Department of Social and Behavioral Health, School of Rural Public Health, Texas A&M Health Science Center, College Station, TX 77843, USA.
AIDS Behav. 2012 Jan;16(1):44-52. doi: 10.1007/s10461-011-9960-8.
Despite the recognized importance of HIV testing in prevention, care and treatment, HIV testing remains low in China. Millions of female sex workers (FSW) play a critical role in China's escalating HIV epidemic. Limited data are available regarding HIV testing behavior among this at-risk population. This study, based on a cross-sectional survey of 1,022 FSW recruited from communities in Southwest China, attempted to address the literature gap. Our data revealed that 48% of FSW ever took HIV testing; older age, less education, working in higher-income commercial sex venues and better HIV knowledge were associated with HIV testing. Those who never took HIV testing were more likely to engage in high-risk behaviors including inconsistent condom use with clients and stable partners. A number of psychological and structural barriers to testing were also reported. We call for culturally appropriate interventions to reduce HIV risks and promote HIV testing for vulnerable FSW in China.
尽管人们认识到 HIV 检测在预防、护理和治疗中的重要性，但在中国，HIV 检测率仍然很低。数以百万计的性工作者（FSW）在中国不断升级的 HIV 流行中发挥着关键作用。关于这一高危人群的 HIV 检测行为，可用的数据有限。本研究基于对中国西南社区招募的 1022 名性工作者进行的横断面调查，试图填补这一文献空白。我们的数据显示，48%的性工作者曾经接受过 HIV 检测；年龄较大、受教育程度较低、在高收入商业性性服务场所工作以及 HIV 知识较好与 HIV 检测呈正相关。那些从未接受过 HIV 检测的人更有可能从事高风险行为，包括与客户和稳定伴侣不坚持使用安全套。还报告了一些检测方面的心理和结构性障碍。我们呼吁采取文化上适当的干预措施，以减少高危性工作者的 HIV 风险并促进其进行 HIV 检测。
