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CN 34-1304/RISSN 1674-3679

Volume 24 Issue 12
Jan.  2021
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ZHU jing, HU Dan, YIN Yue-qi, WANG Ning, WANG Bei. Comparative analysis of HIV prevalence and sexual behaviors between Chinese and Vietnamese female sex workers[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2020, 24(12): 1371-1375. doi: 10.16462/j.cnki.zhjbkz.2020.12.002
Citation: ZHU jing, HU Dan, YIN Yue-qi, WANG Ning, WANG Bei. Comparative analysis of HIV prevalence and sexual behaviors between Chinese and Vietnamese female sex workers[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2020, 24(12): 1371-1375. doi: 10.16462/j.cnki.zhjbkz.2020.12.002

Comparative analysis of HIV prevalence and sexual behaviors between Chinese and Vietnamese female sex workers

doi: 10.16462/j.cnki.zhjbkz.2020.12.002
Funds:

The Mega-projects of National Science Research for The 12th Five Year Plan 2012ZX10001-001

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  • Corresponding author: ZHU jing, E-mail: zhujingkmmc@126.com
  • Received Date: 2020-02-25
  • Rev Recd Date: 2020-05-01
  • Publish Date: 2020-12-10
  •   Objective  To assess the prevalence of human immunodeficiency virus (HIV) infection of Chinese and Vietnamese female sex workers (FSWs), and to examine the risk factors and patterns of sexual behaviors that associated with HIV between the two groups.  Methods  A cross-sectional survey was conducted between 2015 and 2016 in Hekou County, Yunnan Province, China. Convenience sampling method was used to recruit participates, and a questionnaire survey was conducted to collect information on demographics, sexual behavior, HIV related knowledge and attitude. Blood samples were collected for testing of HIV, herpes simplex virus type 2 (HSV-2) and syphilis. Multivariate Logistic regression model was used to examine factors correlated with HIV infection.  Results  Of 1 263 respondents who participated in the study, 227 were Chinese and 1 036 were Vietnamese. HIV prevalence in Chinese FSWs and Vietnamese FSWs were 0.44% and 2.12%, respectively. Vietnamese FSWs were more likely to have higher commercial sexual service charge and more commercial sexual partners compared with Chinese FSWs. HSV-2 positive (OR=3.83, 95% CI: 1.37-10.76, P=0.032), insufficient HIV related knowledge (OR=10.40, 95% CI: 3.77-28.66, P=0.001), and accepted HIV related interventions (OR=0.27, 95% CI: 0.08-0.84, P=0.022) were associated with HIV infection in the multivariate Logistic regression model.  Conclusions  There may be different risk patterns of HIV acquisition between Chinese and Vietnamese FSWs. Improving coverage and accessibility in future interventions of HIV prevention is in great need for Vietnamese FSWs. In addition, condom use with regular, no commercial sexual partners need to be strengthened targeting Chinese FSWs.
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