墨西哥与美国边境两座城市女性性工作者的场所稳定性与持续使用避孕套之间的纵向关联。
The longitudinal association of venue stability with consistent condom use among female sex workers in two Mexico-USA border cities.
作者信息
Gaines T L, Rudolph A E, Brouwer K C, Strathdee S A, Lozada R, Martinez G, Goldenberg S M, Rusch M L A
机构信息
Division of Global Public Health, School of Medicine, University of California San Diego, La Jolla, CA, USA.
出版信息
Int J STD AIDS. 2013 Jul;24(7):523-9. doi: 10.1177/0956462412473890. Epub 2013 Jun 25.
Abstract
We examined the relationship between venue stability and consistent condom use (CCU) among female sex workers who inject drugs (FSW-IDUs; n = 584) and were enrolled in a behavioural intervention in two Mexico-USA border cities. Using a generalized estimating equation approach stratified by client type and city, we found venue stability affected CCU. In Tijuana, operating primarily indoors was significantly associated with a four-fold increase in the odds of CCU among regular clients (odds ratio [OR]: 3.77, 95% confidence interval [CI]: 1.44, 9.89), and a seven-fold increase among casual clients (OR: 7.18, 95% CI: 2.32, 22.21), relative to FSW-IDUs spending equal time between indoor and outdoor sex work venues. In Ciudad Juarez, the trajectory of CCU increased over time and was highest among those operating primarily indoors. Results from this analysis highlight the importance of considering local mobility, including venue type and venue stability, as these characteristics jointly influence HIV risk behaviours.
摘要
我们调查了在墨西哥和美国边境两座城市参与行为干预的注射毒品的女性性工作者（FSW-IDUs；n = 584）中场所稳定性与持续使用避孕套（CCU）之间的关系。采用按客户类型和城市分层的广义估计方程方法，我们发现场所稳定性会影响CCU。在蒂华纳，相对于在室内和室外性工作场所花费相同时间的FSW-IDUs，主要在室内营业与常客中CCU几率增加四倍显著相关（优势比[OR]：3.77，95%置信区间[CI]：1.44，9.89），在临时客户中增加七倍（OR：7.18，95%CI：2.32，22.21）。在华雷斯城，CCU轨迹随时间增加，且在主要在室内营业的人群中最高。该分析结果突出了考虑当地流动性（包括场所类型和场所稳定性）的重要性，因为这些特征共同影响艾滋病毒风险行为。
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