Background: Commercial sex workers and clientsare important core populations in the transmission ofsexually transmitted diseases (STDs) and human im-munodeficiency virus (HIV) infection. Research on thefrequency and d...Background: Commercial sex workers and clientsare important core populations in the transmission ofsexually transmitted diseases (STDs) and human im-munodeficiency virus (HIV) infection. Research on thefrequency and determinants of condom use in com-mercial sex workers and their clients is important inincreasing condom use and reduction of the STD/HIV.Burden. Objectives: To establish the frequency of and fac-tors related to intention to use condoms and actualcondom use in commercial sex contacts and to deter-mine the differences in condom use between sex work-ers and clients.Methods: Incarcerated commercial sex workers(ICSW) and male STD clinic attendees were recruitedinto a cross-sectional study to obtain data on the fre-quency and factors associated with intention to usecondoms and condom use in commercial sexual con-tacts with an interviewer-administered questionnaire.Consistent condom use in ICSWs and never usingcondoms in male STD clinic attendees were analyzedusing univariate and multivariate logistic regressionmodels. Results: The frequency of reported consistent in-tention to use condoms and reported actual condomuse was 62% and 50.6%, respectively among 158ICSWs. For male STD clinic attendees, the propor-tion of reported consistent intention to use condomsand reported actual condom use was 10% and 20.7%,respectively. The factors positively influencing theconsistent intention to use condoms were pregnancypreventing measures and the belief of condom efficacyin the prevention of STD/HIV, whereas the factor as-sociated with actually consistent condom use was preg-nancy-preventing measure in ICSWs. Factors associ-ated with no intention to use condoms were low income,low STD/HIV knowledge level and the frequency ofvisiting CSW. The latter factor was also associatedwith never using condoms in male STD clinicattendees. Conclusions: Consistent condom use during com-mercial sex contacts was low, especially in clients.Greater effort is needed in condom promotion programin order to raise the level of condom use in commer-cial sex contacts.展开更多
Objective: To describe the different characteristicsbetween full-time sex workers (FTSW) and part-timesex workers (PTSW) in Guangzhou, China, and to de-termine the risk factors which lead to the significantlyhigher pr...Objective: To describe the different characteristicsbetween full-time sex workers (FTSW) and part-timesex workers (PTSW) in Guangzhou, China, and to de-termine the risk factors which lead to the significantlyhigher prevalence of gonorrhea and trichomoniasisamong FTSW. Methods: From March 1998 to October 1999 femalesex workers were recruited through various outreachmethods, and were interviewed and tested for the pres-ence of sexually transmitted diseases (STDs). In termsof additional regular salary female sex workers weredivided into FTSW who didn't have additional regularsalary and PTSW who had additional regular salary.Univariate and multivariate logistic regression analy-ses were used to identify risk factors for gonorrhea/trichomoniasis and to determine the confounders inthe relationship between no regular salary and gonor-rhea/ trichomoniasis. Results: A total of 442 FTSW and 524 PTSW en-tered this study. Prevalence of gonorrhea and tri-chomoniasis was significantly higher inFTSW compared to PTSW. FTSW were more likely tohave a lower education level, have a history of inject-ing drugs use since 1990, to recruit clients in a mas-sage/sauna, have businessmen as their clients and nothave a steady partner compared to PTSW. In bivariateanalyses models, age leaving education, main types ofclients and recruitment locations appeared to be thestrongest links between no regular salaried positionand gonorrhea. A history of injecting drugs and hav-ing no steady partner (past 12 months) appeared to bethe strongest links in the relationship between no regu-lar salaried position and trichomoniasis. Conclusion: Different education levels, clients, andrecruitment locations between FTSW and PTSW mayaccount for the different gonorrhea prevalence amongsex workers. The higher prevalence of trichomonia-sis among FTSW may be related to the larger propor-tion of women having no steady partner or a history ofinjecting drugs. The results suggest strategies toprevent HIV/STDs among female sex workers shouldinclude condom negotiation with clients and aware-ness of seeking health care.展开更多
文摘Background: Commercial sex workers and clientsare important core populations in the transmission ofsexually transmitted diseases (STDs) and human im-munodeficiency virus (HIV) infection. Research on thefrequency and determinants of condom use in com-mercial sex workers and their clients is important inincreasing condom use and reduction of the STD/HIV.Burden. Objectives: To establish the frequency of and fac-tors related to intention to use condoms and actualcondom use in commercial sex contacts and to deter-mine the differences in condom use between sex work-ers and clients.Methods: Incarcerated commercial sex workers(ICSW) and male STD clinic attendees were recruitedinto a cross-sectional study to obtain data on the fre-quency and factors associated with intention to usecondoms and condom use in commercial sexual con-tacts with an interviewer-administered questionnaire.Consistent condom use in ICSWs and never usingcondoms in male STD clinic attendees were analyzedusing univariate and multivariate logistic regressionmodels. Results: The frequency of reported consistent in-tention to use condoms and reported actual condomuse was 62% and 50.6%, respectively among 158ICSWs. For male STD clinic attendees, the propor-tion of reported consistent intention to use condomsand reported actual condom use was 10% and 20.7%,respectively. The factors positively influencing theconsistent intention to use condoms were pregnancypreventing measures and the belief of condom efficacyin the prevention of STD/HIV, whereas the factor as-sociated with actually consistent condom use was preg-nancy-preventing measure in ICSWs. Factors associ-ated with no intention to use condoms were low income,low STD/HIV knowledge level and the frequency ofvisiting CSW. The latter factor was also associatedwith never using condoms in male STD clinicattendees. Conclusions: Consistent condom use during com-mercial sex contacts was low, especially in clients.Greater effort is needed in condom promotion programin order to raise the level of condom use in commer-cial sex contacts.
基金This work was supported by UNAIDS and the World AIDS Foundation
文摘Objective: To describe the different characteristicsbetween full-time sex workers (FTSW) and part-timesex workers (PTSW) in Guangzhou, China, and to de-termine the risk factors which lead to the significantlyhigher prevalence of gonorrhea and trichomoniasisamong FTSW. Methods: From March 1998 to October 1999 femalesex workers were recruited through various outreachmethods, and were interviewed and tested for the pres-ence of sexually transmitted diseases (STDs). In termsof additional regular salary female sex workers weredivided into FTSW who didn't have additional regularsalary and PTSW who had additional regular salary.Univariate and multivariate logistic regression analy-ses were used to identify risk factors for gonorrhea/trichomoniasis and to determine the confounders inthe relationship between no regular salary and gonor-rhea/ trichomoniasis. Results: A total of 442 FTSW and 524 PTSW en-tered this study. Prevalence of gonorrhea and tri-chomoniasis was significantly higher inFTSW compared to PTSW. FTSW were more likely tohave a lower education level, have a history of inject-ing drugs use since 1990, to recruit clients in a mas-sage/sauna, have businessmen as their clients and nothave a steady partner compared to PTSW. In bivariateanalyses models, age leaving education, main types ofclients and recruitment locations appeared to be thestrongest links between no regular salaried positionand gonorrhea. A history of injecting drugs and hav-ing no steady partner (past 12 months) appeared to bethe strongest links in the relationship between no regu-lar salaried position and trichomoniasis. Conclusion: Different education levels, clients, andrecruitment locations between FTSW and PTSW mayaccount for the different gonorrhea prevalence amongsex workers. The higher prevalence of trichomonia-sis among FTSW may be related to the larger propor-tion of women having no steady partner or a history ofinjecting drugs. The results suggest strategies toprevent HIV/STDs among female sex workers shouldinclude condom negotiation with clients and aware-ness of seeking health care.
