莫桑比克三个主要城市地区女性性工作者中艾滋病毒感染负担高及风险行为情况
High Burden of HIV Infection and Risk Behaviors Among Female Sex Workers in Three Main Urban Areas of Mozambique.
作者信息
Augusto Ângelo do Rosário, Young Peter W, Horth Roberta Z, Inguane Celso, Sathane Isabel, Ngale Katia, Benedetti Marcos, Cummings Beverley, Botão Carlos Francisco Sande, Baltazar Cynthia Amino Semá, Frank Heidi, Fagan Jennifer, Fisher Raymond Henry, McFarland Willi
机构信息
Instituto Nacional de Saúde, Ministério da Saúde, Maputo, Mozambique.
Centers for Diseases Control and Prevention, Maputo, Mozambique.
出版信息
AIDS Behav. 2016 Apr;20(4):799-810. doi: 10.1007/s10461-015-1140-9.
Abstract
This is the first integrated biological and behavioral survey among female sex workers (FSW) in Mozambique. Using respondent-driven sampling, 400, 411 and 429 FSW were enrolled respectively in Maputo, Beira and Nampula in 2011-2012. Estimates were produced using RDSAT 7.1. HIV prevalence was 31.2, 23.6, and 17.8 % in each location respectively. Among HIV-positive FSW, 48.1, 79.8 and 89.6 % in each city, were unaware of their serostatus. Condom use at last sex with a client was 85.8, 73.4 and 62.8 % among FSW, respectively. HIV was associated with current age, age of first sex for money, low educational level, and having had a genital ulcer in the last 6 months. Results suggest the urgent need to increase behavioral and structural interventions in this key population.
摘要
这是莫桑比克首次针对女性性工作者开展的生物与行为综合调查。2011 - 2012年期间，通过应答者驱动抽样法，分别在马普托、贝拉和楠普拉招募了400名、411名和429名女性性工作者。使用RDSAT 7.1软件进行估算。各地区的艾滋病毒感染率分别为31.2%、23.6%和17.8%。在艾滋病毒呈阳性的女性性工作者中，各城市分别有48.1%、79.8%和89.6%的人不知道自己的血清状况。女性性工作者与客户最后一次性交时使用避孕套的比例分别为85.8%、73.4%和62.8%。艾滋病毒感染与当前年龄、首次为钱从事性交易的年龄、低教育水平以及过去6个月内患有生殖器溃疡有关。结果表明，迫切需要对这一关键人群加强行为和结构干预措施。
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