Intervention Caused Changes in High Risk Sex Behaviors among Female Sex Workers from Vietnam in Yunnan, 2009-2013
OBJECTIVE:
To
understand the prevalence of high risk sex behaviors and HIV infection status
among the female sex workers (FSWs) from Vietnam in Yunnan province during a 5
year intervention project and provide evidence for the improvement of the
behavior intervention among this population.
METHODS:
The survey
was conducted annually among Vietnamese FSWs sampled in a county near
China-Vietnam border to collect the information about their demographic
characteristics, high risk sex behaviors and HIV test results through
questionnaire and in-depth interview by bilingual outreach team. The behavior
intervention included peer advise, training, lectures, interactive games, free
condom distribution. The database was set up with Excel 2003 and the results
were analyzed with SPSS 16.0.
RESULTS:
The
condom use rates among the Vietnamese FSWs at commercial sex in last month were
1.5%, 36.0%, 67.7%, 86.5% and 90.3% (P<0.05) respectively; and the condom
use rates at the latest sex were 89.5%,44.8%, 86.6%,92.5% and 99.0%
respectively (P<0.05) . The HIV antibody positive rates were 7.5%, 3.6%,
5.9%, 4.0% and 3.1% respectively (P>0.05).
CONCLUSION:
The
condom use rate of Vietnamese FSWs at commercial sex increased by more than 90%
after the 5 year intervention project. However, the HIV-infection rate was
still high. It is necessary to promote condom use among FSWs from Vietnam and
their regular sex partners and strengthen the health education among clients.
- 1Kunming Yundi Behavior and Health Research Center, Kunming 650228, China.
- 2Hekou County Center for Didease Control and Prevention.
- 3The Second People's Hospital of Yunnan Province; Email: duolin@hotmail.com.
- 4School of Public Health, Kunming Medical University.
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