Difference in risk behaviors and STD prevalence between street-based and establishment-based FSWs in Guangdong Province, China

AIDS Behav. 2012 May;16(4):943-51. doi: 10.1007/s10461-011-0102-0.


The major mode of HIV/AIDS transmission in China is now heterosexual activities, but risk for HIV and sexually transmitted diseases (STDs) may differ among different strata of female sex workers (FSWs). Respondent-driven sampling was used to recruit 320 FSWs in Guangdong Province, China. The respondents were interviewed using a structured questionnaire, and tested for HIV, syphilis, gonorrhea, and Chlamydia. The street-based FSWs had lower education levels, a higher proportion supporting their families, charged less for their services, and had engaged in commercial sex for a longer period of time than establishment-based FSWs. The proportion consistently using condoms with clients and with regular non-paying partners was also lower. The prevalence of syphilis, gonorrhea, and Chlamydia was higher among street-based sex workers. Being a street-based sex worker, having regular non-paying sex partners, and having non-regular non-paying partners were independent risk factors for inconsistent condom. Street-based FSWs had more risk behaviors than establishment-based FSWs, and should therefore be specifically targeted for HIV as well as STD intervention programs.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Acquired Immunodeficiency Syndrome / blood
  • Acquired Immunodeficiency Syndrome / epidemiology*
  • Acquired Immunodeficiency Syndrome / transmission
  • Adolescent
  • Adult
  • China / epidemiology
  • Chlamydia Infections / blood
  • Chlamydia Infections / epidemiology*
  • Chlamydia Infections / transmission
  • Condoms / statistics & numerical data*
  • Female
  • Gonorrhea / blood
  • Gonorrhea / epidemiology*
  • Gonorrhea / transmission
  • Humans
  • Middle Aged
  • Prevalence
  • Risk-Taking*
  • Sentinel Surveillance
  • Sex Workers / statistics & numerical data*
  • Sexual Behavior / statistics & numerical data
  • Sexual Partners
  • Surveys and Questionnaires
  • Syphilis / blood
  • Syphilis / epidemiology*
  • Syphilis / transmission
  • Unsafe Sex / statistics & numerical data*
  • Young Adult