Studies on behavior change and related factors among female sex workers in Qingdao city of Shandong province, between 2006 and 2015
10.3760/cma.j.issn.0254-6450.2017.12.016
- VernacularTitle:山东省青岛市2006-2015年暗娼人群行为变化及流行因素研究
- Author:
Meizhen LIAO
1
;
Xiaoyan ZHU
;
Pengxiang HUANG
;
Zhenxia JIANG
;
Xijiang ZHANG
;
Ning ZHANG
;
Guoyong WANG
;
Yuesheng QIAN
;
Xiaorun TAO
;
Dianmin KANG
Author Information
1. 山东省疾病预防控制中心艾滋病防制所
- Keywords:
Female sex workers;
Syphilis;
Synthetic drug use;
Surveillance;
Epidemiologic factors
- From:
Chinese Journal of Epidemiology
2017;38(12):1660-1664
- CountryChina
- Language:Chinese
-
Abstract:
Objective This study aimed to analyze the behavior change and related factors regarding HIV/STD epidemics among female sex workers (FSWs) in Qingdao city.Methods According to the requirements set by the "National HIV/AIDS sentinel surveillance program",information on demographics,sexual and drug use behaviors,and HIV-related services among female sex workers (FSWs) was collected from ten consecutive annual cross-sectional surveys from 2006 to 2015.Blood samples were drawn for serological tests on both HIV and syphilis antibodies.Results Data from the sampled FSWs over the ten years,a higher proportion of participants who were aged 30 or more,married or cohabited and on-call FSW were followed.The prevalence of syphilis increased significantly from 1.0％ (4/420) in 2006 to 13.3％ (53/400) in 2015 (trendx2=54.22,P＜0.001).Rates on illicit drug use were ranging from 12.0％ (48/400) and 55.5％ (222/400) while the rate on consistent condom use with clients in the last month showed decreasing,with trendx2=170.62,P＜0.001.The proportion of HIV-related knowledge score ≥ 6 (trend x2 =152.96,P＜ 0.001),or ever been tested for HIV (trendx2=114.87,P＜0.001) were both significantly increased over the last ten years.Between 2009 and 2015,results from the annual stratified analysis showed that the FSWs who used drugs were more likely than the FSWs who were non-drug users less consistently using condoms with clients in last month and being syphilis positive (P＜0.05).On-call FSWs were more likely to be syphilis positive (P＜0.05) than the non on-call FSWs.Conclusions The prevalence of syphilis among FSWs in Qingdao city had been rising over the last ten years,with synthetic drug abuse as an important risk factor.Better targeted surveillance and intervention efforts among those drug-using FSWs seemed important to reduce the epidemics.
