An 18-month cohort study on HIV infection and condom use in low-fee female sex workers in Hunan Province
ZHENG Jun1, ZOU Xiao-bai1, HE Jian-mei1, LIANG Meng-ran2, CHEN Xi1
1. Hunan Provincial Center for Disease Control and Prevention, Changsha, Hunan 410005, China; 2. School of Public Health, University of South China, Hengyang, Hunan 421001, China
Abstract：Objective To observe the HIV infection, behavioral characteristics, acceptance of HIV/AIDS intervention services and their influencing factors among low-fee female sex workers (FSWs) in Hunan Province within 18 months, and to provide a scientific basis for formulating comprehensive prevention and treatment measures and evaluating the effects among the FSWs. Methods Four hundred HIV antibody-negative low-fee FSWs were recruited in Zhangjiajie City, Hunan Province. We developed the demographic and behavioral questionnaire based on the 2017 version of the National Sentinel Health Survey Questionnaire for FSWs, and conducted a face-to-face interview. Blood samples were simultaneously collected for HIV antibody testing. The follow-up time included 6, 12, and 18 months, totally three times. Results Most of the respondents were from roadside stores/slap-bang shops, and they were mainly the married or cohabitants between the ages of 41 and 50 years. There were 3.1% (12/384), 1.1% (4/368) and 0.0% (0/328) surveyed subjects with HIV antibody positive conversion in the first, second and third follow-ups, respectively. 56 subjects (14.0%, 56/400) were lost to follow-up. Multivariate logistic analysis indicated that subjects aged 18-30 years (OR=5.078,95%CI:1.040-24.784), the unmarried (OR=14.821,95%CI:3.829-57.378), and subjects who received condom promotion and distribution/AIDS counseling and testing services in the last year (OR=8.504,95%CI:4.035-17.920) were more likely to use condoms during sexual intercourse (P<0.05), while subjects who were diagnosed with sexually transmitted diseases in the last year were less likely to use condoms during sexual intercourse (OR=0.212,95%CI:0.047-0.955). Conclusion HIV infection in low-fee FSWs in Hunan Province remains in a low prevalence trend. Strengthening interventions is conducive to improving the use of condoms among low-fee FSWs and reducing the incidence of HIV transmission.
郑军, 邹潇白, 贺健梅, 梁梦然, 陈曦. 湖南省低档暗娼HIV感染以及安全套使用影响因素18个月队列研究[J]. 实用预防医学, 2021, 28(11): 1340-1343.
ZHENG Jun, ZOU Xiao-bai, HE Jian-mei, LIANG Meng-ran, CHEN Xi. An 18-month cohort study on HIV infection and condom use in low-fee female sex workers in Hunan Province. , 2021, 28(11): 1340-1343.
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2021, Vol. 28 
