期刊
INTERNATIONAL JOURNAL OF STD & AIDS
卷 19, 期 9, 页码 635-639出版社
SAGE PUBLICATIONS LTD
DOI: 10.1258/ijsa.2008.008013
关键词
herpes simplex virus type 2 (HSV-2); female sex worker; condom; sexually transmitted infection; China
资金
- National Institute of Allergy and Infectious Diseases, National Institutes of Health [U19 AI51915-05]
- NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES [U19AI051915] Funding Source: NIH RePORTER
The objective of this study was to determine the seroprevalence of herpes simplex virus type 2 (HSV-2), and to evaluate the relationship between HSV-2 infection and sociodemographic factors and the sexual practices of female sex workers (FSWs) in Kaiyuan city, Yunnan Province, China. This cross-sectional study involved 737 FSWs and was carried out from March to May 2006 with confidential interviews and laboratory tests for HSV-2 and other sexually transmitted infections (STI). HSV-2 was the most common STI (68%), followed by Chlamydia trachomatis (26%), Trichomonas vaginalis (11%), Neisseria gonorrhoeae (8%) and syphilis (7%). Prevalence of HIV-1 was 10.3%. Adjusted odds ratios of HSV-2 seroprevalence were 2.6 (95% CI [confidence interval]: 1.30-5.38) for HIV-1 infection, 2.0 (95% CI: 1.33-3.16) for vaginal douching, 2.0 (95% CI: 0.45-0.86) for condom breaking or failing off during sexual intercourse with the ciient in the previous week, 1.8 (95% CI: 1.07-3.18) for >= 5 years of commercial sex work, 1.6 (95% CI: 1.08-2.33) for >= 5 clients in the previous week, 0.6 (95% CI: 0.45-0.86) for >= 9 years of education. This study identifies a very high prevalence of HSV-2 infections among FSWs in Yunnan Province, with only a few who reported a prior history of genital herpes. HSV-2 serological screening and suppressive therapy should be considered for study populations. Education on the importance of diagnosis, treatment and prevention may help control the spread of HSV-2 infection.
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