Markosyan Karine, Lang Delia L, DiClemente Ralph J
Center for Health Services Research and Development, American University of Armenia, 40 Baghramyan Avenue, 0019 Yerevan, Armenia.
Emory University, Rollins School of Public Health, Atlanta, GA 30322, USA ; Emory Center for AIDS Research, Atlanta, GA 30322, USA.
AIDS Res Treat. 2014;2014:314145. doi: 10.1155/2014/314145. Epub 2014 Oct 1.
This cross-sectional study assessed the prevalence and correlates of inconsistent refusal of unprotected sex among female sex workers (FSWs) in Armenia. One hundred and eighteen street-based FSWs between the ages of 20 and 52 completed a questionnaire assessing FSWs' demographic, psychosocial, and behavioral characteristics. A total of 52.5% (n = 62) of FSWs reported inconsistent refusal of unprotected sex with clients in the past 3 months. Logistic regression analysis controlling for participants' age and education revealed that perceiving more barriers toward condom use (AOR = 1.1; P < 0.01), reporting more types of abuse (AOR = 2.1; P < 0.01), and setting lower fees for service (AOR = 0.9; P = 0.02) significantly predicted inconsistent refusal of unprotected sex. HIV-risk-reduction behavioral interventions tailored to FSWs working in Yerevan Armenia should address the factors identified in this study toward the goal of enhancing refusal of unprotected sex and ultimately preventing acquisition of sexually transmitted infections (STIs) including HIV.
这项横断面研究评估了亚美尼亚女性性工作者（FSW）中无保护性行为拒绝不一致的患病率及其相关因素。118名年龄在20至52岁之间的街头女性性工作者完成了一份问卷，该问卷评估了女性性工作者的人口统计学、心理社会和行为特征。在过去3个月中，共有52.5%（n = 62）的女性性工作者报告称与客户进行无保护性行为时拒绝不一致。对参与者年龄和教育程度进行控制的逻辑回归分析显示，认为使用避孕套存在更多障碍（优势比[AOR]=1.1；P<0.01）、报告更多类型的虐待行为（AOR = 2.1；P<0.01）以及降低服务收费（AOR = 0.9；P = 0.02）显著预测了无保护性行为拒绝不一致。针对在亚美尼亚埃里温工作的女性性工作者量身定制的降低艾滋病毒风险行为干预措施，应针对本研究中确定的因素，以实现增强对无保护性行为的拒绝并最终预防包括艾滋病毒在内的性传播感染（STI）的目标。
