智利大都市地区女性性工作者获得性健康检查的关联因素。
Linked factors to access to sexual health checkups of female sex workers in the metropolitan region of Chile.
机构信息
Epidemiology Program, School of Public Health, University of Chile, Santiago, Chile.
Doctoral Program in Methodology of Biomedical Research and Public Health, Department of Pediatrics, Obstetrics and Gynecology and Preventive Medicine, Autonomous University of Barcelona, Barcelona, Spain.
出版信息
Int J Public Health. 2019 Apr;64(3):355-363. doi: 10.1007/s00038-018-1175-6. Epub 2018 Nov 27.
OBJECTIVES
To describe and compare the profile of female sex workers (FSWs) that access or do not access sexual health checkups (SHC). The research question was what are the factors linked to access to SHC for FSWs in the metropolitan region (RM) of Chile?
METHODS
A cross-sectional study was conducted in the RM with FSWs over the age of 18. A sample of 370 FSWs was selected by using the time-location sampling method in closed venues and at street-level locations. A survey was applied, validated, and included clinical-epidemiological, behavioral and socio-demographic variables.
RESULTS
38.6% (n = 140) of FSWs that answered the question never used SHC and 37.6% (n = 84) received checkups in a specialized health center for FSWs. FSWs with no SHC were younger, prone to have more group sex, preferably with occasional or no stable partner, and did not know where to get an HIV test.
CONCLUSIONS
FSWs have had uncertain access to sexual health controls. FSWs with no SHC and young FSWs presented higher-risk behaviors.
目的
描述并比较接受和不接受性健康检查（SHC）的女性性工作者（FSW）的特征。本研究的问题是，智利大都市地区（RM）FSW 获得 SHC 的相关因素有哪些？
方法
在 RM 中对年龄在 18 岁以上的 FSW 进行了一项横断面研究。采用时间-地点抽样方法，在封闭场所和街头位置对 370 名 FSW 进行了抽样。应用了经过验证的调查问卷，其中包括临床流行病学、行为和社会人口统计学变量。
结果
回答问题的 FSW 中有 38.6%（n=140）从未接受过 SHC，37.6%（n=84）在专门的 FSW 健康中心接受过检查。未接受 SHC 的 FSW 更年轻，更倾向于进行群交，更喜欢偶尔或没有稳定的伴侣，并且不知道在哪里可以进行 HIV 检测。
结论
FSW 获得性健康控制的情况并不确定。未接受 SHC 的 FSW 和年轻的 FSW 表现出更高的风险行为。
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