Barrientos Jaime E, Bozon Michel, Ortiz Edith, Arredondo Anabella
Escuela de Psicología, Universidad Católica del Norte, Antofagasta, Chile.
Cad Saude Publica. 2007 Aug;23(8):1777-84. doi: 10.1590/s0102-311x2007000800004.
This paper describes HIV seroprevalence, knowledge of HIV transmission, and condom use among female sex workers (FSW) attending five specialized sexually transmitted disease (STD) clinics in Santiago, Chile. A short questionnaire with socio-demographic, AIDS knowledge, and condom-use variables was administered to 626 FSW. HIV seroprevalence was estimated with a blood test sent to the Chilean Public Health Institute. ELISA was used to confirm HIV in suspected cases. HIV prevalence was 0%. FSW showed adequate overall knowledge of HIV, even better than reported for the Chilean general population on some items. Condom use with clients was high ("always" = 93.4%), although regular use with steady partners was low ("always" = 9.9%). The zero HIV seroprevalence and consistent condom use with clients confirms the positive impact of intervention strategies for FSW, increasing both correct knowledge of AIDS and condom use with clients and helping decrease these women's HIV/AIDS vulnerability.
本文描述了在智利圣地亚哥五家专门的性传播疾病（STD）诊所就诊的女性性工作者（FSW）中的艾滋病毒血清流行率、艾滋病毒传播知识以及避孕套使用情况。对626名女性性工作者进行了一项包含社会人口统计学、艾滋病知识和避孕套使用变量的简短问卷调查。通过送往智利公共卫生研究所的血液检测来估计艾滋病毒血清流行率。疑似病例采用酶联免疫吸附测定（ELISA）来确认是否感染艾滋病毒。艾滋病毒流行率为0%。女性性工作者对艾滋病毒总体上有足够的了解，在某些方面甚至比智利普通人群的报告情况更好。与客户使用避孕套的比例很高（“总是”=93.4%），但与固定伴侣的定期使用比例较低（“总是”=9.9%）。艾滋病毒血清流行率为零以及与客户持续使用避孕套证实了针对女性性工作者的干预策略产生了积极影响，既增加了对艾滋病的正确认识和与客户使用避孕套的情况，又有助于降低这些女性感染艾滋病毒/艾滋病的易感性。
