孟加拉国达卡卡车停靠站工作人员的性传播感染及风险因素
Sexually transmitted infections and risk factors among truck stand workers in Dhaka, Bangladesh.
作者信息
Alam Nazmul, Rahman Motiur, Gausia Kaniz, Yunus M D, Islam Nazrul, Chaudhury Parwez, Monira Shirajum, Funkhouser Ellen, Vermund Sten H, Killewo Japhet
机构信息
ICDDR,B: Centre for Health and Population Research, Bangladesh.
出版信息
Sex Transm Dis. 2007 Feb;34(2):99-103. doi: 10.1097/01.olq.0000225325.23340.a3.
OBJECTIVE
This study was conducted to determine the prevalence of selected sexually transmitted infections (STIs) and their risk factors among workers in and near a truck stand in Dhaka, Bangladesh.
STUDY DESIGN
A random sample of 696 men and 206 women were recruited into a cross-sectional study using a census that enumerated transport agents, motor mechanics, laborers, and vendors in Tejgaon truck stand.
RESULTS
The prevalence rates of syphilis (rapid plasma reagin and Treponema pallidum hemagglutination), gonorrhea (polymerase chain reaction [PCR]), and chlamydial infections (PCR) among men were 4.1%, 7.7%, and 2.3%, respectively, and among women were 2.9%, 8.3%, and 5.2%. Multivariable analysis revealed that having >or=2 sex partners in the last month, never using a condom with sex workers, and ever injecting narcotics were significant predictors of STI among men. Being never married, working as a laborer, older age, and living within the truck stand were significant predictors of practicing high-risk behaviors among men, but none predicted infection with STIs.
CONCLUSIONS
Both behavioral and STI data suggest that truck stand workers should be included in the STI/HIV intervention programs.
目的
本研究旨在确定孟加拉国达卡一个卡车停靠站及其附近工人中特定性传播感染（STIs）的患病率及其危险因素。
研究设计
采用普查方法，从Tejgaon卡车停靠站的运输代理商、汽车修理工、劳工和小贩中随机抽取696名男性和206名女性纳入横断面研究。
结果
男性梅毒（快速血浆反应素和梅毒螺旋体血细胞凝集试验）、淋病（聚合酶链反应[PCR]）和衣原体感染（PCR）的患病率分别为4.1%、7.7%和2.3%，女性分别为2.9%、8.3%和5.2%。多变量分析显示，男性在过去一个月内有≥2个性伴侣、从未与性工作者使用过避孕套以及曾注射过麻醉品是性传播感染的重要预测因素。未婚、从事劳工工作、年龄较大以及居住在卡车停靠站内是男性实施高危行为的重要预测因素，但均不能预测性传播感染。
结论
行为和性传播感染数据均表明，卡车停靠站工人应纳入性传播感染/艾滋病毒干预项目。
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