Pando María A, Berini Carolina, Bibini Mariel, Fernández Mauro, Reinaga Elena, Maulen Sergio, Marone Rubén, Biglione Mirna, Montano Silvia M, Bautista Christian T, Weissenbacher Mercedes, Sanchez José L, Avila María M
Centro Nacional de Referencia para el SIDA, Buenos Aires, Argentina.
Am J Trop Med Hyg. 2006 Feb;74(2):233-8.
Sexually transmitted infections (STIs) have shown to enhance the transmission of human immunodeficiency virus (HIV) and to be more common among female commercial sex workers (FSWs). A cross-sectional study was conducted among 625 FSWs in six cities of Argentina in 2000-2002. The seroprevalence of HIV, hepatitis B virus (HBV), hepatitis C virus (HCV), human T-cell lymphotropic virus type I/II, and syphilis was 3.2%, 14.4%, 4.3%, 1.6%, and 45.7%, respectively. Syphilis was associated with older age (>/= 30 years, adjusted odds ratio [AOR] = 2.6 to 4.9), >/= 10 years in sex work (AOR = 2.2), use of illegal drugs (AOR = 2.1), and a prior history of an STI (AOR = 3.0). HBV and syphilis was the most common co-infection in 44 (7.5%) subjects. FSWs in Argentina are exposed to HIV and other STIs due to high-risk sexual and illegal drug use behavior. Renewed efforts are necessary to intervene effectively in this high-risk population.
性传播感染（STIs）已被证明会增加人类免疫缺陷病毒（HIV）的传播，并且在女性商业性工作者（FSWs）中更为常见。2000年至2002年期间，在阿根廷六个城市的625名女性商业性工作者中开展了一项横断面研究。HIV、乙型肝炎病毒（HBV）、丙型肝炎病毒（HCV）、I/II型人类嗜T细胞病毒以及梅毒的血清阳性率分别为3.2%、14.4%、4.3%、1.6%和45.7%。梅毒与年龄较大（≥30岁，调整优势比[AOR]=2.6至4.9）、从事性工作≥10年（AOR=2.2）、使用非法药物（AOR=2.1）以及既往有性传播感染病史（AOR=3.0）相关。HBV和梅毒是44名（7.5%）受试者中最常见的合并感染。由于高危性行为和使用非法药物行为，阿根廷的女性商业性工作者面临感染HIV和其他性传播感染的风险。有必要重新做出努力，以便对这一高危人群进行有效干预。
