了解秘鲁女性性工作者中按性伴侣类型划分的性传播感染风险及避孕套使用模式。
Understanding STI Risk and Condom Use Patterns by Partner Type Among Female Sex Workers in Peru.
作者信息
Kinsler Janni J, Blas Magaly M, Cabral Alejandra, Carcamo Cesar, Halsey Neal, Brown Brandon
机构信息
Department of Community Health Sciences, University of California, Los Angeles, USA.
Unit of Epidemiology, HIV and STD, Universidad Peruana Cayetano Heredia, Lima, Peru.
出版信息
Open AIDS J. 2014 May 30;8:17-20. doi: 10.2174/1874613601408010017. eCollection 2014.
Abstract
While brothel-based sex work is regulated by the Peruvian government, there is little data on STI risk factors reported by female sex workers (FSW). This study compared high risk behaviors among 120 Peruvian FSW from government regulated brothels with both clients and non-commercial partners. Our study found that 12% of FSW reported unprotected vaginal sex with clients (compared to 75% with non-commercial partners), and 42% reported unprotected anal sex with clients (compared to 87% with non-commercial partners). Group differences were observed in the expectation to have oral sex (32% for partners vs 60% for clients; p<0.01), and a history of anal sex (65% for partners vs 32% for clients; p<0.01) and both vaginal and anal sex with the same partners (46% for partners vs 25% for clients; p<0.001). These findings suggest that FSW constitute an important bridge population for STI/HIV transmission in Peru.
摘要
虽然秘鲁政府对基于妓院的性工作进行监管，但关于女性性工作者（FSW）报告的性传播感染风险因素的数据很少。本研究比较了120名来自政府监管妓院的秘鲁女性性工作者与客户及非商业性伴侣之间的高风险行为。我们的研究发现，12%的女性性工作者报告与客户发生无保护阴道性行为（与非商业性伴侣发生此类行为的比例为75%），42%报告与客户发生无保护肛交（与非商业性伴侣发生此类行为的比例为87%）。在口交期望方面观察到组间差异（伴侣为32%，客户为60%；p<0.01），肛交史方面也有差异（伴侣为65%，客户为32%；p<0.01），以及与同一伴侣发生阴道和肛交方面的差异（伴侣为46%，客户为25%；p<0.001）。这些发现表明，在秘鲁，女性性工作者是性传播感染/艾滋病毒传播的重要桥梁人群。
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