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首页> 外文期刊>AIDS care. >Transactional sex risk and STI among HIV-infected female sex workers and HIV-infected male clients of FSWs in India.
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Transactional sex risk and STI among HIV-infected female sex workers and HIV-infected male clients of FSWs in India.

机译:印度FSW感染女性的性工作者和感染HIV的男性客户中的性交易风险和性传播感染。

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摘要

To describe sex risk behaviors of HIV-infected female sex workers (FSWs) and HIV-infected male clients of FSWs, to evaluate associations between risky transactional sex and number of unprotected transactional sex episodes, and to assess the association between unprotected transactional sex and self-reported sexually transmitted infection (STI). Adult HIV-infected FSWs (n = 211) and HIV-infected male clients (n = 205) were surveyed in Mumbai about demographics, STI, and past 90-day and past year sex and substance use histories. Gender-stratified Poisson regression models were used to evaluate associations between four risky transactional sex behaviors (number of transactional sex partners; alcohol use before transactional sex; anal transactional sex; and transactional sex with a known HIV-infected partner) and number of unprotected transactional sex episodes; logistic regression was used to assess the association between unprotected transactional sex and self-reported STI. Twenty-nine percent of females and 7% of males reported any unprotected transactional sex episodes in the past 90 days. Thirty-nine percent of females and 12% of males reported past year STI. Among males, a greater number of transactional sex partners was associated with more unprotected transactional sex episodes (adjusted incidence rate ratio [IRR] = 8.2, 95% confidence interval [CI] = 1.8-38.4 highest vs. lowest tertile), and any unprotected transactional sex was associated with a higher odds of self-reported STI in the past year (adjusted odds ratio [AOR] = 5.6, 95% CI = 1.4-22.4). For women, risky transactional sex behaviors were not associated with condom non-use, and unprotected sex was negatively associated with STI (AOR = 0.4, 95% CI = 0.2-0.9). Reports of condom use during transactional sex were high for these samples. However, standard predictors of unprotected transactional sex (i.e., greater number of partners) and STI (i.e., unprotected sex) only held true for males. Further research is needed to guide an understanding of sex risk and STI among HIV-infected FSWs in India.
机译:描述HIV感染的女性性工作者(FSW)和FSW的HIV感染的男性客户的性风险行为,评估危险性交易性行为与无保护性交易性发作次数之间的关联,并评估无保护性交易性与自我行为之间的关联-报告性传播感染(STI)。在孟买,对成人感染HIV的FSW(n = 211)和感染HIV的男性顾客(n = 205)进行了人口统计,性传播感染以及过去90天和过去一年的性别和物质使用史的调查。性别分层的Poisson回归模型用于评估四种危险的交易性行为(交易性伴侣的数量;交易性行为前饮酒;肛门交易性;与已知的HIV感染者的交易性)与无保护交易性之间的关联。性发作;逻辑回归用于评估无保护的交易性行为和自我报告的性传播感染之间的关联。在过去90天内,有29%的女性和7%的男性报告了任何不受保护的性交易。去年有39%的女性和12%的男性报告了性病。在男性中,更多的性交易伴侣与更多的未保护性交易性发作有关(调整后的发生率[IRR] = 8.2,95%置信区间[CI] =最高三分位数与最低三分位数的1.8-38.4),以及任何未保护的在过去的一年中,性交易与自我报告的性传播感染的机率较高相关(调整机率[AOR] = 5.6,95%CI = 1.4-22.4)。对于女性而言,危险的性交易行为与不使用安全套无关,无保护的性行为与性传播感染呈负相关(AOR = 0.4,95%CI = 0.2-0.9)。对于这些样本,性交期间使用安全套的报道很多。但是,无保护性交易性行为(即,更多的伴侣数量)和性传播感染(即无保护性行为)的标准预测因子仅对男性适用。在印度,需要进一步的研究来指导对艾滋病毒感染的性工作者的性风险和性传播疾病的了解。

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