immune Defic Syndr. 2005 Mar 1;38(3):314-9.
A cross-sectional survey was conducted among female commercial sex workers (FSWs) in Zhengzhou, China, to estimate rates of HIV infection and sexually transmitted diseases (STDs) and to document their sexual behavior patterns from October 2000 to January 2001. FSWs were recruited by the snowball sampling technique and were interviewed at their working environments anonymously. This strategy resulted in high rates of response (92%) and concordance (98%) to sensitive questions. A total of 621 FSWs were enrolled. One direct FSW and 1 indirect FSW were positive for antibodies to HIV in oral fluids (prevalence of HIV infection, 1.4% and 0.2%, respectively). A history of STDs was reported by 49% of the FSWs. Most FSWs (87%) reported inconsistent condom use. Ten percent of FSWs recognized their clients as drug users. A few FSWs (2.2%) were injecting drug users, of whom 2 reported incidents of sharing needles/syringes with other injecting drug users. Direct FSWs had more risk characteristics and were more vulnerable to HIV infection and STDs than indirect FSWs. Inconsistent use of condoms and a high level of STDs underscore the urgent need to implement intervention strategies and condom promotion, particularly among direct sex workers in China.
2000年10月至2001年1月期间，在中国郑州对女性商业性工作者进行了一项横断面调查，以估计艾滋病毒感染率和性传播疾病（性病）发病率，并记录她们的性行为模式。通过滚雪球抽样技术招募女性商业性工作者，并在其工作场所对她们进行匿名访谈。这种策略使得对敏感问题的回答率（92%）和一致性（98%）都很高。总共招募了621名女性商业性工作者。在口腔液中，一名直接接触的女性商业性工作者和一名间接接触的女性商业性工作者艾滋病毒抗体呈阳性（艾滋病毒感染率分别为1.4%和0.2%）。49%的女性商业性工作者报告有性病病史。大多数女性商业性工作者（87%）报告避孕套使用不规范。10%的女性商业性工作者知道其客户为吸毒者。少数女性商业性工作者（2.2%）为注射吸毒者，其中2人报告有与其他注射吸毒者共用针头/注射器的情况。与间接接触的女性商业性工作者相比，直接接触的女性商业性工作者具有更多的风险特征，更容易感染艾滋病毒和性病。避孕套使用不规范和高性病发病率突出表明，迫切需要实施干预策略并推广避孕套，尤其是在中国的直接从事性工作者中。
