Eight consecutive annual
cross-sectional surveys were conducted to examine the trend of the prevalence
of HIV, syphilis, drug use and their correlates among female sex workers (FSWs)
in Qingdao, China.
Among sampled FSWs over the 8 years, a higher proportion of older, married or cohabited, higher education levels and more on-call FSWs were observed in recent years. The syphilis prevalence increased significantly from 1.0 % in 2006 to 13.5 % in 2013, with illicit drug use rate ranging from 21.8 % in 2007 to 55.5 % in 2010.
Multivariate logistic regression analyses showed that drug use, syphilis and unprotected vaginal sex predicted each other. The dual epidemics of illicit drug use and syphilis among FSWs underscore the urgency to implement a tailored intervention to curb the dual epidemics while also preventing an HIV epidemic in the context of diversified commercial sex dynamic.
Among sampled FSWs over the 8 years, a higher proportion of older, married or cohabited, higher education levels and more on-call FSWs were observed in recent years. The syphilis prevalence increased significantly from 1.0 % in 2006 to 13.5 % in 2013, with illicit drug use rate ranging from 21.8 % in 2007 to 55.5 % in 2010.
Multivariate logistic regression analyses showed that drug use, syphilis and unprotected vaginal sex predicted each other. The dual epidemics of illicit drug use and syphilis among FSWs underscore the urgency to implement a tailored intervention to curb the dual epidemics while also preventing an HIV epidemic in the context of diversified commercial sex dynamic.
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By:
- 1Institution for AIDS/STD Control and Prevention & Shandong Key Laboratory for Epidemic Disease Control and Prevention, Shandong Center for Disease Control and Prevention, 16992 Jingshi Road, Jinan, 250014, Shandong Province, People's Republic of China.
- 2Qingdao Center for Disease Control and Prevention, Qingdao, 266033, Shandong Province, People's Republic of China.
- 3Health Counseling Center, Qingdao, 266033, Shandong Province, People's Republic of China.
- 4Institution for AIDS/STD Control and Prevention & Shandong Key Laboratory for Epidemic Disease Control and Prevention, Shandong Center for Disease Control and Prevention, 16992 Jingshi Road, Jinan, 250014, Shandong Province, People's Republic of China. dmkang66@163.com.
- 5Technical Advice and Partnerships Department, The Global Fund to Fight AIDS, Tuberculosis and Malaria, Chemin de Blandonnet 8, Vernier, 1214, Geneva, Switzerland. jinkouzhao@hotmail.com.
- AIDS Behav. 2016 Mar;20(3):655-66. doi: 10.1007/s10461-015-1229-1.
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