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Outline
To explore the implementation effect and influencing factors of low-end venue female sex workers promoting and distributing human immunodeficiency virus (HIV) urine test kits to clients and mobilizing them for self-testing,providing references for the formulation of intervention strategies for both groups.
From April to June 2023, 100 female sex workers were recruited in a city in Guangxi. They were asked to invite clients to participate in a brief survey,distribute HIV urine test kits, and encourage the clients to perform self-testing. Data from the survey and tests were collected and analyzed to identify factors influencing the promotion of HIV testing.
A total of 66 (66.0%) female sex workers participated in the promotion of testing. There were differences between the promotion group and the non-promotion group in terms of household registration, educational level, number of clients served daily, and age of clients (P<0.05). A total of 504 clients accepted urine test kits for HIV transmission testing, among which 403 people voluntarily accepted self-testing and 101 were tested by peer volunteers. Two cases were positive for HIV antibodies, with a positive rate of 0.40%. The results of the multivariable unconditional logistic regression analysis showed that, among the client population, those who had received commercial sexual services for more than one year (OR=5.601, 95% CI: 2.815-11.144), sought commercial sexual services outside massage parlors (OR=4.301, 95% CI: 1.576-11.737), used condoms during commercial sexual activities (OR=3.794,95% CI: 1.456-9.889), and regularly underwent HIV testing (OR=6.699, 95% CI: 2.279-19.690) were more willing to accept the HIV transmission testing model. The results of the willingness survey showed that 89 female sex workers (89.0%) were willing to proactively offer HIV test kits to their clients, and 336 clients (66.7%) believed that the model of HIV transmission testing was effective and worth promoting.
The intervention model in which female sex workers provide HIV transmission testing to clients is feasible. Clients with a higher awareness of AIDS prevention and a habit of regular testing are more likely to accept the intervention form of transmission tests. Comprehensive intervention and transmission testing for highly active clients who have purchased commercial sexual services over a long period, together with strengthened training to improve the mobilization ability of female sex workers, can be regarded as an innovative strategy to prevent HIV transmission through commercial heterosexual contact.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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