Li Jing, Jiang Ning, Yue Xiaoli, Gong Xiangdong
National Center for STD Control, Chinese Academy of Medical Sciences and Peiking Union Medical College, Institute of Dermatology, Nanjing, China.
National Center for STD Control, Chinese Academy of Medical Sciences and Peiking Union Medical College, Institute of Dermatology, Nanjing, China
Int J STD AIDS. 2015 May;26(6):420-7. doi: 10.1177/0956462414543937. Epub 2014 Jul 11.
Though vaginal douching is a common practice among female sex workers that could increase the risk of HIV and adverse reproductive health outcomes, it has drawn limited attention. From November 2010 to January 2011, a convenience sample of female sex workers was recruited in three cities in China. Face-to-face interviews were conducted to gather socio-demographic and behavioural information. Blood samples were collected for syphilis serological tests. Endo-cervical swabs were collected and tested for Neisseria gonorrhoeae and Chlamydia trachomatis by polymerase chain reaction. A logistic regression model was used to determine factors associated with vaginal douching and the association between vaginal douching and sexually transmitted infection. A total of 1032 eligible female sex workers were enrolled. The overall prevalence of any sexually transmitted infection (syphilis, Chlamydia trachomatis or Neisseria gonorrhoeae) and vaginal douching with disinfectant were 23.4% and 23.1%, respectively. Factors independently associated with douching practice included study sites, venue types, ethnicity, having regular partner and sexually transmitted infection history. No significant association was found between vaginal douching and current sexually transmitted infection. Vaginal douching with disinfectant after sex with clients seemed to be a prevalent practice among female sex workers in China. Prevention programmes targeting female sex workers should incorporate components about the adverse health outcomes associated with vaginal douching.
尽管阴道灌洗在女性性工作者中是一种常见行为，可能会增加感染艾滋病毒及出现不良生殖健康后果的风险，但它受到的关注有限。2010年11月至2011年1月，在中国三个城市招募了女性性工作者的便利样本。进行面对面访谈以收集社会人口统计学和行为信息。采集血样进行梅毒血清学检测。采集宫颈拭子，通过聚合酶链反应检测淋病奈瑟菌和沙眼衣原体。使用逻辑回归模型确定与阴道灌洗相关的因素以及阴道灌洗与性传播感染之间的关联。总共招募了1032名符合条件的女性性工作者。任何性传播感染（梅毒、沙眼衣原体或淋病奈瑟菌）的总体患病率和使用消毒剂进行阴道灌洗的比例分别为23.4%和23.1%。与灌洗行为独立相关的因素包括研究地点、场所类型、种族、有固定伴侣以及性传播感染史。未发现阴道灌洗与当前性传播感染之间存在显著关联。在中国，女性性工作者在与嫖客发生性行为后使用消毒剂进行阴道灌洗似乎是一种普遍行为。针对女性性工作者的预防项目应纳入有关与阴道灌洗相关的不良健康后果的内容。
