Qualitative Research And Sexually Transmitted Infection Of Women Who Have Sex With Women In Beijing

Objective: With the spread of AIDS, foreign countries have carried out alot of researches about women who have sex with women (WSW), theseresearches are mainly in sexuality and sexual health. Many studies have foundHIV/STI have high infection among WSW，and WSW have manydangerous behaviors, including heterosexual sex, multiple sexual partners andalcohol and drug abuse. However, there are few studies involving WSW of theHIV/STI in China, the lack of information of WSW may make usunderestimate the risks of infecting HIV/STI. Therefore, this study is tounderstand the situation and related risk behaviors of WSW infected with HIV/STI, and provide a scientific basis for the future interventions.Studies have found that WSW infected with STI seldom go to regularhospital for treatment, they always buy medicine themselves, or even have notreatment. They seldom inform doctors they have homosexual sex, thisbehavior will affect the timely treatment of the disease. This study will explorethe reasons why WSW don’t want formal treatment, and provide interventionsabout HIV/STI among WSW.Studies have found WSW were significantly affected by depression, oranxiety. Therefore, this study also focuses on the psychological aspects of theWSW, and providing references for future interventions.Methods:1Questionnaire We design the questionnaire according to the studies athome and abroad, and discuss with relevant personnel of the Beijing Laraorganize. After10WSW pre-investigation, eventually complete the finaldraft.2Recruit study We recruit study through the field and networks. Fieldrecruitment: issue leaflets about this study; carry out sexual health lectures for WSW. Network recruitment: Propaganda on the site, and post knowledge ofsexual health.3Scene investigation The scene investigation including registrationinterview room, gynecological examination room and blood collection room.Firstly, WSW went to the interview room for screening. After confirming theID number, the WSW had to fill out the contact information form and signinformed consent. Then, finish the questionnaire; after that, they went intogynecological examination room, and collected vaginal/cervical swabs;finally to the blood compartment, serum samples were collected by thesampling staff.4Test results inform The researchers will inform the test results aftertwo weeks.5Data analysis We use Epidata3.0to establish a database,thequestionnaires are double entry. SPSS16.0is for data analysis. We use Χ2testfor the comparison between groups, P <0.05is considered statisticallysignificant.Results:1The age range from19to47years;87%are unmarried;51%arecollege and undergraduate education;75%consider themselves as lesbian;Self-identified as male (T), female (P), regardless are accounted for33%,30%,32%;48%looking for sexual partners through the Internet;69%studywere recruited by NGO.2First sexual age range from15to26years, mean age is20.5years old.The first sexual partner is women accounted for78%. First sex with womenrange from16to30years old, the average age is21years old. Sex with hand/mouth-sexual contact clitoris/vagina is common.17.42%use condom in thelast homosexual sex,58.43%never used condoms during the last six months.10.0%had heterosexual sex in the last six months,80%used condoms duringthe last sexual behavior,60%use condom every time.3The study found no WSW infected with HIV, HCV and gonorrhea.Detect one case of HBV, one case of syphilis. Chlamydia positive is7.25%. Bacterial vaginosis is16.00%;9.00%vaginal cleanliness≥Ⅲ; the fungalinfection rate is5.00%.34%had infected STI.415%had heterosexual sex in the last six months,46.67%infected STI.46.55%infected STI among the WSW who had no heterosexual sex. Thedifference didn’t have statistically significant (χ2=1.262, P>0.05).5The number of homosexual partners and STI37.04%infected STI inhomosexual relationships who have multiple sex partners.40.42%infectedSTI only had one partner. The difference was statistically significant (χ2=9.749, P <0.05).6The number of heterosexual partners and STI50%infected STI inheterosexual relationships who have multiple sex partners.45.45%infectedSTI only had one partner.. The difference was not statistically significant (P>0.05).738.30%drinkers infected STI.30.19%Non-drinkers infected STI. Thedifference was statistically significant (χ2=13.353, P <0.05).8The mainly reasons due to: detect, understand their health statusaccounted for85%; understand HIV/STI-related knowledge accounted for45.5%; For the HIV/STI prevention accounted for41%.43.5%had STIsymptoms in the past year. Only28.74%went to the hospital,54.02%went tothe pharmacy to buy medicine. Only8%told the doctor they had homosexualsex.949%had anxiety conditions,27%had depression.Conclusions:1NGO and the Internet played a significant role in the recruitment ofstudy. Publicity and education on HIV/STI can be carried out through NGOand the Internet.2The results show34%infected STI, bacterial vaginosis is the most.STI infection status is serious, we have to strengthen publicity and educationto reduce STI, promote the health of WSW.3Only28.74%went to a regular hospital when they had STI symptoms,the medical services utilization is low. Only8%told the doctor they had homosexual sex. The reason why they didn’t inform the doctor is that thedoctor did not ask them. Therefore, doctors need to make adjustments in thefuture in order to provide targeted prevention, treatment and interventionservices, such as propose safe sex and so on.4Psychosocial problems are common among WSW. We have to payattention to the psychological condition of WSW, and promote their health.