Alary M, Worm A M, Kvinesdal B
Centre de Recherche, Hôpital du Saint-Sacrement, Québec, Canada.
Int J STD AIDS. 1994 Sep-Oct;5(5):365-7. doi: 10.1177/095646249400500516.
In 1990-91, 237 female sex workers from Copenhagen were enrolled in a larger study performed in 9 European countries. None of 206 women accepting serological testing was HIV-infected despite the fact that 36 (17.5%) were injecting drug users (IDU). Whereas 95% of the women always used condoms with clients over the last 6 months, this proportion was 25% and 9% respectively for casual and regular non-paying partners (P < 0.0001 for both comparisons). Those reporting at least one STD over the last year had more non-paying sexual partners than the others (P < 0.01) and the frequency of STD was lower in women who always used condoms with non-paying partners (7% vs 31%, P = 0.01). Women working on the street were more often IDU than others (78% vs 7%, P < 0.001). Independently of drug use, street prostitutes also tended to have more clients (P = 0.007) and more STD (P = 0.05). The striking differences in condom use with clients as compared to non-paying partners and the association between STD and sexual behaviours with such partners but not with clients show that specific interventions should be designed to promote safer sex with non-paying partners.
1990 - 1991年，来自哥本哈根的237名女性性工作者参与了一项在9个欧洲国家开展的规模更大的研究。在接受血清学检测的206名女性中，无人感染艾滋病毒，尽管其中36人（17.5%）为注射吸毒者。在过去6个月里，95%的女性与嫖客始终使用避孕套，而与临时和固定的非付费性伴侣使用避孕套的比例分别为25%和9%（两项比较的P值均<0.0001）。报告在过去一年中至少患有一种性传播疾病的女性比其他女性有更多的非付费性伴侣（P<0.01），并且与非付费性伴侣始终使用避孕套的女性中性传播疾病的发生率较低（7%对31%，P = 0.01）。街头工作的女性比其他女性更常为注射吸毒者（78%对7%，P<0.001）。与吸毒无关，街头妓女往往也有更多的嫖客（P = 0.007）和更多的性传播疾病（P = 0.05）。与非付费性伴侣相比，与嫖客使用避孕套的情况存在显著差异，以及性传播疾病与与这类伴侣而非嫖客的性行为之间的关联表明，应设计特定干预措施以促进与非付费性伴侣进行更安全性行为。
