Khalid Hina, Martin Erika G
a Information Technology University , Lahore , Pakistan.
b Rockefeller College of Public Affairs and Policy , University at Albany-State University of New York , Albany , USA.
AIDS Care. 2019 Jun;31(6):767-776. doi: 10.1080/09540121.2018.1557317. Epub 2018 Dec 10.
Unprotected sex among commercial sex workers (CSWs) remains a leading cause of HIV transmission internationally. Previous research on condom use among CSWs has focused on females, with limited research among transgenders or on the role of network operators who mediate paid sexual transactions. We test whether network operators increase the likelihood of condom use among female and transgender CSWs in four Pakistan provinces using the 2011 Integrated Behavioral and Biological Survey. We find that transgender CSWs recruiting clients through network operators had higher odds of consistently using condoms compared with female CSWs recruiting clients through another source (relative OR: 2·80, 95% CI: 1·67, 4·70). While transgender CSWs in Pakistan using network operators have higher rates of condom use, however, this protective effect does not hold among females. This suggests that network operators may be a valuable group to target for HIV prevention efforts.
在国际上，商业性工作者（CSW）之间的无保护性行为仍然是艾滋病毒传播的主要原因。先前关于商业性工作者使用避孕套的研究主要集中在女性身上，对跨性别者或促成有偿性交易的网络运营者的研究有限。我们利用2011年综合行为和生物学调查，测试在巴基斯坦四个省份，网络运营者是否会增加女性和跨性别商业性工作者使用避孕套的可能性。我们发现，通过网络运营者招揽客户的跨性别商业性工作者与通过其他途径招揽客户的女性商业性工作者相比，持续使用避孕套的几率更高（相对比值比：2.80，95%置信区间：1.67，4.70）。然而，虽然在巴基斯坦，使用网络运营者的跨性别商业性工作者避孕套使用率较高，但这种保护作用在女性中并不存在。这表明网络运营者可能是艾滋病预防工作的一个有价值的目标群体。
