Study on the prevalence and associated risk factors related to HIV,syphilis,herpes simplex virus-2 among female sex workers in Jiaozhou,Shandong province
10.3760/cma.j.issn.0254-6450.2014.10.005
- VernacularTitle:山东省胶州市暗娼HIV、梅毒和Ⅱ型单纯疱疹病毒感染状况分析
- Author:
Zheng LI
1
,
2
;
Dongmin LI
;
Huixin LIU
;
Zhenxia JIANG
;
Lin ZHU
;
Ning WANG
Author Information
1. 100730 北京协和医学院公共卫生学院
2. 中国疾病预防控制中心性病艾滋病预防控制中心
- Keywords:
Human immunodeficiency virus;
Syphilis;
Herpes simplex virus-2;
Female sex workers
- From:
Chinese Journal of Epidemiology
2014;(10):1099-1104
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the prevalence rates and associated risk factors on HIV, syphilis,herpes simplex virus-2(HSV-2)among female sex workers(FSWs)in Jiaozhou,Shandong province. Methods Through convenient sampling,an anonymous questionnaire survey was conducted on female sex workers to collect related information. Blood specimens were drawn for serological tests on HIV,syphilis and HSV-2 antibodies,respectively. Patients with positive results from both treponema pallidum and HSV-2 tested by ELISA method,were defined as being superinfected. Results A total of 460 FSWs were recruited in this study. The prevalence rates of HIV,syphilis,HSV-2,and syphilis/HSV-2 superinfection were 0.22%,5.9%,43.0%,and 11.7%, respectively. Among the methamphetamine users,the prevalence rates of syphilis,HSV-2,and syphilis/HSV-2 superinfection were 12.4%,55.2%,and 22.9%,respectively. Results from multivariate analysis showed that factors that significantly associated with syphilis infection would include:methamphetamine use(OR=3.61,95%CI:1.62-8.06),having first commercial sex intercourse at under 20 years of age(OR=2.80,95% CI:1.15-6.85),more than 2 establishments that the FSWs worked in the last month(OR=4.37,95%CI:0.83-22.83). Factors associated with HSV-2 infection were methamphetamine use(OR=2.30,95%CI:1.43-3.70),having first commercial sex intercourse at under 20 years of age (OR=1.77,95%CI:1.16-2.69),working at low-end establishments (OR=2.61,95%CI:1.66-4.10),working at the local sex-work venues for more than one year(OR=2.01,95%CI:1.28-3.14),with low education backgrounds(OR=2.27,95%CI:1.18-4.36),using methamphetamine(OR=3.95,95%CI:2.09-7.44),low education background(OR=2.43,95%CI:1.10-5.36),21-30 year-olds(OR=2.95,95%CI:1.08-8.03),older than 31 years of age(OR=7.05, 95%CI:2.48-20.01) etc.,were independent risk factors associated with the superinfection of syphilis and HSV-2. Conclusion The prevalence rates of syphilis,HSV-2 and syphilis/HSV-2 superinfection were relatively high among FSWs in Jiaozhou,especially among the FSWs who were methamphetamine users.
