Brewer T H, Hasbun J, Ryan C A, Hawes S E, Martinez S, Sanchez J, Butler de Lister M, Constanzo J, Lopez J, Holmes K K
AIDSCAP, Santo Domingo, Dominican Republic.
AIDS. 1998 Oct 1;12(14):1879-87. doi: 10.1097/00002030-199814000-00020.
To determine risk factors for HIV infection among women living in the sugar cane plantation communities (bateyes) of a large private sugar cane company in the Dominican Republic.
Cross-sectional study of sexually active female volunteers living in the bateyes.
Of 98 bateyes, 23 were randomly selected and visited by a mobile medical unit, to interview, examine and test volunteers for seroreactivity to HIV and syphilis.
The 490 subjects ranged in age from 16 to 72 years (median, 37 years); 53% were born in Haiti, 36% in Dominican Republic bateyes, and 12% elsewhere in the Dominican Republic; 58% had no formal education; and 87% had no income. HIV seropositivity was found in 28 women (5.7%), including 8.8% of those aged < 35 years. By logistic regression analysis, HIV infection was independently associated with age < 35 years [odds ratio (OR), 4.5; P < 0.01), being single with children (OR, 4.3; P < 0.01), more than one lifetime sex partners (OR, 3.4; P = 0.06), engaging in sex during menses (OR, 3.2; P = 0.02), and self-description as a prostitute (OR, 4.4; P = 0.05)1. For Haitian women, those coming to the Dominican Republic alone were more likely to have HIV infection than those coming with a male partner. Less than 4% of women reported condom use at last intercourse.
Women in the bateyes have a much higher rate of HIV infection than that estimated for women in the general population of Dominican Republic and a rate comparable to that of female sex workers in the Dominican Republic. AIDS prevention in the bateyes should address condom education and distribution as well as employment opportunities and education for women.
确定多米尼加共和国一家大型私营甘蔗公司甘蔗种植园社区（bateyes）中女性感染艾滋病毒的风险因素。
对居住在bateyes的性活跃女性志愿者进行横断面研究。
在98个bateyes中，随机选择23个，由流动医疗单位前往走访，对志愿者进行访谈、检查，并检测其艾滋病毒和梅毒血清反应性。
490名受试者年龄在16至72岁之间（中位数为37岁）；53%出生在海地，36%出生在多米尼加共和国的bateyes，12%出生在多米尼加共和国其他地方；58%没有接受过正规教育；87%没有收入。28名女性（5.7%）艾滋病毒血清学呈阳性，其中年龄小于35岁的女性中这一比例为8.8%。通过逻辑回归分析，艾滋病毒感染与年龄小于35岁独立相关[比值比（OR）为4.5；P<0.01]、单身且育有子女（OR为4.3；P<0.01）、一生中有多个性伴侣（OR为3.4；P=0.06）、经期性行为（OR为3.2；P=0.02）以及自认为是妓女（OR为4.4；P=0.05）。对于海地女性，独自来到多米尼加共和国的女性比与男性伴侣一起来的女性更有可能感染艾滋病毒。不到4%的女性报告在最后一次性交时使用了避孕套。
bateyes中的女性艾滋病毒感染率远高于多米尼加共和国普通女性的估计感染率，与多米尼加共和国女性性工作者的感染率相当。bateyes地区艾滋病预防工作应包括避孕套教育与发放，以及为女性提供就业机会和教育。
