›› 2012, Vol. 32 ›› Issue (4): 508-.doi: 10.3969/j.issn.1674-8115.2012.04.029

• Original article (Preventive medicine) • Previous Articles     Next Articles

Investigation on acceptability of pre-exposure prophylaxis among female sex workers in Sichuan, Xinjiang and Guangxi of China

QIU Lei1, TIAN Kao-cong1, ZHONG Xiao-ni1, ZHANG Yan1, PENG Bin1, LIANG Hao2, ZOU Yun-feng3, LUO Jin-kun4, PENG Hong-bin4, HUANG Ai-long5   

  1. 1. Department of Medical Statistics, School of Public Health, Chongqing Medical University, Chongqing 400016, China；2.Department of Epidemiology and Medical Statistics, School of Public Health, Guangxi Medical University, Nanning 530021, China；3.Department of Toxicology, School of Public Health, Guangxi Medical University, Nanning 530021, China；4.Sichuan Nanchong Shunqing District Center of Disease Control and Prevention, Nanchong 637000, China；5.Key Laboratory of Molecular Biology for Infectious Diseases of Ministry of Education, Chongqing Medical University, Chongqing 400016, China
  • Online:2012-04-28 Published:2012-04-27
  • Supported by:

    National Major Science and Technology Program, 2008ZX10001-016

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Abstract:

Objective To investigate the acceptability and influencing factors of pre-exposure prophylaxis (Pr-EP) for human immunodeficiency virus (HIV) among female sex workers (FSWs) in Sichuan, Xinjiang and Guangxi of China. Methods FSWs selected from Sichuan, Xinjiang and Guangxi were surveyed with questionnaires. A total of 1 478 questionnaires were completed, among which 1 469 (99.39%) were effective. The survey mainly concerned with the awareness and acceptability of FSWs on Pr-EP. Results After introduction to Pr-EP by the investigators, under the precondition that Pr-EP was effective and safe, 997(67.9%) FSWs accepted Pr-EP, and there was no significant difference in the acceptability among FSWs in three regions (P>0.05). Univariate χ2 analysis and Logistic regression analysis revealed that self-evaluation of risks (OR=1.776, P=0.005), regular condom use in sex service (OR=1.346, P=0.000), frequency of condom use during the latest three times of sex service (OR=1.519, P=0.003), drug use to prevent sexually-transmitted disease (OR=1.185, P=0.025), refusal of having sex with those without condom use (OR=1.479, P=0.009) and advising peers to use Pr-EP (OR=5.618, P=0.000) were influencing factors of acceptability of Pr-EP. FSWs mainly concerned of the security, effectiveness and cost of Pr-EP. Conclusion FSWs with regular condom use are more likely to accept Pr-EP. Pr-EP related knowledge should be well exposed among FSWs to increase the awareness and acceptability. Peer education may be a better way to improve the acceptability of Pr-EP.

Key words: human immunodeficiency virus, female sex worker, pre-exposure prophylaxis, acceptability