social and structural factors associated with hiv infection among female sex workers who inject drugs in the mexico-us border region社会和结构性因素与艾滋病毒感染有关的女性性工作者中注射毒品mexico-us边境地区.pdf

Social and Structural Factors Associated with HIV Infection among Female Sex Workers Who Inject Drugs in the Mexico-US Border Region 1 2 3 1 1 Steffanie A. Strathdee *, Remedios Lozada , Gustavo Martinez , Alicia Vera , Melanie Rusch , 1 1 4 1 1 Lucie Nguyen , Robin A. Pollini , Felipe Uribe-Salas , Leo Beletsky , Thomas L. Patterson 1 Departments of Medicine and Psychiatry, School of Medicine, University of California San Diego, La Jolla, California, United States of America, 2 Prevencasa, A.C., Baja ´ ´ ´ ´ California, Mexico, 3 Salud y Desarollo Comunitario de Ciudad Juarez A.C. (SADEC) and Federacion Mexicana de Asociaciones Privadas (FEMAP), Ciudad Juarez, Mexico, 4 El Colegio de la Frontera Norte, Tijuana, Mexico Abstract Background: FSWs who inject drugs (FSW-IDUs) can acquire HIV through high risk sexual and injection behaviors. We studied correlates of HIV infection among FSW-IDUs in northern Mexico, where sex work is quasi-legal and syringes can be legally obtained without a prescription. Methods: FSW-IDUs.18 years old who reported injecting drugs and recent unprotected sex with clients in Tijuana and Ciudad Juarez underwent surveys and HIV/STI testing. Logistic regression identified correlates of HIV infection. Results: Of 620 FSW-IDUs, prevalence of HIV, gonorrhea, Chlamydia, trichomonas, syphilis titers $1:8, or any of these infections was 5.3%, 4%, 13%, 35%, 10% and 72%, respectively. Compared to other FSW-IDUs, HIV-positive women were