2012年6月24日,美国疾病控制与预防中心（Center for Disease Control and Prevention,CDC）通知圣地亚哥县卫生和人类服务部门的公共卫生服务机构,发现1例通过性接触感染的疑似牛痘病毒病例。该病例是由一位传染病专员报告给CDC的,该...2012年6月24日,美国疾病控制与预防中心（Center for Disease Control and Prevention,CDC）通知圣地亚哥县卫生和人类服务部门的公共卫生服务机构,发现1例通过性接触感染的疑似牛痘病毒病例。该病例是由一位传染病专员报告给CDC的,该专员为1例患有疑似痘苗损伤的病例申请牛痘免疫球蛋白（Vaccinia Immunoglobulin Intravenous,VIGV）。病例近期有两次性接触：第一次的性伴是近期接种过痘苗,之后的性伴未接种。圣地亚哥县卫生实验室确认痘苗受种者将牛痘病毒传播给病例的二次传播,以及病例将牛痘病毒传染给未接种的性伴的三次传播。美国国防部相关部门授权接种痘苗。受种者并无疫苗相关并发症,但二次和三次感染的病例住院使用VIGV治疗。未发生已知的进一步的传播。展开更多
Objectives: To describe and analyze risk factors associatedwith disuse of condoms during commercial sexual intercourseamong clients attending sauna and massage centers. Methods: Selected female sex workers from saunas...Objectives: To describe and analyze risk factors associatedwith disuse of condoms during commercial sexual intercourseamong clients attending sauna and massage centers. Methods: Selected female sex workers from saunas andbeauty parlors were trained as interviewers. They surveyedclients during provision of sexual services. Informationcollected included customers' demographics, knowledge ofSTDs, rationale for and history of condom use. Risk factorsfor condom usage were assessed though logistical modeling.Results: A total of 50 clients were interviewed. The rates ofcondom usage for last sexual intercourse with commercial andnon-commercial partners were 57% and 53% for clients ofsauna centers and 30% and 40% for clients of beauty parlors,respectively. The choice to use a condom was influenced byclients 60.8% of the time, sex workers 30.4%, and otherfactors 8.8%. The choice against using a condom was decidedupon by clients 69.7% of the time, sex workers 9.1%, andother factors 21.2%. Multivariate analysis showed thateducational level and perception of risk of infection werefactors for condom use. Clients with a high school educationhad a higher condom use rate than those with a middle schooleducation or less. Furthermore, clients who perceived risk ofdisease used condoms more frequently than those who did not.Conclusions: Clients played a significant role in decidingwhether or not to use a condom during commercial sex. Lackof perception of risk is a major factor for not using condoms.A program for promotion of prophylactics targeting bothcommercial sex workers and their clients is recommended.展开更多
文摘2012年6月24日,美国疾病控制与预防中心（Center for Disease Control and Prevention,CDC）通知圣地亚哥县卫生和人类服务部门的公共卫生服务机构,发现1例通过性接触感染的疑似牛痘病毒病例。该病例是由一位传染病专员报告给CDC的,该专员为1例患有疑似痘苗损伤的病例申请牛痘免疫球蛋白（Vaccinia Immunoglobulin Intravenous,VIGV）。病例近期有两次性接触：第一次的性伴是近期接种过痘苗,之后的性伴未接种。圣地亚哥县卫生实验室确认痘苗受种者将牛痘病毒传播给病例的二次传播,以及病例将牛痘病毒传染给未接种的性伴的三次传播。美国国防部相关部门授权接种痘苗。受种者并无疫苗相关并发症,但二次和三次感染的病例住院使用VIGV治疗。未发生已知的进一步的传播。
基金This study was supported by China National Center for AIDS Prevention and Control and Peking Union School of Public Health.
文摘Objectives: To describe and analyze risk factors associatedwith disuse of condoms during commercial sexual intercourseamong clients attending sauna and massage centers. Methods: Selected female sex workers from saunas andbeauty parlors were trained as interviewers. They surveyedclients during provision of sexual services. Informationcollected included customers' demographics, knowledge ofSTDs, rationale for and history of condom use. Risk factorsfor condom usage were assessed though logistical modeling.Results: A total of 50 clients were interviewed. The rates ofcondom usage for last sexual intercourse with commercial andnon-commercial partners were 57% and 53% for clients ofsauna centers and 30% and 40% for clients of beauty parlors,respectively. The choice to use a condom was influenced byclients 60.8% of the time, sex workers 30.4%, and otherfactors 8.8%. The choice against using a condom was decidedupon by clients 69.7% of the time, sex workers 9.1%, andother factors 21.2%. Multivariate analysis showed thateducational level and perception of risk of infection werefactors for condom use. Clients with a high school educationhad a higher condom use rate than those with a middle schooleducation or less. Furthermore, clients who perceived risk ofdisease used condoms more frequently than those who did not.Conclusions: Clients played a significant role in decidingwhether or not to use a condom during commercial sex. Lackof perception of risk is a major factor for not using condoms.A program for promotion of prophylactics targeting bothcommercial sex workers and their clients is recommended.
