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Prostitution in India and its role in the spread of HIV infection 印度的卖淫及其在艾滋病毒感染传播中的作用
Pub Date : 2007-07-01 DOI: 10.4103/0253-7184.39007
D. Thappa, Nidhi Singh, S. Kaimal
Prostitution describes sexual intercourse in exchange for remuneration. The legal status of prostitution varies in different countries, from punishable by death to complete legality. The great degree of social stigma associated with prostitution, of both buyers and sellers, has lead to terminology such as 'commercial sex trade', 'commercial sex worker' (CSW), female sex worker (FSW) or sex trade worker. Organisers of prostitution are typically known as pimps (if male) and madams (if female). Brothels are establishments specifically dedicated to prostitution, often confined to special red-light districts in big cities. The devadasi (handmaiden of god) system of dedicating unmarried young girls to gods in Hindu temples, which often made them objects of sexual pleasure of temple priests and pilgrims, was an established custom in India by 300 AD. An estimated 85% of all prostitutes in Calcutta and Delhi enter the sex work at an early age. The causes of prostitution include ill treatment by parents, bad company, family prostitutes, social customs, inability to arrange marriage, lack of sex education, media, prior incest and rape, early marriage and desertion, lack of recreational facilities, ignorance, and acceptance of prostitution. Truck drivers engaging in unprotected sexual intercourse with multiple partners in rural India could be major vectors of HIV transmission. The commercial sex industry is a multibillion dollar Indian and global market which now includes strip clubs, massage brothels, phone sex, adult and child pornography, street brothel, and escort prostitution. So long as men want to buy sex, prostitution is assumed to be inevitable.
卖淫指的是通过性交换取报酬。卖淫在不同国家的法律地位各不相同,从可判处死刑到完全合法。与卖淫有关的巨大社会耻辱,无论是买家还是卖家,都导致了诸如“商业性交易”,“商业性工作者”(CSW),女性性工作者(FSW)或性交易工作者等术语。卖淫的组织者通常被称为皮条客(如果是男性)和夫人(如果是女性)。妓院是专门从事卖淫的场所,通常局限于大城市的特殊红灯区。devadasi(神的婢女)制度是将未婚的年轻女孩奉献给印度教寺庙的神,这通常使她们成为寺庙牧师和朝圣者性快感的对象,这在公元300年在印度是一个既定的习俗。据估计,加尔各答和德里85%的妓女在很小的时候就进入了性行业。导致卖淫的原因包括父母虐待、不良陪伴、家庭妓女、社会习俗、无法安排婚姻、缺缺性教育、媒体、先前的乱伦和强奸、早婚和遗弃、缺乏娱乐设施、无知和接受卖淫。在印度农村,与多名伴侣进行无保护性交的卡车司机可能是艾滋病毒传播的主要媒介。商业色情产业是一个价值数十亿美元的印度和全球市场,现在包括脱衣舞俱乐部、按摩妓院、电话色情、成人和儿童色情、街头妓院和陪护卖淫。只要男人想买春,卖淫就不可避免。
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引用次数: 18
Post-exposure prophylaxis for HIV. 艾滋病毒暴露后预防。
Pub Date : 2007-01-01 DOI: 10.4103/0253-7184.39006
A. Sharma, Marfatia Ys, R. Ghiya
Post-exposure prophylaxis (PEP) is a medical response given to prevent the transmission of pathogens after potential exposure. The PEP for HIV refers to a set of comprehensive services to prevent HIV infection in exposed individuals where the exposure can be occupational or non-occupational (nPEP) and the provision of short-term (28 days) antiretroviral drugs depending on risk assessment with follow-up. High concentration of free infectious virus and virus-infected cells have been reported in blood genital fluids and cerebrospinal of fluid. The average risk of HIV infection after percutaneous exposure to HIV-infected blood is 0.3%. The nPEP can be offered for cases like unprotected sexual exposure sexual assault survivors injecting drug users (IDUs) sharing equipment ect. While considering PEP evaluation of exposure exposure source and exposed person is to be done and 2 or 3 drug PEP (depending upon the type of exposure) can be started within 72 h and need to be continued for 28 days. Drugs preferred are zidovudine + lamivudine. If needed a boosted protease inhibitor can be added. (authors)
暴露后预防(PEP)是预防潜在暴露后病原体传播的一种医学反应。艾滋病毒暴露方案指的是一整套综合性服务,以预防职业性或非职业性暴露(nPEP)暴露者感染艾滋病毒,并根据随访风险评估提供短期(28天)抗逆转录病毒药物。据报道,在血液、生殖器液和脑脊液中存在高浓度的游离感染性病毒和病毒感染细胞。经皮接触感染艾滋病毒的血液后感染艾滋病毒的平均风险为0.3%。nPEP可以提供给诸如无保护的性暴露、性侵犯幸存者、注射吸毒者共用设备等案件。在考虑PEP时,应对暴露源和暴露者进行暴露评估,并在72小时内开始2或3种药物PEP(取决于暴露类型),需要持续28天。首选药物为齐多夫定+拉米夫定。如果需要,可以添加增强蛋白酶抑制剂。(作者)
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引用次数: 4
Sexual and treatment behaviour of STD patients. 性病患者的性行为与治疗行为。
V Kaur, P Kaur, S Singh
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引用次数: 0
A study on non-specific urethritis in males. 男性非特异性尿道炎的研究。
C V Sastry, P K Kar, P N Arora
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引用次数: 0
Wars and sexually transmitted diseases in the Indian Army. 印度军队中的战争和性传播疾病。
V D Tiwari, S Talwar, V V Panvelkar, M A Tutakne
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引用次数: 0
HIV infection and genital ulcer disease. 艾滋病毒感染和生殖器溃疡疾病。
P N Arora, C V Sastry
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引用次数: 0
Pattern of sexually transmitted diseases in Allahabad. 阿拉哈巴德性传播疾病的模式。
K G Singh, M K Joshi, A K Bajaj
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引用次数: 0
Pattern of STDs at Davangere. 达文杰的性传播疾病模式。
K Siddappa, V J Kumar, K Ravindra
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引用次数: 0
Creeping eruption on the genitals. 生殖器上的匍匐喷发。
K Pavithran
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引用次数: 0
Trichomoniasis and candidiasis in consorts of females with vaginal discharge. 滴虫病和念珠菌病伴发女性阴道分泌物。
P Kumar, N K Sharma, U Sharma, R P Sharma, R Idnani, A K Agrawal
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引用次数: 0
期刊
Indian journal of sexually transmitted diseases
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