In 2006, we implemented an HIV and sexually transmitted infection (STI) prevention programme for female sex workers (FSWs) in three Honduran cities. All FSW attending STI clinics underwent regular examinations and STI testing. Information on condom use with different partners was collected at each visit. After three years, we detected a significant decline in the prevalence of syphilis from 2.3% at the first screening to 0.0% at the third screening (P = 0.05), and of chlamydia, from 6.1% to 3.3% (P = 0.01). No changes were observed in the prevalence of gonorrhoea or trichomoniasis. The cumulative HIV prevalence remained constant (P = 0.44). Reports of condom use with clients increased from 93.8% to 98.9% (P < 0.001). The implementation of an HIV/STI prevention programme in FSW has contributed to increases in condom use with clients and the reduction in syphilis and chlamydia prevalence. The intervention should be strengthened and considered as part of a national health policy strategy.

译文

:2006年,我们在洪都拉斯的三个城市实施了针对女性性工作者(FSW)的艾滋病毒和性传播感染(STI)预防计划。所有在STI诊所就诊的FSW均接受定期检查和STI测试。每次访问时都会收集与不同伙伴使用安全套的信息。三年后,我们发现梅毒的患病率从第一次筛查时的2.3%下降到第三次筛查时的0.0%(P = 0.05),衣原体感染率从6.1%下降到3.3%(P = 0.01)。淋病或滴虫病的发生率未见变化。累积的艾滋病毒感染率保持不变(P = 0.44)。与客户一起使用安全套的报告从93.8%增加到98.9%(P <0.001)。在FSW中实施的HIV / STI预防计划已有助于增加与客户的安全套使用量,并降低了梅毒和衣原体感染率。应当加强干预,并将其视为国家卫生政策战略的一部分。

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