Previous literature has
suggested high rates of HIV/STIs among Chinese FSWs. However, limited data were
available regarding HIV-related risks among Vietnamese FSWs – a rapidly
increasing, vulnerable population in southwest China.
The current study
examined the demographic and behavioral factors associated with the infection
rates of HIV, syphilis, and Hepatitis C (HCV) among Vietnamese FSWs in Guangxi,
China. We conducted a secondary data analysis of a cumulative sample of 1026
Vietnamese FSWs (aged 14–66) recruited over five years (2010–2014) from 35
National Sentinel Surveillance sites in Guangxi.
Analyses included Fisher’s
exact chi-square test, t-test, and binary logistic regression. The overall
prevalence of HIV, syphilis, and HCV infections among the cross-border women
were 3.2%, 6.9%, and 2.6%, respectively.
Multivariate analysis showed that
greater lengths of sex work and low paying work venues were significant risk
factors for HIV infection; for syphilis infection, older age, drug use
experience, and forgoing condom use were significant risk factors; for HCV
infection, drug use experience was the only significant risk factor.
Our findings
suggest that elevated HIV-related risks among the Vietnamese FSWs are closely
related to their financial disadvantages and that drug use is a prominent risk
factor for cross-border women in the sex trade.
Furthermore, culturally
tailored and linguistically accessible HIV prevention and intervention
initiatives that target cross-border FSWs, with a close international
collaboration between China and Vietnam, are urgently needed.
Purchase full article at:
- 1a Arnold School of Public Health, University of South Carolina , Columbia , SC , USA.
- 2b Department of Psychology , Virginia Commonwealth University , Richmond , VA , USA.
- 3c Guangxi CDC, HIV&STD Prevention Center , Nanning , Guangxi , People's Republic of China.
- AIDS Care. 2016 May 30:1-6
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