Chen Y M, Yu P S, Lin C C, Jen I
Division of Preventive Medicine, Institute of Public Health and Preparatory Office of the AIDS Research Center, National Yang-Ming University, Taipei, Taiwan, ROC.
J Acquir Immune Defic Syndr Hum Retrovirol. 1998 Jul 1;18(3):299-303. doi: 10.1097/00042560-199807010-00016.
Between 1993 and 1996 in Taipei, Taiwan, we studied the prevalences of HIV-1, HTLV-I, HSV-2, Chlamydia trachomatis, and syphilis infection in female commercial sex workers (CSW) and the pathogens' associated risk factors. Female CSW from nine massage parlors, two karaoke bars (KB), and 22 brothels in Taipei city participated in this study. Two of 557 (0.4%) KB CSWs from those who participated during the period from 1993 to 1994 had HIV-1 infection, whereas no KB CSWs in the periods 1994 to 1995 or 1995 to 1996 had HIV-1 infection. None of the 725 MP CSWs or 291 brothel CSWs who participated in the study between 1993 and 1996 had HIV-1 infection. In contrast, CSWs from brothels had elevated rates of both HTLV-I and active chlamydia infections compared with KB and MP CSWs (p < .05 and p < .005, respectively). KB CSWs showed an elevated rate of HSV-2 infection in the years 1993 and 1994 when compared with CSWs employed by brothels and MPs (p < .005). The prevalence rates of syphilis for CSWs from brothels dropped from 42.8% in the year 1993 to 1994 to 26.3% in the 1995 to 1996 period, whereas for KB and MP CSWs, the rates were < 6% in each of year studied.
1993年至1996年期间，我们在台湾台北研究了女性商业性工作者中HIV-1、HTLV-I、HSV-2、沙眼衣原体和梅毒感染的患病率以及病原体的相关危险因素。台北市九家按摩院、两家卡拉OK酒吧和22家妓院的女性商业性工作者参与了本研究。在1993年至1994年期间参与研究的557名卡拉OK酒吧女性商业性工作者中，有2人（0.4%）感染了HIV-1，而在1994年至1995年或1995年至1996年期间，没有卡拉OK酒吧女性商业性工作者感染HIV-1。在1993年至1996年期间参与研究的725名按摩院女性商业性工作者或291名妓院女性商业性工作者中，没有人感染HIV-1。相比之下，与卡拉OK酒吧和按摩院女性商业性工作者相比，妓院女性商业性工作者的HTLV-I感染率和活动性衣原体感染率均有所升高（分别为p < 0.05和p < 0.005）。与妓院和按摩院的女性商业性工作者相比，卡拉OK酒吧女性商业性工作者在1993年和1994年的HSV-2感染率有所升高（p < 0.005）。妓院女性商业性工作者的梅毒患病率从1993年至1994年的42.8%降至1995年至1996年期间的26.3%，而卡拉OK酒吧和按摩院女性商业性工作者在各研究年份的患病率均< 6%。
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