Gras M J, van der Helm T, Schenk R, van Doornum G J, Coutinho R A, van den Hoek J A
Gemeentelijke en Geneeskundige Gezondheidsdienst, divisie Volksgezondheid en Milieu, Amsterdam.
Ned Tijdschr Geneeskd. 1997 Jun 21;141(25):1238-41.
To determine the prevalence of HIV infection and risk behaviour among various groups of streetwalkers in Amsterdam and the extent of overlap between different prostitution networks.
The family room project in the streetwalkers' district in Amsterdam, the Netherlands.
In November 1996, saliva was taken from 32 female and 25 transsexual/transvestite prostitutes and tested for antibodies against HIV. Besides, prostitutes were interviewed on risk behaviour, history of sexually transmitted diseases and mobility.
Only one of the participants (a female prostitute) had ever injected drugs. None of the female prostitutes, but 6 of the 25 transsexuals/transvestite prostitutes (24%; 95% confidence interval: 7-41) proved seropositive. None of the HIV infected participants was aware of his serostatus. The transsexual/transvestite prostitutes frequently had receptive anal intercourse with their clients. Condom use was high, but most did not use condoms made for anal intercourse. Female prostitutes also reported a high rate of condom use with their clients. Both groups of prostitutes reported few private partners and a low rate of condom use with these partners. According to the transsexual/transvestite prostitutes many of their clients had sexual contacts with women in their private lives. Many prostitutes thought that they shared the same clients in the district.
HIV infections occur quite often among transsexual/transvestite prostitutes in the streetwalkers' district in Amsterdam. The risk of further spread HIV infection to their clients (and through them to other heterosexual populations) is present. AIDS education targeted at this group is important. The use of (special) condoms when having anal intercourse in private as well as in prostitution contacts should be emphatically advised.
确定阿姆斯特丹各类街头妓女中艾滋病毒感染率及危险行为，以及不同卖淫网络之间的重叠程度。
荷兰阿姆斯特丹街头妓女区的家庭咨询项目。
1996年11月，采集了32名女性妓女和25名变性人/易装癖妓女的唾液，检测艾滋病毒抗体。此外，还就危险行为、性传播疾病史和流动性对妓女进行了访谈。
只有一名参与者（一名女性妓女）曾注射过毒品。女性妓女中无人感染，但25名变性人/易装癖妓女中有6人（24%；95%置信区间：7%-41%）血清呈阳性。所有感染艾滋病毒的参与者均不知自己的血清状况。变性人/易装癖妓女经常与嫖客进行接受性肛交。避孕套使用率很高，但大多数人不使用专为肛交设计的避孕套。女性妓女也报告称与嫖客使用避孕套的比例很高。两组妓女都称与固定性伴侣的接触很少，与这些伴侣使用避孕套的比例很低。据变性人/易装癖妓女称，她们的许多嫖客在私生活中与女性有性接触。许多妓女认为她们在该地区有相同的嫖客。
在阿姆斯特丹街头妓女区的变性人/易装癖妓女中，艾滋病毒感染相当常见。存在将艾滋病毒感染进一步传播给她们的嫖客（并通过嫖客传播给其他异性恋人群）的风险。针对该群体的艾滋病教育很重要。应着重建议在私下进行肛交以及在卖淫接触中使用（特殊）避孕套。
