Vulnerabilities, health needs and predictors of high-risk sexual behaviour among female adolescent sex workers in Kunming, China
Identifieur interne : 000351 ( Main/Exploration ); précédent : 000350; suivant : 000352Vulnerabilities, health needs and predictors of high-risk sexual behaviour among female adolescent sex workers in Kunming, China
Auteurs : Xu-Dong Zhang [Belgique] ; Marleen Temmerman [Belgique] ; Yan Li [République populaire de Chine] ; Wei Luo [République populaire de Chine] ; Stanley Luchters [Belgique, Australie]Source :
- Sexually Transmitted Infections [ 1368-4973 ] ; 2013-05.
Abstract
Objectives This study assessed social and behavioural predictors for sexual risk taking and sexually transmitted infections (STIs) including HIV among adolescent female sex workers (FSWs) from Kunming, China. Additionally, health services needs and use were assessed. Methods A cross-sectional survey was conducted in 2010. Using snowball and convenience sampling, self-identified FSWs were recruited from four urban areas in Kunming. Women consenting to participate were administered a semi-structured questionnaire by trained interviewers identified from local peer-support organisations. Following interview, a gynaecological examination and biological sampling to identify potential STIs were undertaken. Descriptive and multivariable logistic regression analyses were performed. Results Adolescent FSWs had a mean age of 18.2 years and reported numerous non-paying sexual partners with very low rate of consistent condom use (22.2%). Half (50.3%) the respondents had sex while feeling drunk at least once in the past week, of whom 56.4% did not use condom protection. STI prevalence was high overall (30.4%) among this group. Younger age, early sexual debut, being isolated from schools and family, short duration in sex work, and use of illicit drugs were found to be strong predictors for unprotected sex and presence of an STI. Conversely, having access to condom promotion, free HIV counselling and testing, and peer education were associated with less unprotected sex. The majority reported a need for health knowledge, free condoms and low-cost STI diagnosis and treatment. Conclusions There is an urgent need to improve coverage, accessibility and efficiency of existing interventions targeting adolescent FSWs.
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DOI: 10.1136/sextrans-2012-050690
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Yunnan</wicri:regionArea><wicri:noRegion>Yunnan</wicri:noRegion></affiliation></author><author><name sortKey="Luo, Wei" sort="Luo, Wei" uniqKey="Luo W" first="Wei" last="Luo">Wei Luo</name><affiliation wicri:level="1"><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>STI Unit, Kunming Center for Disease Control, Kunming, Yunnan</wicri:regionArea><wicri:noRegion>Yunnan</wicri:noRegion></affiliation></author><author><name sortKey="Luchters, Stanley" sort="Luchters, Stanley" uniqKey="Luchters S" first="Stanley" last="Luchters">Stanley Luchters</name><affiliation wicri:level="1"><country xml:lang="fr">Belgique</country><wicri:regionArea>International Centre for Reproductive Health, Department of Obstetrics and Gynaecology, Ghent University, Ghent</wicri:regionArea><wicri:noRegion>Ghent</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for International Health, Burnet Institute, Melbourne</wicri:regionArea><wicri:noRegion>Melbourne</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine,Monash University</wicri:regionArea><wicri:noRegion>Monash University</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Sexually Transmitted Infections</title><title level="j" type="abbrev">Sex Transm Infect</title><idno type="ISSN">1368-4973</idno><idno type="eISSN">1472-3263</idno><imprint><publisher>BMJ Publishing Group Ltd</publisher><date type="published" when="2013-05">2013-05</date><biblScope unit="volume">89</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="237">237</biblScope></imprint><idno type="ISSN">1368-4973</idno></series><idno type="istex">B865D4BD32C59A91EA5D8AEF058C24E523B76741</idno><idno type="DOI">10.1136/sextrans-2012-050690</idno><idno type="href">sextrans-89-237.pdf</idno><idno type="ArticleID">sextrans-2012-050690</idno><idno type="PMID">23220781</idno><idno type="local">sextrans;89/3/237</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1368-4973</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Objectives This study assessed social and behavioural predictors for sexual risk taking and sexually transmitted infections (STIs) including HIV among adolescent female sex workers (FSWs) from Kunming, China. Additionally, health services needs and use were assessed. Methods A cross-sectional survey was conducted in 2010. Using snowball and convenience sampling, self-identified FSWs were recruited from four urban areas in Kunming. Women consenting to participate were administered a semi-structured questionnaire by trained interviewers identified from local peer-support organisations. Following interview, a gynaecological examination and biological sampling to identify potential STIs were undertaken. Descriptive and multivariable logistic regression analyses were performed. Results Adolescent FSWs had a mean age of 18.2 years and reported numerous non-paying sexual partners with very low rate of consistent condom use (22.2%). Half (50.3%) the respondents had sex while feeling drunk at least once in the past week, of whom 56.4% did not use condom protection. STI prevalence was high overall (30.4%) among this group. Younger age, early sexual debut, being isolated from schools and family, short duration in sex work, and use of illicit drugs were found to be strong predictors for unprotected sex and presence of an STI. Conversely, having access to condom promotion, free HIV counselling and testing, and peer education were associated with less unprotected sex. The majority reported a need for health knowledge, free condoms and low-cost STI diagnosis and treatment. Conclusions There is an urgent need to improve coverage, accessibility and efficiency of existing interventions targeting adolescent FSWs.</div></front></TEI><affiliations><list><country><li>Australie</li><li>Belgique</li><li>République populaire de Chine</li></country></list><tree><country name="Belgique"><noRegion><name sortKey="Zhang, Xu Dong" sort="Zhang, Xu Dong" uniqKey="Zhang X" first="Xu-Dong" last="Zhang">Xu-Dong Zhang</name></noRegion><name sortKey="Luchters, Stanley" sort="Luchters, Stanley" uniqKey="Luchters S" first="Stanley" last="Luchters">Stanley Luchters</name><name sortKey="Temmerman, Marleen" sort="Temmerman, Marleen" uniqKey="Temmerman M" first="Marleen" last="Temmerman">Marleen Temmerman</name></country><country name="République populaire de Chine"><noRegion><name sortKey="Li, Yan" sort="Li, Yan" uniqKey="Li Y" first="Yan" last="Li">Yan Li</name></noRegion><name sortKey="Luo, Wei" sort="Luo, Wei" uniqKey="Luo W" first="Wei" last="Luo">Wei Luo</name></country><country name="Australie"><noRegion><name sortKey="Luchters, Stanley" sort="Luchters, Stanley" uniqKey="Luchters S" first="Stanley" last="Luchters">Stanley Luchters</name></noRegion><name sortKey="Luchters, Stanley" sort="Luchters, Stanley" uniqKey="Luchters S" first="Stanley" last="Luchters">Stanley Luchters</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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