| ObjectiveAs the"bridge population"from the high-risk group of HIV infection to the general population,we need to understand epidemiological characteristics of clients of female sex worker(CFSW)aged 50 years and older and take targeted measures.However,the similarities and differences of epidemiological characteristics and AIDS influencing factors of CFSW aged 50 years and older in HIV high-prevalence areas(Liuzhou)and HIV low-prevalence areas(Fuyang)are unknown.Therefore,this study conducted a four-year cross-sectional survey,with the help of anonymous questionnaire and laboratory test to explore the changes in AIDS knowledge and behavior and the influencing factors of the status of infection of related diseases among CFSW aged 50years and older in Liuzhou and Fuyang,so as to provide a theoretical basis for more efficient intervention among CFSW aged 50 years and older in cities with different HIV epidemic levels.MethodsFrom October 1,2016 to December 31,2019,a four-year cross-sectional study was conducted in Liuzhou city of Guangxi Zhuang Autonomous Region and Fuyang City of Anhui Province.A total of 1836 CFSW aged 50 years and above were included in this study.Anonymous questionnaire(including general situation survey,HIV knowledge and behavior,sexual behavior survey and VCT awareness survey)and laboratory tests were used to explore the changes of HIV knowledge and behavior and the influencing factors of HIV infection among CFSW aged 50 years and older in cities with different levels of HIV prevalence.ResultsThe number of CFSW aged 50 to 60 in both cities is more than two-thirds,and the elderly CFSW who are single,divorced or widowed are slightly less than those who are married or cohabiting.In education level,CFSW aged 50 years and older of Liuzhou(74.5%)was lower than Fuyang(77.3%),and the difference was statistically significant(χ~2=486.988,P<0.001).From 2016 to 2019,the overall awareness rate of AIDS knowledge in Liuzhou City was 81.3%,79.5%,85.1%and 78.0%respectively,which fluctuated up and down.The overall awareness rate of AIDS knowledge in Fuyang City was 80.5%,80.8%,82.4%and 85.6%respectively,showing an upward trend year by year.In Liuzhou and Fuyang,57.8%and 63.1%of CFSW aged 50 years and older worry about being infected with AIDS,respectively,and the difference was statistically significant(χ~2=5.385,P=0.020).The proportion of CFSW aged 50 years and older in Liuzhou and Fuyang who had sex with their spouse or cohabitants in the last 6 months without using condoms was 68.5%and 70.0%respectively,and the most recent time was more than 83.0%.The use of VCT services among CFSW aged 50 years and older was related to marital status,having heard of VCT,discrimination,worry about their own infection,paying attention to AIDS prevention and willingness to test for VCT(all P<0.05).The proportion of people infected with HIV in Liuzhou was higher than that in Fuyang in all other years except 2017.The HIV infection of CFSW aged 50 years and older was related to occupation,AIDS knowledge and sexual behavior after drinking alcohol(all P<0.05).ConclusionsThe epidemic characteristics of CFSW aged 50 years and older in Liuzhou and Fuyang from 2016 to 2019 are as follows:(1)The elderly CFSW in Fuyang became more tolerant towards PLWHA;(2)Older CFSW in Fuyang pay more attention to the use of condoms;(3)In Liuzhou,ethnic minorities and farmers are less likely to use VCT testing;in Fuyang,the older or high-income elderly CFSW are less likely to use VCT services;(4)The prevalence of HIV in elderly CFSW in Liuzhou is higher than that in Fuyang.Occupation,AIDS knowledge and sexual behavior after drinking all affect the positive rate of HIV.In summary,according to the epidemic level of HIV in different cities,different intervention measures are taken to save manpower and material resources,effectively reduce the risk of HIV infection among the elderly CFSW,reduce the burden of social diseases,and prolong life expectancy,which is of great significance to achieve the goal of"healthy China". |
PDF Full Text Request