Family Health International, Country Office for Indonesia, Jakarta, Indonesia.
Sex Transm Infect. 2010 Oct;86(5):393-9. doi: 10.1136/sti.2009.038059. Epub 2010 Jun 3.
To assess the HIV/AIDS epidemic situation among female sex workers (FSW) in Indonesia using data from the 2007 Integrated Biological-Behavioural Surveillance (IBBS).
Behavioural data were collected from time-location samples of 5947 FSW in 10 cities in late 2007. HIV, syphilis, gonorrhoea and chlamydia test results were obtained for 4396, 4324, 3291 and 3316 FSW, respectively. Trends in HIV prevalence were assessed via linkage with sentinel surveillance data. Factors associated with HIV, gonorrhoea and chlamydia infection were assessed using multivariable logistic regression.
HIV prevalence averaged 10.5% among direct and 4.9% among indirect FSW, and had increased steadily among direct FSW from 2002 to 2007. Prevalence of chlamydia, gonorrhoea and active syphilis averaged 35.6%, 31.8% and 7.3%, respectively, among direct FSW, and 28.7%, 14.3% and 3.5% among indirect FSW. Being a direct FSW, younger age and having current infection with syphilis and gonorrhoea and/or chlamydia were associated with a higher likelihood of HIV infection. Number of clients in the past week and consumption of alcohol before having sex were associated with a higher likelihood of gonorrhoea and/or chlamydia infection, while having received a STI clinic check-up in the previous 3 months and/or periodic presumptive treatment for sexually transmitted infections (STIs) in the past 6 months were associated with reduced likelihood of infection.
The HIV/AIDS epidemic among FSW in Indonesia appears to be expanding, albeit unevenly across provinces and types of FSW. High STI prevalence is conducive to further expansion, but recent efforts to strengthen STI control appear promising.
利用 2007 年综合生物行为监测（IBBS）的数据评估印度尼西亚女性性工作者（FSW）中的艾滋病毒/艾滋病流行情况。
2007 年末，从 10 个城市的时间地点样本中收集了 5947 名 FSW 的行为数据。分别对 4396、4324、3291 和 3316 名 FSW 获得了艾滋病毒、梅毒、淋病和衣原体检测结果。通过与哨点监测数据的关联评估了 HIV 流行率的趋势。使用多变量逻辑回归评估了与 HIV、淋病和衣原体感染相关的因素。
直接 FSW 的 HIV 流行率平均为 10.5%，间接 FSW 的 HIV 流行率为 4.9%，且自 2002 年以来，直接 FSW 的 HIV 流行率呈稳步上升趋势。直接 FSW 的衣原体、淋病和活动性梅毒的流行率分别为 35.6%、31.8%和 7.3%，间接 FSW 的衣原体、淋病和活动性梅毒的流行率分别为 28.7%、14.3%和 3.5%。作为直接 FSW、年龄较小、当前感染梅毒、淋病和/或衣原体，以及过去一周内有更多的客户和在发生性行为前饮酒与 HIV 感染的可能性更高相关。在过去 3 个月内接受过性传播感染（STI）诊所检查和/或过去 6 个月内定期接受性传播感染（STI）的疑似治疗与感染可能性降低相关。
印度尼西亚 FSW 中的艾滋病毒/艾滋病流行似乎正在扩大，尽管在省份和 FSW 类型之间存在不平衡。高性传播感染的患病率有利于进一步扩大，但最近加强性传播感染控制的努力似乎有希望。
