State Key Laboratory of Organ Failure Research, Ministry of Education, and Guangdong Provincial Key Laboratory of Tropical Disease Research, Department of Biostatistics, School of Public Health, Southern Medical University, Guangzhou, China.
Dermatology Hospital, Southern Medical University, Guangzhou, China.
BMC Public Health. 2021 Jul 28;21(1):1477. doi: 10.1186/s12889-021-11526-w.
Female sex workers (FSW) are highly susceptible to chlamydia and gonorrhea infection. However, there is limited literature examining their testing uptake to date. This study aimed to assess the uptake and determinants of chlamydia and gonorrhea testing among FSW in Southern China.
A cross-sectional study with convenience sampling was performed in five cities in Southern China. Data on socio-demographic characteristics, sexual behaviors, chlamydia and gonorrhea testing, and the utilization of health care services from participants were collected through face-to-face interviews. Univariate and multivariable logistic regressions were used to determine factors associated with chlamydia and gonorrhea testing, respectively.
Overall, 1207 FSWs were recruited, with the mean age of 30.7 ± 6.8 years and an average number of clients of 7.0 (4.0-10.0) per week. 65.4% participants constantly used condoms with clients during the past month. Only 7.5 and 10.4% had been tested for chlamydia and gonorrhea in the last year, respectively. Multivariable analysis indicated that FSW who worked at low tiers (adjusted Odds Ratio (aOR) = 2.36, 95%CI:1.23-10.14), had more clients in the last month (aOR = 1.03, 95%CI:1.01-1.05), used condoms consistently (aOR = 1.79, 95%CI:1.12-2.86), had STD symptoms (aOR = 4.09,95%CI:2.62-6.40), had been tested for HIV (aOR = 5.16, 95%CI:3.21-8.30) or syphilis (aOR = 6.90, 95%CI:4.21-11.22) in the last year were more likely to have chlamydia testing. In addition, FSW who had more clients in the past month (aOR = 1.02,95%CI:1.00-1.04), had STD symptoms (aOR = 3.33, 95%CI:2.03-5.46), had been tested for HIV (aOR = 3.94, 95%CI:2.34-6.65) and syphilis (aOR = 3.27, 95%CI:1.96-5.46) in the last year were more likely to have gonorrhea testing.
The testing rates of chlamydia and gonorrhea are low among Chinese FSW. Integrating chlamydia and gonorrhea testing into HIV testing promotion programs may help bridge the gap among FSW.
性工作者（FSW）极易感染衣原体和淋病。然而，目前关于她们检测情况的文献有限。本研究旨在评估中国南方 FSW 进行衣原体和淋病检测的情况及其影响因素。
采用便利抽样法，在中国南方的五个城市进行横断面研究。通过面对面访谈收集参与者的社会人口学特征、性行为、衣原体和淋病检测以及卫生保健服务利用情况等数据。采用单因素和多因素逻辑回归分别确定与衣原体和淋病检测相关的因素。
共纳入 1207 名 FSW，平均年龄为 30.7±6.8 岁，平均每周接待客户 7.0（4.0-10.0）人。65.4%的参与者在过去一个月中与客户始终使用安全套。仅有 7.5%和 10.4%的参与者在过去一年中分别接受过衣原体和淋病检测。多因素分析表明，在低级别场所工作的 FSW（调整优势比（aOR）=2.36，95%CI：1.23-10.14）、过去一个月接待客户更多（aOR=1.03，95%CI：1.01-1.05）、坚持使用安全套（aOR=1.79，95%CI：1.12-2.86）、出现性传播疾病（STD）症状（aOR=4.09，95%CI：2.62-6.40）、过去一年中接受过 HIV（aOR=5.16，95%CI：3.21-8.30）或梅毒（aOR=6.90，95%CI：4.21-11.22）检测的 FSW 更有可能接受衣原体检测。此外，过去一个月接待客户更多（aOR=1.02，95%CI：1.00-1.04）、出现 STD 症状（aOR=3.33，95%CI：2.03-5.46）、过去一年中接受过 HIV（aOR=3.94，95%CI：2.34-6.65）和梅毒（aOR=3.27，95%CI：1.96-5.46）检测的 FSW 更有可能接受淋病检测。
中国 FSW 的衣原体和淋病检测率较低。将衣原体和淋病检测纳入 HIV 检测推广计划可能有助于缩小 FSW 之间的差距。
