scholarly journals How safe is safer sex? High levels of HSV-1 and HSV-2 in female sex workers in London

2006 ◽  
Vol 134 (5) ◽  
pp. 1114-1119 ◽  
Author(s):  
J. FOX ◽  
G. P. TAYLOR ◽  
S. DAY ◽  
J. PARRY ◽  
H. WARD
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Intervention Studies ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Female Sex ◽  
Transitional Country ◽  
Low Levels ◽  
Hsv 1

Female sex workers in Europe have low levels of sexually transmitted infections, attributable to condom use. The aim of this paper is to describe the seroepidemiology of HSV-1 and HSV-2 in female sex workers in London by using a 15-year prospective study of 453 sex workers. The seroprevalence of HSV-1 was 74·4% and independently associated with birth in a ‘transitional country’ (OR 5·4, 95% CI 1·61–18·20). The seroprevalence of HSV-2 was 60% and declined over time; it was also independently associated with time in sex work (OR 2·12, 95% CI 1·23–3·65) and birth in a ‘developing country’ (OR 2·95, 95% CI 1·34–6·48). We show that a cohort of sex workers with extensive condom use and little known sexually transmitted infection have high levels of HSV-1 and HSV-2 infection, suggesting that condoms may not be universally protective. Sex workers are candidates for HSV vaccine efficacy or intervention studies.

scholarly journals Prevalence of Self-Reported Symptoms of Sexually Transmitted Infection among Establishment-Based Female Sex Workers in Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Shewangizaw Hailemariam ◽  
Aderajew Nigusse ◽  
Alemi Kebede
Keyword(s):  
Risk Factors ◽  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Outcome Variable ◽  
Inconsistent Condom ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Female Sex ◽  
Inconsistent Condom Use

Introduction. In spite of the fact that female sex workers being regarded as core transmitters of sexually transmitted infections to the general population, previous studies undertaken around STIs in Ethiopia fail to consider this segment of the population. Hence, the present study investigated the prevalence of self-reported symptoms of STIs and the risk factors among FSWs in Adama Town, Ethiopia. Method. A cross-sectional study was conducted from May 01, 2017, to April 30, 2017, in Adama Town. Three hundred ninety female sex workers were selected from 120 licensed drinking establishments by using simple random sampling technique. The interviewer-administered structured tool was used to collect data. Data were entered using EPI data version 3.1 and exported to SPSS version 20 for analysis. Bivariate and multivariable logistic regression analyses were used to identify factors associated with the outcome variable. Result. Among the requested 423 female sex workers, 390 willingly responded to the interviewer-administered structured questionnaires making a response rate of 92.2%. One hundred thirty-nine (35.6%, 95% CI (33.8%–37.4%) of the female sex workers reported one or more STI symptoms. Several risk factors were identified including inconsistent condom use with a nonpaying client (AOR = 5.43, 95% CI: 2.73, 10.80), alcohol use before sex (AOR = 2.41, 95% CI: 1.35, 4.30), longer duration of sex work (AOR = 2.27, 95% CI: 1.26, 4.08), and having poor knowledge of STIs (AOR = 2.44, 95% CI: 1.31, 4.54). Conclusion. Self-reported symptom of STI among female sex workers in Adama Town is relatively high when compared with previous studies. Hence, health education programs should address the issue of inconsistent condom use with nonpaying clients, alcohol consumption before sex, and knowledge of STIs, with a particular emphasis on those female sex workers who stayed longer in the business.

scholarly journals Violence experience by perpetrator and associations with HIV/STI risk and infection: a cross-sectional study among female sex workers in Karnataka, south India

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e021389 ◽  
Author(s):  
Alicja Beksinska ◽  
Ravi Prakash ◽  
Shajy Isac ◽  
H L Mohan ◽  
Lucy Platt ◽  
...  
Keyword(s):  
Condom Use ◽  
Sexual Violence ◽  
Sex Workers ◽  
Partner Violence ◽  
Female Sex Workers ◽  
South India ◽  
Syphilis Infection ◽  
Transmitted Infection ◽  
The Past ◽  
Female Sex

