Xiaobing Fu1, Bingna Wang2, Yan Li1, Chun Yang3, Guanxi Lin3, Peng Lin4. 1. Guangdong Provincial Center for Disease Control and Prevention, Guangzhou 511430, China. 2. Jinan University. 3. Zhanjiang City Center for Disease Control and Prevention. 4. Guangdong Provincial Center for Disease Control and Prevention, Guangzhou 511430, China. Email: gdcdclp@21cn.com.
Abstract
OBJECTIVE: To explore the prevalence of HIV, sexually transmitted diseases (STDs) and associated factors among medium/low level female sex workers (FSWs) in an under-developed city in Guangdong province. METHODS: FSWs were reached by probability proportionate to size sampling through mapping. A cross-sectional survey was conducted to investigate data on demographic characteristics, sexual behaviors, condom use and drug use. 5 ml blood samples were collected to test for human immunodeficiency virus(HIV), syphilis and HSV-2. RESULTS: The prevalence rates of HIV, syphilis and HSV-2 were 0.3% (2/575), 4.9% (28/575) and 30.6% (176/575) respectively, and 32.2% (185/575)for STDs. Results from multivariate unconditional logistic regression model indicated that drug use (OR = 3.91, 95% CI:1.17-13.03) was the independent risk factor for STDs infection. Risks as ever accepted intervention program (OR = 0.14, 95% CI:0.04-0.52), with higher education level (OR = 0.40, 95% CI:0.19-0.83)and medium-fee charged FSWs(OR = 0.27, 95% CI:0.09-0.79) were protective factors for STDs. CONCLUSION: Sources of STDs and related risk factors were comprehensive among medium/low FSWs, especially for the latter, with all calling for multi-sector cooperation to explore the effective intervention program in this population.
OBJECTIVE: To explore the prevalence of HIV, sexually transmitted diseases (STDs) and associated factors among medium/low level female sex workers (FSWs) in an under-developed city in Guangdong province. METHODS: FSWs were reached by probability proportionate to size sampling through mapping. A cross-sectional survey was conducted to investigate data on demographic characteristics, sexual behaviors, condom use and drug use. 5 ml blood samples were collected to test for human immunodeficiency virus(HIV), syphilis and HSV-2. RESULTS: The prevalence rates of HIV, syphilis and HSV-2 were 0.3% (2/575), 4.9% (28/575) and 30.6% (176/575) respectively, and 32.2% (185/575)for STDs. Results from multivariate unconditional logistic regression model indicated that drug use (OR = 3.91, 95% CI:1.17-13.03) was the independent risk factor for STDs infection. Risks as ever accepted intervention program (OR = 0.14, 95% CI:0.04-0.52), with higher education level (OR = 0.40, 95% CI:0.19-0.83)and medium-fee charged FSWs(OR = 0.27, 95% CI:0.09-0.79) were protective factors for STDs. CONCLUSION: Sources of STDs and related risk factors were comprehensive among medium/low FSWs, especially for the latter, with all calling for multi-sector cooperation to explore the effective intervention program in this population.