KHANA Center for Population Health Research, Phnom Penh, Cambodia.
Public Health Program, College of Education and Health Sciences, Touro University California, Vallejo, CA, United States of America.
PLoS One. 2018 Jul 2;13(7):e0198095. doi: 10.1371/journal.pone.0198095. eCollection 2018.
In Cambodian context, female entertainment workers (FEWs) are young women working at establishments such as karaoke bars, restaurants, beer gardens or massage parlors. FEWs may sell sex to male patrons and are considered a high-risk group for HIV. This study aimed to identify factors associated with recent HIV testing among FEWs in Cambodia to inform future prevention activities.
Data were collected in 2014 as part of the evaluation of a larger HIV prevention project. A two-stage cluster sampling method was used to select participants from Phnom Penh and Siem Reap for face-to-face interviews using a structured questionnaire. A logistic regression model was constructed to identify independent factors associated with recent HIV testing.
Data were collected from 667 FEWs with a mean age of 25.6 (SD = 5.5). Of total, 81.7% reported ever having had an HIV test, and 52.8% had at least one test in the past six months. After adjustment for other covariates, factors independently associated with recent HIV testing included living in Phnom Penh (AOR = 2.17, 95% CI = 1.43-3.28), having received HIV education in the past six months (AOR = 3.48, 95% CI = 2.35-5.15), disagreeing with a statement that 'I would rather not know if I have HIV' (AOR = 2.15, 95% CI = 1.41-3.30), agreeing with a statement that 'getting tested for HIV helps people feel better' (AOR = 0.32, 95% CI = 0.13-0.81) and not using a condom in the last sexual intercourse with a non-commercial partner (AOR = 0.48, 95% CI = 0.26-0.88).
FEWs with greater knowledge and positive attitudes towards HIV testing got tested for HIV more frequently than those with lesser knowledge and less positive attitudes. These findings suggest that future interventions should focus on disseminating tailored health messages around testing practices as well as specific topics such as condom use with non-commercial partners.
在柬埔寨的背景下，女性娱乐工作者（FEWs）是指在卡拉 OK 酒吧、餐馆、啤酒花园或按摩院等场所工作的年轻女性。FEWs 可能会向男性顾客出售性服务，被认为是 HIV 的高风险群体。本研究旨在确定与柬埔寨 FEWs 最近的 HIV 检测相关的因素，以为未来的预防活动提供信息。
数据于 2014 年收集，作为对一个更大的 HIV 预防项目的评估的一部分。使用两阶段聚类抽样方法从金边和暹粒选择参与者进行面对面访谈，使用结构化问卷。构建了一个逻辑回归模型，以确定与最近的 HIV 检测相关的独立因素。
数据来自 667 名 FEWs，平均年龄为 25.6（标准差=5.5）。其中，81.7%报告曾接受过 HIV 检测，52.8%在过去六个月内至少进行过一次检测。在调整其他协变量后，与最近的 HIV 检测相关的独立因素包括居住在金边（AOR=2.17，95%CI=1.43-3.28）、在过去六个月内接受过 HIV 教育（AOR=3.48，95%CI=2.35-5.15）、不同意“我宁愿不知道自己是否患有 HIV”的说法（AOR=2.15，95%CI=1.41-3.30）、同意“接受 HIV 检测有助于人们感觉更好”的说法（AOR=0.32，95%CI=0.13-0.81）以及与非商业性伴侣发生性关系时不使用避孕套（AOR=0.48，95%CI=0.26-0.88）。
FEWs 对 HIV 检测的知识和态度越积极，接受 HIV 检测的频率就越高。这些发现表明，未来的干预措施应重点围绕检测实践以及与非商业性伴侣使用避孕套等具体主题传播有针对性的健康信息。
