Tang Haiping, Hocking Jane S, Fehler Glenda, Williams Hennriette, Chen Marcus Y, Fairley Christopher K
Melbourne School of Population Health, University of Melbourne, 580 Swanston Street, Carlton, Vic. 3053, Australia.
Sex Health. 2013 May;10(2):142-5. doi: 10.1071/SH12114.
To assess the proportion of female sex workers (FSWs) from low-prevalence ('other') and high-prevalence countries (HPCs) for sexually transmissible infections (STIs) in Melbourne.
Retrospective data analysis from the Melbourne Sexual Health Centre database for February 2002-May 2011.
Some 1702 HPC FSWs, 2594 other FSWs and 13?644 nonFSW women were included, with 12?891 and 21?611 consultations, respectively, for HPC FSWs and other FSWs. Proportions of HPC FSWs with chlamydia (Chlamydia trachomatis) (4.2% v. 3.3%, P=0.14), gonorrhoea (Neisseria gonorrhoeae) (0.24% v. 0.31%, P=0.66) or trichomonas (0.65 v. 0.46, P=0.42) at first visit were similar to those of other FSWs, but nonFSWs had a higher prevalence of chlamydia and gonorrhoea (P<0.01). On return visits, chlamydia (1.2% v. 0.92%, P<0.05) and gonorrhoea (0.29% v. 0.10%, P=<0.05) were more common in HPC FSWs than other FSWs. The presence of any of these STIs among FSWs was predicted by having private nonpaying partners in the last year (adjusted odds ratio (AOR): 1.99 (95% confidence interval (CI): 1.52-2.61)), having private partners from overseas (AOR: 1.69 (95% CI: 1.33-2.16)) and being a HPC FSW (AOR: 1.38 (95% CI: 1.12-1.72)). Injecting drug use was less common in HPC FSWs than in other FSWs (0.82% v. 16.54%, P<0.0001).
STI prevalence was low among FSWs from countries with high and low background STI. Among FSWs having private sex partners and private partners from overseas were the primary predictors for STIs.
评估墨尔本地区来自性传播感染（STIs）低流行率（“其他”）国家和高流行率国家（HPCs）的女性性工作者（FSWs）的比例。
对墨尔本性健康中心2002年2月至2011年5月数据库进行回顾性数据分析。
纳入约1702名来自HPCs的FSWs、2594名其他FSWs以及13644名非FSWs女性，来自HPCs的FSWs和其他FSWs分别进行了12891次和21611次咨询。初次就诊时，来自HPCs的FSWs患衣原体（沙眼衣原体）（4.2%对3.3%，P = 0.14）、淋病（淋病奈瑟菌）（0.24%对0.31%，P = 0.66）或滴虫病（0.65对0.46，P = 0.42）的比例与其他FSWs相似，但非FSWs的衣原体和淋病患病率更高（P < 0.01）。复诊时，来自HPCs的FSWs患衣原体（1.2%对0.92%，P < 0.05）和淋病（0.29%对0.10%，P = < 0.05）的情况比其他FSWs更常见。FSWs中存在任何一种这些性传播感染可通过以下因素预测：去年有非付费私人伴侣（调整优势比（AOR）：1.99（95%置信区间（CI）：1.52 - 2.61））、有来自海外的私人伴侣（AOR：1.69（95%CI：1.33 - 2.16））以及是来自HPCs的FSW（AOR：1.38（95%CI：1.12 - 1.72））。注射吸毒在来自HPCs的FSWs中比在其他FSWs中更不常见（0.82%对16.54%，P < 0.0001）。
来自性传播感染背景高低不同国家的FSWs中性传播感染患病率较低。在FSWs中，有私人伴侣和来自海外的私人伴侣是性传播感染的主要预测因素。
