Gonorrhoea increases with rise in unprotected oral sex among women sex workers, Singapore

BACKGROUND Asymptomatic Trichomonas vaginalis (TV) and human papillomavirus (HPV) co-infection is perceived to have a devastating combined effect on victims. Hence, we investigated TV/ HPV co-infection and determined the risk factors associated with it in female sex workers (FSW). METHODS A cross-sectional study was used to recruit 338 subjects from 6 local government areas (LGAs) in Nigeria for 18 months. Agglutination tests for blood samples, and direct and wet examination of urine and vaginal swabs were conducted in the laboratory. Life style of FSWs was surveyed; data were analyzed with Chi-Square test (X2), paired and unpaired t-test and logistic regression analysis with statistical significance set at p< 0.05. RESULTS Life style characteristics were significantly associated with HPV and TV co-infection (p < 0.001). The model explained 49.9% (Nagelkerke R2) of the variance in infections among FSWs and effectively classified 93.2% of cases. Those involved in oral sex were 1.795 times more likely to be infected compared to those not involved (OR: 1.795; 95% C.I.: 1.005 – 33.525; p=0.001). Street and residential FSWs all have increased likelihood of being infected. Hard drug usage was also associated with an increased likelihood of being infected with the disease (OR: 3.582; 95% C.I.: 1.573 - 11.756; p=0.001). CONCLUSIONS Life style (hard drug usage and oral sex practices) was observed in association with HPV/ TV co-infection in FSWs with a preponderance of 49.9%. This study demonstrated the value of screening for genital infections in HPV positive subjects in order to reduce the probable synergistic effects of co-infections.

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Stres psikososial dan kejadian kandidiasis vulvovaginalis pada wanita pekerja seks di Banyumas

Berita Kedokteran Masyarakat ◽

10.22146/bkm.18029 ◽

2017 ◽

Vol 33 (7) ◽

pp. 331

Author(s):

Leyna Chunaifa ◽

Yayi Suryo Prabandari ◽

Baning Rahayujati

Keyword(s):

Risk Factors ◽

Sex Workers ◽

Rating Scale ◽

Oral Sex ◽

P Value ◽

Laboratory Equipment ◽

Social Readjustment Rating Scale ◽

The Relationship ◽

Regression Tests ◽

Control Study

PurposeThis study aimed to determine the relationship between psychosocial stress with candidiasis vulvovaginalis (KVV) incidence in female sex workers (FSW).MethodsThe research design was a case control study conducted in health center clinics in the Banyumas District. The sample size was 164 FSW (82 cases & 82 control). The research instrument was structured questionnaires, Social Readjustment Rating Scale (SRRS), laboratory equipment and microscopes for inspection KVV. Data analysis used logistic regression tests to calculate odds ratios (OR), confidence interval (CI), and p value.ResultsThe multivariate analysis showed that stress was not KVV risk factors, and the risk factors that contribute to the occurrence of KVV in FSW were oral sex (OR = 3.31, 95% CI = 1.60 to 6.83, p-value = 0.001) and smoking more than 10 cigarettes/day (OR = 2.33, 95% CI = 1.2 to 4.59, p-value = 0.014).ConclusionsThe risk factors of KVV were oral sex and smoking ≥ ten cigarettes/day. We recommend to avoid oral sex and smoking < ten cigarettes/day to avoid the risk of KVV infection.

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The impact of syphilis mass treatment one year later: self-reported behaviour change among participants

International Journal of STD & AIDS ◽

10.1258/0956462054679179 ◽

2005 ◽

Vol 16 (8) ◽

pp. 571-578 ◽

Cited By ~ 5

Author(s):

Michael L Rekart ◽

Thomas Wong ◽

Elsie Wong ◽

Kylie Hutchinson ◽

Gina Ogilvie

Keyword(s):

Condom Use ◽

Sex Workers ◽

Oral Sex ◽

Mass Treatment ◽

Cross Sectional ◽

Positive Attitudes ◽

Vaginal Sex ◽

One Year ◽

Education Support ◽

The Impact

In 2000, syphilis mass treatment using oral azithromycin was delivered to at-risk British Columbians during a sex trade-related outbreak. The initiative included education, counselling and referral. This cross-sectional, observational study examines knowledge, attitudes and self-reported behaviour after one year among mass treatment participants compared with eligible non-participants. Participants self-reported positive changes: reduction in sexual partners overall ( P=0.001) and for sex workers ( P<0.01), decrease in unprotected oral sex ( P=0.03), knowledge of asymptomatic syphilis ( P=0.02), positive attitudes to mass treatment ( P=0.02) and to the street nurses ( P=0.01). Increased awareness was associated with increased condom use for vaginal sex overall ( P=0.02) and for sex workers ( P=0.03) and increased condom use for oral sex ( P=0.05). There was no difference in syphilis incidence. Syphilis outbreak interventions that include education, support and referral can result in long-term positive behaviour changes.

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Levels of advertised unprotected vaginal and oral sex by independent indoor female sex workers in West Yorkshire, UK: Table 1

Sexually Transmitted Infections ◽

10.1136/sextrans-2013-051150 ◽

2013 ◽

Vol 90 (1) ◽

pp. 36-37

Author(s):

Claire Eccles ◽

Janette Clarke

Keyword(s):

Sex Workers ◽

Female Sex Workers ◽

Oral Sex ◽

Female Sex

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The prevalence and correlates of oral sex among low-tier female sex workers in Zhejiang province, China

PLoS ONE ◽

10.1371/journal.pone.0238822 ◽

2020 ◽

Vol 15 (9) ◽

pp. e0238822

Author(s):

Xin Zhou ◽

Qiaoqin Ma ◽

Xiaohong Pan ◽

Lin Chen ◽

Hui Wang ◽

...

Keyword(s):

Sex Workers ◽

Female Sex Workers ◽

Zhejiang Province ◽

Oral Sex ◽

Female Sex

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Oral sex practices, oral human papillomavirus and correlations between oral and cervical human papillomavirus prevalence among female sex workers in Lima, Peru

International Journal of STD & AIDS ◽

10.1258/ijsa.2011.010541 ◽

2011 ◽

Vol 22 (11) ◽

pp. 655-658 ◽

Cited By ~ 14

Author(s):

B Brown ◽

M M Blas ◽

A Cabral ◽

C Carcamo ◽

P E Gravitt ◽

...

Keyword(s):

Human Papillomavirus ◽

Sex Workers ◽

Female Sex Workers ◽

Oral Sex ◽

Oral Rinse ◽

Female Sex ◽

Hpv Prevalence ◽

Oral Hpv ◽

Few Data ◽

Sex Practices

Few data exist on oral human papillomavirus (HPV) prevalence in female sex workers (FSWs). Information regarding oral sex practices of 185 Peruvian FSWs, 18-26 years of age, was obtained via survey and compared with HPV testing results of oral rinse samples. Oral HPV prevalence was 14/185 (7.6%); four (28.9%) HPV genotypes were carcinogenic. One hundred and eighty-two participants reported having had oral sex; 95% reported condom use during oral sex with clients and 9.5% with partners. Women who had oral sex more than three times with their partners in the past month were more likely to have oral HPV than women who had oral sex three times or less (P = 0.06). Ten (71.4%) women with oral HPV were HPV-positive at the cervix; conversely 8.3% of women with cervical HPV were HPV-positive in the oral cavity. The prevalence of oral HPV was relatively low, considering the high rates of oral sex practiced by these women.

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