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
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.
