Male Use of Female Sex Work in India A Nationally Representative Behavioural Survey 英文参考文献.docVIP

MaleUseofFemaleSexWorkinIndia:ANationally RepresentativeBehaviouralSurvey MichelleF.Gaffey1,SrinivasanVenkatesh2,NeerajDhingra2,AjayKhera3,RajeshKumar4,PaulArora1, NicoNagelkerke1,PrabhatJha1* 1CentreforGlobalHealthResearch,LiKaShingKnowledgeInstitute,St.Michael’sHospitalandDallaLanaSchoolofPublicHealth,UniversityofToronto,Toronto,Ontario, Canada,2NationalAIDSControlOrganisation,NewDelhi,India,3MinistryofHealthandFamilyWelfare,NewDelhi,India,4SchoolofPublicHealth,PostgraduateInstitute ofMedicalEducationandResearch,Chandigarh,India Abstract Heterosexual transmission of HIV in India is driven by the male use of female sex workers (FSW), but few studies have examined the factors associated with using FSW. This nationally representative study examined the prevalence and correlatesofFSWuseamong31,040menaged15–49yearsinIndiain2006.Nationally,about4%ofmenusedFSWinthe previousyear,representingabout8.5millionFSWclients.UnmarriedmenwerefarmorelikelythanmarriedmentouseFSW overall (PR=8.0), but less likely than married men to use FSW among those reporting at least one non-regular partner (PR=0.8).MorethanhalfofallFSWclientsweremarried.FSWusewashigheramongmeninthehigh-HIVstatesthaninthe low-HIV states (PR=2.7), and half of all FSW clients lived in the high-HIV states. The risk of FSW use rose sharply with increasingnumberofnon-regularpartnersinthepastyear.GiventhelargenumberofmenusingFSW,interventionsforthe muchsmallernumberofFSWremainsthemostefficientstrategyforcurbingheterosexualHIVtransmissioninIndia. Citation: Gaffey MF, Venkatesh S,DhingraN, KheraA,KumarR,et al.(2011) MaleUse ofFemaleSex WorkinIndia: ANationally Representative Behavioural Survey.PLoSONE6(7):e22704.doi:10.1371/journal.pone.0022704 Editor:LandonMyer,UniversityofCapeTown,SouthAfrica ReceivedJanuary13,2011;AcceptedJuly5,2011;PublishedJuly29,2011 Copyright: ? 2011 Gaffey et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestrictedu