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《Anhui Journal of Preventive Medicine》 2009-04
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Difference in HIV Infection Related Sexual Behaviors between place-based and street-based sex workers in Guangdong Province

LI Yan,LIN Peng,Roger Detels,et al.(Guangdong Provincial Center for Disease Control & Prevention,Guangzhou,Guangdong 510300,China)  
Objective To compare the HIV infection related sexual behaviors between place-based and street-based sex workers in a prefecture in Guangdong Province and explore the influence factors associated with condom use in order to provide a scientific basis for future condom promotion programs.Methods Respondent driven sampling(RDS) was used to recruit establishment-based and street-based sex workers in the community in a prefecture in Guangdong Province.Face to face interviews were conducted to collect information on risk behaviors using structured questionnaires.Results In total 241 establishment-based and 77 street-based sex workers were recruited,accounting for 75.3% and 24.1% respectively.The street-based sex workers had lower education level and had a higher proportion who were supporting their family.They had engaged in commercial sex for a longer period,charged a lower price for commercial sex and had more commercial sex partners.Compared with establishment-based sex worker,the street-based sex workers had a lower proportion of condom use with clients and with regular sex partners for the last sex act.The multivariate Logistic regression model indicated that being a street-based sex worker,having regular sex partner,and having non-regular non-paying sex partner were independent risk factors associated with inconsistent condom use.Conclusions Street-based sex workers had more risk behaviors than establishment-based sex workers and should be focused at in the future intervention programs.The poor income status of sex workers should be brought into considesation and non-business sex partners should also be included in making intervention programs.
【Fund】: 美国国家卫生研究所(NIH)Fogarty国际中心资助NO.D43TW00013
【CateGory Index】: R193
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