›› 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


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