254545 Perceived HIV risks, types of sexually transmitted diseases, and discordant infection status among low-tier female sex workers in China

Monday, October 29, 2012

Chen Zhang , Global Health Institute, Emory University, Atlanta, GA
Xiaoming Li , Department of Pediatrics, Wayne State University, Detroit, MI
Yan Hong, PhD , Department of Social and Behavioral Health, Texas A&M School of Rural Public Health, College Station, TX
Bo Wang, PhD , Department of Pediatrics, Wayne State University School of Medicine, Detroit, MI
Bonita Stanton, MD , Department of Pediatrics, Wayne State University, Detroit, MI
Wei Liu , Division of HIV/AIDS prevention, Guangxi CDC, Nanning, China
Background: Discordant infection status for an individual is defined as the discrepancy between biologically confirmed and self-reported sexually transmitted diseases (STD). Female sex workers (FSWs) with unrecognized STD infection may increase risks of STD transmission to other populations. The current study aims to detect factors associated with discordant status among a sample of low-tier FSWs in China. Method: A total of 907 FSWs were recruited from nine types of low-tier commercial sex venues in Guangxi, China. FSWs who provided consented forms completed a self-administered cross-sectional survey on their demographic and behavioral information, as well as STD history. A blood sample for testing HIV, hepatitis C virus (HCV) and syphilis was also collected. Results: In the current study, 16.0% of FSWs had discordant status with 7.8% of unrecognized STD infection and 8.2% of recovered cases. More FSWs infected with gonorrhea (aOR=10.31, 95%CI=3.19, 33.29) and Chlamydia (aOR=21.41, 95%CI=3.74, 122.59) were likely to have discordant status compared to women with other types of STD (e.g., syphilis, genital herpes). FSWs with higher perceived HIV risks were less likely to have discordant infection status (aOR=0.50, 95%CI=0.27, 0.94). Discussion: The pervasive discordant status among the current sample underscored urgent needs to implement programs including HIV/STD screening, and treatment services, as well as health education focused on increasing risk perceptions among this at-risk population, in order to effectively curb the spread of STD/HIV to other populations due to discordance infection status.

Learning Areas:
Public health or related education
Public health or related research
Social and behavioral sciences

Learning Objectives:
1.Describe rates of discordant STD infection status including unrecognized STD infection and recovered cases among low-tier FSWs in China 2.Examine factors associated with discordant status among FSWs in China 3.Explore possible intervention prevention efforts to reduce unrecognized STD infection among Chinese FSWs

Keywords: Sex Workers, HIV/AIDS

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been workiing in this field for multiple years and have plenty of experience to discuss research among this population.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.