Socio-demographic and behavioural factors associated with high incidence of sexually transmitted infections in female sex workers in Madagascar following presumptive therapy

Sexual Health ◽  
2005 ◽  
Vol 2 (2) ◽  
pp. 77 ◽  
Author(s):  
Frieda M-T. Behets ◽  
Kathleen Van Damme ◽  
Andry Rasamindrakotroka ◽  
Marcia Hobbs ◽  
Kristi McClamroch ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Incidence Rates ◽  
Consistent Condom ◽  
Care Seeking ◽  
Sexually Transmitted ◽  
Female Sex ◽  
Behavioural Factors

Background: Too little is known about the many women who generate income in Madagascar by trading sex. Methods: Clinical and laboratory exams were offered to 493 non-care seeking female sex workers (SWs) in Antananarivo and 493 in Tamatave. SWs were recruited by peers in their community; they were interviewed, counselled and treated for sexually transmitted infections (STIs) at recruitment and re-evaluated 2 months later. Results: One hundred and eighty six (38%) of the SWs in Antananarivo and 113 (23%) in Tamatave did not complete primary school (P < 0.0001). The incidence rates per person per month in Antananarivo and Tamatave, respectively, were 0.09 and 0.08 for gonorrhoea; 0.05 and 0.03 for chlamydia; 0.24 and 0.15 for trichomoniasis; 0.07 and 0.05 for syphilis. At follow-up, consistent condom use with clients was reported by 56 (12%) SWs in Antananarivo and 137 (29%) in Tamatave (P < 0.0001); 320 (70%) SWs in Antananarivo and 11 (2%) in Tamatave reported sex with a non-paying partner in the past month (P < 0.0001). In Antananarivo, 422 (92%) of the SWs thought they were at no or low risk of having an STI compared to 100 (21%) in Tamatave (P = 0.02). At follow-up, 277 (61%) SWs reported no birth control for their last sex act in Antananarivo, compared to 26 (5%) in Tamatave (P < 0.0001). Socio-demographic and behavioural risk factors for incident gonorrhoea, chlamydia and trichomoniasis varied by city. Conclusions: Strategies to address the needs of women who trade sex should include educational and economic opportunities; should tackle male partners of SWs; promote dual protection against unintended pregnancy and STIs, while taking into account local socio-demographic and behavioural characteristics.

Symptoms of Sexually Transmitted Infections and Care-Seeking Behaviors of Male Clients of Female Sex Workers in Bangladesh

2012 ◽  
Vol 39 (12) ◽  
pp. 979-984 ◽  
Author(s):  
Anisuddin Ahmed ◽  
Laura J. Reichenbach ◽  
Nazmul Alam
Keyword(s):  
Sexually Transmitted Infections ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Care Seeking ◽  
Sexually Transmitted ◽  
Female Sex ◽  
Male Clients

scholarly journals Female sex workers in Kigali, Rwanda: a key population at risk of HIV, sexually transmitted infections, and unplanned pregnancy

2019 ◽  
Vol 30 (6) ◽  
pp. 557-568 ◽  
Author(s):  
Rosine Ingabire ◽  
Rachel Parker ◽  
Julien Nyombayire ◽  
Jasmine E Ko ◽  
Jeannine Mukamuyango ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Contraceptive Use ◽  
Consistent Condom ◽  
Hiv Positive ◽  
Modern Contraceptive ◽  
Sexually Transmitted ◽  
Female Sex ◽  
Hiv Negative

