Objective      To investigate the HIV testing situation of female sex workers (FSMs) in western China and explore its influencing factors.       Methods      FSWs selected from Sichuan

Chongqing

Xinjiang and Guangxi

China were surveyed with questionnaires. A total of 1 463 questionnaires were completed

among which 1 437 (98.22%) were valid. The survey mainly incl

uded demographics

behavior characteristics and HIV testing situation.       Results      The rate of HIV testing of FSMs in western China was 62.63%

and the rate of initiative HIV testing was 26.67%. Logistic regression analysis revealed that marital status (OR=2.51

P

0.000 1)

domicile place (OR=1.50

P

=0.003 5)

degree of self-health care (OR=1.96

P

=0.002 7)

attitude to the patient number change of AIDS compared with previous time (OR=1.29

P

=0.035 5)

received condom distribution or not (OR=1.70

P

=0.001 8)

received free AIDS counseling over the past year or not (OR=11.61

P

0.000 1)

condom use when had sex with clients in half a year (OR=1.76

P

=0.012 4)

and sexual frequency with regular partner in half a year (OR=1.33

P

=0.035 8) were influencing factors of HIV testing.       Conclusion      The self-risk awareness of HIV among FSMs in western China is low

and the proportion of HIV testing is not high

especially the proportion of initiative HIV testing is low. The HIV testing-related advocacy and intervention should be strengthened to attract FSMs to conduct HIV testing initiatively and to improve the rate of HIV testing in this population.