Lopez-Corbeto Evelin, Sanclemente Cristina, González Victoria, Mansilla Rosa, Casabona Jordi, Folch Cinta
Centro de Estudios Epidemiológicos sobre las Infecciones de Transmisión Sexual y Sida de Cataluña (CEEISCAT), Departament de Salut, Generalitat de Catalunya, Badalona, Barcelona, España; CIBER Epidemiología y Salud Pública (CIBERESP), Spain.
Fundació Àmbit Prevenció, Barcelona. España.
Enferm Infecc Microbiol Clin (Engl Ed). 2020 Nov 13. doi: 10.1016/j.eimc.2020.09.017.
Women sex workers (WSW) are one of key population on the HIV and other sexually transmitted infections (STIs) monitoring and evaluation. Socioeconomic, structural factors and other factors associated with the workplace influence exposure to these infections. The objectives of this study were to describe and compare the social characteristics, risk behaviours and HIV, Chlamydia and gonorrhoeae prevalence according to sex work site (street or highway, clubs and flats).
Cross-sectional study on 400WSW in Catalonia. Socio-demographic, sex work and behavioral characteristics were collected through personal interview. Oral fluid and urine samples were collected to determine STI prevalence.
WSW that exercised in the street or highway presented more precarious conditions and a greater vulnerability related to socioeconomic factors: older population, with a lower education level and with less economic remuneration for their service. Other factors associated with lifestyle or behaviour was also observed: greater injecting drug use, longer sex work or vulnerabilities associated with structural or social determinants: less access to health services, higher proportion of forced relations and stay in prison. The overall HIV, Chlamydia and gonorrhoeae prevalence was 3.0%, 1.8% and 0.5%, respectively, and higher in women who exercised on the street or highway: 5.6%, 1.9% and 1.2%, respectively.
The information generated in this study will be useful for the design specific preventive interventions aimed at this group.
女性性工作者是艾滋病毒及其他性传播感染监测与评估的重点人群之一。社会经济、结构因素以及与工作场所有关的其他因素会影响这些感染的暴露情况。本研究的目的是根据性工作场所（街道或公路、俱乐部和平房）描述并比较社会特征、风险行为以及艾滋病毒、衣原体和淋病的患病率。
对加泰罗尼亚的400名女性性工作者进行横断面研究。通过个人访谈收集社会人口统计学、性工作和行为特征。采集口腔液和尿液样本以确定性传播感染的患病率。
在街道或公路上从事性工作的女性性工作者面临更不稳定的状况，在社会经济因素方面更易受伤害：年龄较大，教育水平较低，服务所得经济报酬较少。还观察到与生活方式或行为有关的其他因素：注射吸毒较多、性工作时间较长，或与结构或社会决定因素有关的脆弱性：获得医疗服务的机会较少、被迫发生性关系的比例较高以及曾入狱。艾滋病毒、衣原体和淋病的总体患病率分别为3.0%、1.8%和0.5%，在街道或公路上从事性工作的女性中患病率更高，分别为5.6%、1.9%和1.2%。
本研究得出的信息将有助于针对该群体设计具体的预防干预措施。