ObjectivesFemale sex workers (FSWs) experience violence from a range of perpetrators, but little is known about how violence experience across multiple settings (workplace, community, domestic) impacts on HIV/sexually transmitted infection (STI) risk. We examined whether HIV/STI risk differs by the perpetrator of violence.MethodsAn Integrated Biological and Behavioural Assessment survey was conducted among random samples of FSWs in two districts (Bangalore and Shimoga) in Karnataka state, south India, in 2011. Physical and sexual violence in the past six months, by workplace (client, police, coworker, pimp) or community (stranger, rowdy, neighbour, auto-driver) perpetrators was assessed, as was physical and sexual intimate partner violence in the past 12 months. Weighted, bivariate and multivariate analyses were used to examine associations between violence by perpetrator and HIV/STI risk.Results1111 FSWs were included (Bangalore=718, Shimoga=393). Overall, 34.9% reported recent physical and/or sexual violence. Violence was experienced from domestic (27.1%), workplace (11.1%) and community (4.2%) perpetrators, with 6.2% of participants reporting recent violence from both domestic and non-domestic (workplace/community) perpetrators. Adjusted analysis suggests that experience of violence by workplace/community perpetrators is more important in increasing HIV/STI risk during sex work (lower condom use with clients; client or FSW under the influence of alcohol at last sex) than domestic violence. However, women who reported recent violence by domestic and workplace/community perpetrators had the highest odds of high-titre syphilis infection, recent STI symptoms and condom breakage at last sex, and the lowest odds of condom use at last sex with regular clients compared with women who reported violence by domestic or workplace/community perpetrators only.ConclusionHIV/STI risk differs by the perpetrator of violence and is highest among FSWs experiencing violence in the workplace/community and at home. Effective HIV/STI prevention programmes with FSWs need to include violence interventions that address violence across both their personal and working lives.

Human papillomavirus infection among male clients of female sex workers soliciting sex in brothels in Peru

2017 ◽  
Vol 29 (2) ◽  
pp. 178-184 ◽  
Author(s):  
Jenell Stewart ◽  
Martha Calderon ◽  
Alison Hathaway ◽  
Rachel L Winer ◽  
Joseph Zunt
Keyword(s):  
Human Papillomavirus ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Transmitted Infection ◽  
Hpv Dna ◽  
Sexually Transmitted ◽  
Female Sex ◽  
Male Clients ◽  
Hpv Prevalence ◽  
The Difference

The prevalence of high-risk human papillomavirus (HR-HPV) has been reported to be three times higher in female sex workers (FSWs) in Callao, Peru than in the general population of women in Peru. Prevalence of HR-HPV among male clients has not yet been reported. A total of 150 men soliciting intercourse in sex work venues submitted questionnaires, samples for sexually transmitted infection (STI) testing, and self-collected penile samples prior to and following intercourse for HPV genotyping. We identified variables associated with pre-coital HR-HPV, and compared HR-HPV detection pre- and post-coitus. Prior to intercourse, HR-HPV prevalence was 41.9%. Married clients were less likely than unmarried clients to have HR-HPV detected ( p = 0.03). While post-coital HR-HPV prevalence was higher (47.6%), the difference was not statistically significant. However, there was a significant increase in the mean number of HR-HPV DNA strains detected before (0.75) and after (0.94) intercourse ( p = 0.02). No cases of gonorrhoea or syphilis and six (4.1%) cases of chlamydial infection were detected. Despite low prevalence of other STIs, male clients had a high HR-HPV prevalence. The increase in detection of HR-HPV following intercourse demonstrates a potential for transmission of HR-HPV despite high self-reported condom use.

scholarly journals Vaginal Douching, Condom Use, and Sexually Transmitted Infections Among Chinese Female Sex Workers

2005 ◽  
Vol 32 (11) ◽  
pp. 696-702 ◽  
Author(s):  
Bo Wang ◽  
Xiaoming Li ◽  
Bonita Stanton ◽  
Hongmei Yang ◽  
Xiaoyi Fang ◽  
...  
Keyword(s):  
Condom Use ◽  
Sexually Transmitted Infections ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Sexually Transmitted ◽  
Vaginal Douching ◽  
Female Sex
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