A Prospective Study of Depressive Symptoms, Condomless Sex, and HIV Viral Load in HIV-Positive Female Sex Workers in Kenya

2021 ◽  
Author(s):  
Molly A. Rosenthal ◽  
George Wanje ◽  
Barbra A. Richardson ◽  
Juma Shafi ◽  
Lei Wang ◽  
...  
AIDS ◽  
1998 ◽  
Vol 12 (14) ◽  
pp. 1889-1898 ◽  
Author(s):  
Peter H. Kilmarx ◽  
Khanchit Limpakarnjanarat ◽  
Timothy D. Mastro ◽  
Supachai Saisorn ◽  
Jaranit Kaewkungwal ◽  
...  

2014 ◽  
Vol 91 (3) ◽  
pp. 207-213 ◽  
Author(s):  
Heather A Pines ◽  
Thomas L Patterson ◽  
Gudelia Rangel ◽  
Gustavo Martinez ◽  
Angela R Bazzi ◽  
...  

2009 ◽  
Vol 2009 ◽  
pp. 1-11 ◽  
Author(s):  
Elizabeth A. Bukusi ◽  
Maria F. Gallo ◽  
Anjali Sharma ◽  
Betty Njoroge ◽  
Denise J. Jamieson ◽  
...  

Objective. To assess adherence to and acceptability of the diaphragm among 140 female sex workers in Kenya in a 6-month prospective study.Methods. At baseline and bimonthly visits, participants were interviewed on diaphragm knowledge, attitude, and practices. We used principal component analysis and logistic regression to identify predictors of consistent use.Results. At 50% of 386 bimonthly visits, women reported consistently using a diaphragm with all partners during the preceding 2 weeks. Consistent use was significantly higher at the 6-month than the 2-month visit. Women reported less covert use with “helping” (regular sex partners to whom she could go for help or support) than with “other” partners. Perceptions that diaphragms are easier to use than condoms and that their lack of coital interruption is important were associated with consistent diaphragm use with both partner types. Partner support of diaphragm use is correlated with consistent use with “helping” partners only while higher parity, consistent condom use, and perceived lack of need of condoms as a benefit of diaphragms were associated with consistent use with “other” partners.Conclusions. Diaphragm acceptance among female sex workers in Nairobi was high. Future studies should distinguish between partner types when evaluating diaphragm adherence.


1998 ◽  
Vol 9 (9) ◽  
pp. 526-530 ◽  
Author(s):  
L Otero ◽  
V Palacio ◽  
F Carreno ◽  
F J Mendez ◽  
F Vazquez

Vulvovaginal candidiasis is a frequent inflammatory process in women but it has not been widely studied in female sex workers FSWs . To estimate the frequency of Candida species infection in FSWs and to identify related risk factors and clinical findings, we carried out a retrospective study of 1923 FSWs over 11 years. We also performed a prospective study of 163 consecutive FSWs with a history of candidiasis during a 4 year period. Candida species were isolated in 1967 samples 18.5 of the total . Candida albicans 89.3 was the most frequent species, followed by Candida glabrata 2.7 , Candida parapsilosis 1.2 and Saccharomyces cerevisiae 0.4 . In the prospective study of 163 patients, we found vaginal discharge in 76.1 of cases, soreness in 52.1 and vulval pruritus in 32.5 . We identified 12 patients 7.4 with recurrent vulvovaginal candidiasis. No statistical difference was found between recurrent vulvovaginitis and the use of oral contraceptives, oral sex, tight fitting clothing and synthetic underwear. FSWs have the same prevalence of candidiasis as other groups of women described in published literature. The proportion of albicans and non albicans species does not differ between women with recurrent and non recurrent vulvovaginal candidiasis VVC .


2022 ◽  
Vol 33 (1) ◽  
pp. 63-77
Author(s):  
Mehrdad Khezri ◽  
Fatemeh Tavakoli ◽  
Azam Bazrafshan ◽  
Hamid Sharifi ◽  
Mostafa Shokoohi

2020 ◽  
Vol 31 (2) ◽  
pp. 109-118
Author(s):  
Kristen Sweet ◽  
Claire Bosire ◽  
Busola Sanusi ◽  
Carly J Sherrod ◽  
Jessie Kwatampora ◽  
...  

Female sex workers (FSWs) have a notably high risk of acquiring human papillomavirus (HPV) infections. Relatively few studies address the type-specific prevalence and incidence of HPV among FSWs in sub-Saharan Africa. FSWs (n = 348) attending the Korogocho clinic in Nairobi, Kenya participated from August 2009 to March 2011. HPV DNA was detected using the SPF10-LiPA25 PCR assay. Baseline prevalence of HPV infection and cervical dysplasia were calculated, stratified by HIV-serostatus. Incidence rate (IR) of infection was calculated as number of new infections from baseline over person-months among 160 HPV-negative participants with complete 12-month follow-up. Baseline HPV prevalence was 23.6% for any HPV and 20.4% for high-risk HPV (hrHPV) types. Most prevalent types were HPV52 (10.1%), HPV35 (2.3%), and HPV51 (2.3%). A quarter (24%) of participants were HIV-positive. HPV prevalence was higher in HIV-positive (32.1%) than HIV-negative (20.8%) participants. hrHPV prevalence was higher in HIV-positive (27.4%) than HIV-negative (18.2%) women. During follow-up, HPV IR was 31.4 (95% CI: 23.8–41.5) for any HPV and 24.2 (95% CI: 17.9–32.8) for hrHPV types. HPV52 had the highest IR (6.0; 95% CI: 6.5–10.3). Overall HPV and hrHPV prevalence were lower than expected, but both prevalence and incidence were higher in HIV-positive than in HIV-negative women.


2014 ◽  
Vol 10 (1) ◽  
Author(s):  
REMEDIOS T. NAVARRO

Diagnosis of depressive symptoms is critical in wellness programs. This study determined the extent to which Female Sex Workers (FSWs) registered inselected areas in Ilocos Sur, Philippines, experienced depressive symptoms andhow their socio-demographic, medical profile, and self-esteem relate with it. Itutilized the descriptive-correlational method of research, with a Personal DataSheet, the Rosenberg Self-Esteem Scale and the Center for Epidemiologic StudiesDepression Scale (CES-D) as tools for data gathering. The  data were statisticallytreated with frequency, percentage, mean and simple correlational analysis.Findings reveal that the majority of the respondents are single; have no children;earn Php10,000/USD 232 and below per month;  are already working as FSWs for 1-5 years, 7 days a week and 7-9 hours daily; were employed locally beforeworking as FSWs, drink alcohol and undergo the required medical/laboratoryexaminations regularly. Further, most are 16-20 years old, from the NationalCapital Region, and finished high school education. Their level of self-esteem isaverage, and depressive symptoms, mild to moderate. The socio-demographic andmedical profile is not significantly related with the level of depressive symptoms.Self-esteem is inversely related to the level of depressive symptoms. The lower the level of self-esteem, the higher is the level of depressive symptoms and vice versa.Keywords: Social Sciences, depressive symptoms, descriptive-correlational design,Philippines


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