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中国女性流动人群中与商业性行为相关的艾滋病病毒风险因素。

HIV-related risk factors associated with commercial sex among female migrants in China.

作者信息

Yang Hongmei, Li Xiaoming, Stanton Bonita, Chen Xinguang, Liu Hongjie, Fang Xiaoyi, Lin Danhua, Mao Rong

机构信息

The Carman and Ann Adams Department of Pediatrics, Wayne State University Prevention Research Center, 4201 St. Antoine Street, Suite 6D, Detroit, MI 48201, USA.

出版信息

Health Care Women Int. 2005 Feb;26(2):134-48. doi: 10.1080/07399330590905585.

Abstract

Data from 633 sexually experienced female migrants were analyzed to examine the sociodemographic and psychosocial factors and human immunodeficiency virus (HIV)-related behaviors associated with involvement in commercial sex. Six percent (40/633) of the participants reported having had sex for money. Compared with women who had not engaged in commercial sex, women who had sold sex were younger, less educated, and more likely to be unmarried. They were more likely to have engaged in HIV-related risk behaviors, such as becoming intoxicated with alcohol and using drugs. Among women engaged in commercial sex, only 28% of them consistently used condoms during the last three episodes of sexual intercourse. Women who had ever engaged in commercial sex demonstrated greater depressive symptoms than those without such as history (p < .01). Female migrants, especially those engaging in commercial sex, were vulnerable to HIV/sexually transmitted diseases (STDs). Sexual risk reduction and condom promotion are urgently needed among this population. Further studies are needed to examine the casual relationship between depression and HIV risk behaviors.

摘要

对633名有性经历的女性移民的数据进行了分析,以研究与参与商业性行为相关的社会人口学和心理社会因素以及与人类免疫缺陷病毒(HIV)相关的行为。6%(40/633)的参与者报告曾以性换钱。与未参与商业性行为的女性相比,从事性交易的女性更年轻、受教育程度更低,且更可能未婚。她们更有可能参与与HIV相关的风险行为,如酗酒和吸毒。在从事商业性行为的女性中,只有28%的人在最近三次性交中始终使用避孕套。有过商业性行为的女性比没有此类经历的女性表现出更严重的抑郁症状(p<0.01)。女性移民,尤其是从事商业性行为的女性,易感染HIV/性传播疾病(STD)。迫切需要在这一人群中降低性风险并推广使用避孕套。需要进一步研究以检验抑郁与HIV风险行为之间的因果关系。

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