Patterson Thomas L, Semple Shirley J, Staines Hugo, Lozada Remedios, Orozovich Prisci, Bucardo Jesus, Philbin Morgan M, Pu Minya, Fraga Miguel, Amaro Hortensia, Torre Adela de la, Martinez Gustavo, Magis-Rodríguez Carlos, Strathdee Steffanie A
University of California, San Diego, La Jolla, CA 92093-0680, USA.
J Infect Dis. 2008 Mar 1;197(5):728-32. doi: 10.1086/527379.
We examined human immunodeficiency virus (HIV) prevalence and correlates among female sex workers (FSWs) in Tijuana and Ciudad Juarez, 2 large cities on the Mexico-US border.
FSWs aged > or =18 years underwent interviews and testing for HIV, syphilis, gonorrhea, and chlamydia. Logistic regression identified factors associated with HIV infection.
In 924 FSWs, the prevalence of HIV, gonorrhea, chlamydia, and syphilis titers > or =1:8 was 6%, 6.4%, 13%, and 14.2%, respectively. Factors independently associated with HIV were the injection of cocaine (odds ratio [OR], 2.96); the smoking, snorting, or inhalation of methamphetamine (OR, 3.32); and syphilis titers > or =1:8 (OR, 4.16).
Culturally appropriate interventions are needed to identify and treat ulcerative sexually transmitted infections and reduce HIV risks associated with stimulants among FSWs in the Mexico-US border region.
我们调查了墨西哥与美国边境的两个大城市蒂华纳和华雷斯城女性性工作者中人类免疫缺陷病毒(HIV)的流行情况及其相关因素。
对年龄≥18岁的女性性工作者进行了访谈,并对其进行了HIV、梅毒、淋病和衣原体检测。逻辑回归分析确定了与HIV感染相关的因素。
在924名女性性工作者中,HIV、淋病、衣原体和梅毒滴度≥1:8的患病率分别为6%、6.4%、13%和14.2%。与HIV独立相关的因素包括注射可卡因(比值比[OR],2.96);吸食、鼻吸或吸入甲基苯丙胺(OR,3.32);以及梅毒滴度≥1:8(OR,4.16)。
需要采取符合文化背景的干预措施,以识别和治疗溃疡性性传播感染,并降低墨西哥-美国边境地区女性性工作者中与兴奋剂相关的HIV感染风险。