Cai Rui, Tan Jingguang, Chen Lin, Looman Caspar W N, Richardus Jan Hendrik, de Vlas Sake J
Department of Public Health, Erasmus Medical Center, University Medical Center Rotterdam, The Netherlands.
Shenzhen Center for Disease Control and Prevention, Longyuan Road 8, Nanshan District, Shenzhen, China.
Sex Health. 2015 Jun;12(3):257-62. doi: 10.1071/SH14189.
Background Female sex workers (FSWs) are highly vulnerable to HIV but make little use of HIV-related intervention services provided by the Chinese government. Determinants of the low uptake of HIV services by FSWs in Shenzhen, Guangdong province were investigated.
FSWs were recruited by venue-based sampling; 1656 FSWs were interviewed about sociodemographics, behaviours and uptake of HIV-related intervention services. Determinants of no uptake of HIV testing, condom promotion, and peer education were determined through logistic regression. The association between uptake of HIV-related services, condom use and HIV-related knowledge was also assessed.
The overall uptake of HIV testing, condom promotion, and peer education by FSWs was 21.5%, 47.8% and 28.0%, respectively. Young age and shorter duration of working in Shenzhen were statistically significantly correlated with no uptake of all three interventions. Uptake of these services was positively associated with consistent condom use and good HIV-related knowledge.
The uptake of HIV-related intervention services by FSWs is low in Shenzhen. As their uptake is positively associated with condom use and HIV-related knowledge, it is necessary to intensify promotion of these, focusing on young and recently started FSWs.
背景 女性性工作者极易感染艾滋病毒，但很少利用中国政府提供的与艾滋病毒相关的干预服务。对广东省深圳市女性性工作者艾滋病毒服务利用率低的决定因素进行了调查。
通过场所抽样招募女性性工作者；对1656名女性性工作者进行了关于社会人口统计学、行为以及艾滋病毒相关干预服务利用情况的访谈。通过逻辑回归确定未接受艾滋病毒检测、避孕套推广和同伴教育的决定因素。还评估了艾滋病毒相关服务利用情况、避孕套使用与艾滋病毒相关知识之间的关联。
女性性工作者对艾滋病毒检测、避孕套推广和同伴教育的总体利用率分别为21.5%、47.8%和28.0%。年龄较小以及在深圳工作时间较短与未接受所有这三种干预措施在统计学上显著相关。这些服务的利用与持续正确使用避孕套以及良好的艾滋病毒相关知识呈正相关。
深圳女性性工作者对艾滋病毒相关干预服务的利用率较低。由于她们对这些服务的利用与避孕套使用和艾滋病毒相关知识呈正相关，有必要加强对此的推广，重点针对年轻和刚入行的女性性工作者。
