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- Title
Dynamics of the HIV epidemic in southern China: sexual and drug-using behaviours among female sex workers and male clients in Yunnan.
- Authors
Xu, J. J.; Smith, M. K.; Chu, J.; Ding, G. W.; Chang, D. F.; Sharp, G. B.; Qian, H. Z.; Lu, L.; Bi, A. M.; Wang, N.
- Abstract
To examine the HIV/sexually transmitted infection (STI)-related risk behaviours among community-based female sex workers (FSWs) and their clients in Yunnan Province, China, we performed a cross-sectional study of 705 FSWs and 100 male clients. We found that HIV seroprevalence among FSWs was 13.0% and the most prevalent STI was herpes simplex virus type 2 (HSV-2) (71.1%), followed by Chlamydia trachomatis (18.1%) and syphilis (8.8%). The 20% of FSWs who reported injection drug use also reported needle-sharing behaviours in the last three months. Drug-using FSWs had substantially higher HIV and HSV-2 prevalence, serviced more clients and had a longer history of sex work than non-using FSWs. In total, 57.0% of male clients did not consistently use condoms with FSWs, 2.0% reported illicit drug use and 17.0% had STI symptoms in the last year. The dual risk behaviours of drug-using FSWs and clients place them at greater risk of HIV infection. Intervention programmes must adopt comprehensive methods.
- Subjects
YUNNAN Sheng (China); CHINA; HIV infections; SEXUALLY transmitted diseases; SEX workers; SEX work; SEROPREVALENCE; HEALTH
- Publication
International Journal of STD & AIDS, 2012, Vol 23, Issue 9, p670
- ISSN
0956-4624
- Publication type
Article
- DOI
10.1258/ijsa.2009.009128