中国武汉娱乐场所服务业女性商业性行为及与艾滋病毒/性传播感染相关危险因素的研究。

A study of commercial sex and HIV/STI-related risk factors among hospitality girls in entertainment establishments in Wuhan, China.

作者信息

Wei Shan-Bo, Chen Zhong-Dan, Zhou Wang, Wu Feng-Bo, Li Si-Ping, Shan Jian-Guo

机构信息

Department of Administration for Disease Control, Wuhan Public Health Bureau, Hubei, China.

出版信息

Sex Health. 2004;1(3):141-4. doi: 10.1071/sh03011.

DOI:10.1071/sh03011

PMID:16335301

Abstract

BACKGROUND

Commercial sex is illegal in China but there are still many hospitality girls (HGs) working at licenced entertainment establishments in many places in the country. Hospitality girls can be categorised as sex-HGs and non-sex-HGs.

OBJECTIVE

To understand the proportion of sex-HGs and non-sex-HGs, the prevalence of HIV and sexually transmitted infections, and the high-risk behaviours among HGs.

METHODS

A total of 257 HGs at 29 entertainment establishments (13 sauna/massage parlors, 10 dancing/karaoke bars and six barbershops) from seven urban districts in Wuhan were investigated and studied with a two-step sampling frame during November and December 1999. Information on sexual practices, drug abuse, condom use and other related factors were collected by anonymous interviewer-administered questionnaires. Anonymous laboratory testing was performed on 185 (72%) serum samples obtained for HIV-1 and HSV-2 by enzyme-linked immunosorbent assay.

RESULTS

Of the 257 HGs, the mean age was 22.7 years (range 16-36 years); 147 (57.2%) stated they were sex-HGs, 15 (5.8%) were drug users, of whom 12 (80%) were injecting and 3 (20%) were inhaling. Sex-HGs was significantly correlated with drug abuse (P < 0.01, OR = 11.47). Among the 147 sex-HGs, 29 (19.7%) had sex with male clients more than seven times per week, 76 (51.7%) claimed to have used condoms consistently. The sero-prevalence survey of 185 HGs revealed that none tested HIV seropositive, and 40 (21.6%) were HSV-2 seropositive, which was positively correlated with sex-HGs (P < 0.01, OR = 3.13).

CONCLUSIONS

Although the HIV epidemic in Wuhan has not yet reached a high level, HIV/AIDS prevention and control must be taken into account in entertainment establishments because of the existing high risk-taking behaviours and high STI incidence among HGs. It is feasible to carry out epidemiological investigations, which are concerned with sensitive topics such as sex, drug abuse, etc, among community-based female sex workers if designed and implemented prudently.

摘要

背景

在中国，商业性交易是非法的，但在国内许多地方仍有不少陪侍女孩在持牌娱乐场所工作。陪侍女孩可分为从事性交易的陪侍女孩和不从事性交易的陪侍女孩。

目的

了解从事性交易的陪侍女孩和不从事性交易的陪侍女孩的比例、艾滋病毒和性传播感染的流行情况以及陪侍女孩中的高危行为。

方法

1999年11月至12月期间，采用两步抽样框架，对武汉市七个城区29家娱乐场所（13家桑拿/按摩院、10家歌舞厅/卡拉OK厅和6家理发店）的257名陪侍女孩进行了调查研究。通过匿名的访谈式问卷收集性行为、药物滥用、避孕套使用及其他相关因素的信息。对通过酶联免疫吸附试验获得的185份（72%）用于检测HIV-1和HSV-2的血清样本进行了匿名实验室检测。

结果

257名陪侍女孩的平均年龄为22.7岁（范围16 - 36岁）；147名（57.2%）称自己是从事性交易的陪侍女孩，15名（5.8%）是吸毒者，其中12名（80%）为注射吸毒者，3名（20%）为吸食毒品者。从事性交易的陪侍女孩与药物滥用显著相关（P < 0.01，OR = 11.47）。在147名从事性交易的陪侍女孩中，29名（19.7%）每周与男性顾客发生性行为超过7次，76名（51.7%）声称始终使用避孕套。对185名陪侍女孩的血清学流行率调查显示，无人HIV血清学检测呈阳性，40名（21.6%）HSV-2血清学检测呈阳性，这与从事性交易的陪侍女孩呈正相关（P < 0.01，OR = 3.13）。