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阿根廷移民和非移民女性性工作者的性行为、吸毒行为以及艾滋病毒、梅毒、乙型和丙型肝炎及人类嗜T淋巴细胞病毒1/2的流行情况。

Sexual practices, drug use behaviors, and prevalence of HIV, syphilis, hepatitis B and C, and HTLV-1/2 in immigrant and non-immigrant female sex workers in Argentina.

作者信息

Bautista Christian T, Pando Maria A, Reynaga Elena, Marone Ruben, Sateren Warren B, Montano Silvia M, Sanchez Jose L, Avila Maria M

机构信息

US Military HIV Research Program at the Walter Reed Army Institute of Research, 1 Taft Court, Suite 250, Rockville, MD 20850, USA.

出版信息

J Immigr Minor Health. 2009 Apr;11(2):99-104. doi: 10.1007/s10903-007-9114-2. Epub 2008 Jan 4.

DOI:10.1007/s10903-007-9114-2
PMID:18175218
Abstract

OBJECTIVE

To study socio-demographics, sexual practices, drug use behaviors, and prevalences of HIV, syphilis, hepatitis B and C, HTLV-1 and HTLV-2 in immigrant (foreigner) and non-immigrant (local/native) female sex workers (FSW).

DESIGN

This was a cross-sectional study in immigrant and non-immigrant FSW living in Buenos Aires, Argentina. Participants were interviewed using a standardized questionnaire.

RESULTS

A total of 625 FSW were enrolled, of whom 169 (27%) were immigrant FSW from Paraguay, the Dominican Republic, Brazil, Peru, and Uruguay. The prevalence of syphilis and hepatitis C was significantly higher among Argentinean FSW than among immigrant FSW. However, hepatitis B prevalence was higher among immigrant FSW. Adjusted risk factor analysis comparing immigrant FSW with Argentinean FSW indicated that marital status (single), occupation (none), fee per sex act (<or=USD7), workplace (bar and cabaret), and anal sex with clients were significantly associated with immigrant FSW status.

CONCLUSIONS

Effective HIV/STI prevention and medical care programs need to be tailored to the specific needs of both FSW groups in Argentina.

摘要

目的

研究移民(外国)和非移民(本地/本国)女性性工作者的社会人口统计学特征、性行为、吸毒行为以及艾滋病毒、梅毒、乙型和丙型肝炎、人类嗜T淋巴细胞病毒1型和2型的流行情况。

设计

这是一项针对居住在阿根廷布宜诺斯艾利斯的移民和非移民女性性工作者的横断面研究。采用标准化问卷对参与者进行访谈。

结果

共纳入625名女性性工作者,其中169名(27%)是来自巴拉圭、多米尼加共和国、巴西、秘鲁和乌拉圭的移民女性性工作者。阿根廷女性性工作者中梅毒和丙型肝炎的患病率显著高于移民女性性工作者。然而,移民女性性工作者中乙型肝炎的患病率更高。比较移民女性性工作者和阿根廷女性性工作者的校正风险因素分析表明,婚姻状况(单身)、职业(无)、每次性行为收费(≤7美元)、工作场所(酒吧和卡巴莱)以及与客户进行肛交与移民女性性工作者身份显著相关。

结论

需要根据阿根廷两类女性性工作者群体的具体需求,制定有效的艾滋病毒/性传播感染预防和医疗保健计划。

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