Somanath Renuka Pulikallu, Mishra Ram Manohar, Saggurti Niranjan, Parimi Prabhakar
India HIV/AIDS Alliance, Hyderabad 500063, Andhra Pradesh, India.
AIDS Res Treat. 2013;2013:108630. doi: 10.1155/2013/108630. Epub 2013 Mar 4.
This paper examines the association between female sex workers' (FSWs) noncommercial partnerships with risk of HIV in Andhra Pradesh, India. Data were drawn from a cross-sectional behavioral and biological survey conducted in 2009 among 3225 FSWs from Andhra Pradesh. Participants were asked about their sexual partnerships, condom use, and vulnerability factors and tested for HIV and sexually transmitted infections. The key independent variables considered were presence of a noncommercial sexual partner (no, yes) and the nature of such partnerships (regular, nonregular). FSWs who reported husband as noncommercial partner were considered to have a regular partner, while the rest were defined as having nonregular partners. Adjusted odds ratios (OR) and 95% confidence intervals (CI) were estimated to measure the associations between variables of interest. Almost three-fourths (74.8%) of FSWs reported having noncommercial partners (regular: 55.6%; nonregular: 19.3%). FSWs in nonregular partnerships were more likely to be HIV positive (13.1% versus 10.9%, adjusted OR: 1.4, 95% CI: 1.1-1.8), have syphilis (10.3% versus 4.2%, adjusted OR: 2.3, 95% CI: 1.6-3.3), use condoms inconsistently with occasional clients (21.0% versus 16.5%, adjusted OR: 1.5, 95% CI: 1.2-1.9), and report forced sex (25.1% versus 14.1%, adjusted OR: 1.9, 95% CI: 1.5-2.4) as compared to those in regular partnerships. HIV prevention programs need to emphasize safe sex behaviors, particularly among FSWs who have nonregular partners.
本文研究了印度安得拉邦女性性工作者（FSW）的非商业性伴侣关系与感染艾滋病毒风险之间的关联。数据来自2009年对安得拉邦3225名女性性工作者进行的一项横断面行为和生物学调查。参与者被问及她们的性伴侣关系、避孕套使用情况和易感染因素，并接受了艾滋病毒和性传播感染检测。所考虑的关键自变量是是否存在非商业性伴侣（否、是）以及此类伴侣关系的性质（固定、非固定）。将报告丈夫为非商业性伴侣的女性性工作者视为有固定伴侣，其余则定义为有非固定伴侣。估计调整后的优势比（OR）和95%置信区间（CI）以衡量感兴趣变量之间的关联。近四分之三（74.8%）的女性性工作者报告有非商业性伴侣（固定：55.6%；非固定：19.3%）。与有固定伴侣关系的女性性工作者相比，有非固定伴侣关系的女性性工作者更有可能感染艾滋病毒（13.1%对10.9%，调整后的OR：1.4，95%CI：1.1 - 1.8）、感染梅毒（10.3%对4.2%，调整后的OR：2.3，95%CI：1.6 - 3.3）、与偶尔的客户不坚持使用避孕套（21.0%对16.5%，调整后的OR：1.5，95%CI：1.2 - 1.9）以及报告曾遭受强迫性行为（25.1%对14.1%，调整后的OR：1.9，95%CI：1.5 - 2.4）。艾滋病毒预防项目需要强调安全性行为，尤其是在有非固定伴侣的女性性工作者中。