Female sex workers (FSWs) were recruited from known hotspots in Kigali, Rwanda, and offered free, anonymous human immunodeficiency virus (HIV) counseling and testing, diagnosis and treatment of sexually transmitted infections (STIs) and long-acting reversible contraception (LARC). From September 2012 to March 2015, 1168 FSWs sought services, including 587 (50%) who were HIV-positive. More than 90% had previously tested for HIV, and 26% who reported previously testing negative had seroconverted. Of the 349 who already knew their HIV-positive status, 74% were on antiretroviral treatment. The prevalence of serologic syphilis was 43% in HIV-positive and 19% in HIV-negative FSWs (p < 0.0001), and Trichomonas vaginalis was found in vaginal wet mounts in 21% of HIV-positive and 13% of HIV-negative FSWs (p < 0.0001). Signs and symptoms of STIs were found in 35% of HIV-positive compared with 21% of HIV-negative FSWs (p < 0.0001). Only one-third reported consistent condom use in the last month. Modern contraceptive use was reported by 43% of HIV-positive and 56% of HIV-negative FSWs (p < 0.0001). Current pregnancy was reported by 4% of HIV-positive and 6% of HIV-negative FSWs (p = 0.0409). Despite Rwanda’s successes with preventing 70% of new infections in the general population through nationwide couples’ testing in antenatal clinics, prevention and timely treatment in key populations including FSWs are lacking. The prevalence of HIV – including many new cases – and STIs among FSWs in Kigali is high and condom and contraceptive use are low. Tailored and integrated HIV/STIs and family planning programs are urgently needed for FSWs.

Risk behaviours and prevalences of HIV and sexually transmitted infections among female sex workers in various venues in Changzhou, China

2017 ◽  
Vol 28 (11) ◽  
pp. 1135-1142 ◽  
Author(s):  
Yanli Guo ◽  
Xiaoguo Xu ◽  
Gengfeng Fu ◽  
Xiping Huan ◽  
Ning Jiang ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Heterosexual Transmission ◽  
Consistent Condom ◽  
Risk Behaviours ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Female Sex ◽  
Increased Risk

Female sex workers (FSWs) play an important role in the heterosexual transmission of HIV and sexually transmitted infections (STIs) in China. We conducted a cross-sectional study of 609 FSWs from various venues in Changzhou to investigate risk behaviours and prevalences of HIV and STIs among FSW subgroups. Structured questionnaires were used in face-to-face interviews to collect information. Blood and cervical specimens were collected to test for HIV, syphilis, Neisseria gonorrhoeae (NG) and Chlamydia trachomatis (CT) infections. The overall prevalences of syphilis, NG and CT were 5.6, 2.3 and 17.0%, respectively. The highest prevalence of syphilis (13.8%, P < 0.001) was observed among FSWs in low-class (LC) venues. No case of HIV infection was found. Less than half of all FSWs (40.7%) reported consistent condom use with clients during the last month. A multivariate analysis revealed a 13-fold increased risk for FSWs with NG infection to be infected with syphilis and a four-fold increased risk for FSWs aged 30–39 years to have a CT infection relative to FSWs aged 15–20 years. The prevalences of STIs were high, and risky sexual behaviours were common, especially among FSWs in LC venues. More tailored and comprehensive prevention programmes should be developed for specific FSW subgroups.

scholarly journals Prevalence and Assessment of Clinical Management of Sexually Transmitted Infections among Female Sex Workers in Two Cities of India

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
A. Das ◽  
P. Prabhakar ◽  
P. Narayanan ◽  
G. Neilsen ◽  
T. Wi ◽  
...  
Keyword(s):  
Condom Use ◽  
Sexually Transmitted Infections ◽  
Sex Workers ◽  
Clinical Management ◽  
Female Sex Workers ◽  
Consistent Condom ◽  
Presumptive Treatment ◽  
Consistent Condom Use ◽  
Sexually Transmitted ◽  
Female Sex

Objective. Control of sexually transmitted infections (STIs) among female sex workers (FSWs) is an important strategy to reduce HIV transmission. A study was conducted to determine the prevalence and assess the current clinical management of STIs in India.Methods. FSWs attending three clinics for regular checkups or symptoms were screened for study eligibility. A behavioral questionnaire was administered, clinical examination performed, and laboratory samples collected.Results. 417 study participants reported a mean number of 4.9 (SD 3.5) commercial clients in the last week. 14.6% reported anal sex in the last three months. Consistent condom use with commercial and regular partners was 70.1% and 17.5%, respectively. The prevalence of gonorrhea was 14.1%, chlamydia 16.1%, and trichomoniasis 31.1% with a third of all infections being asymptomatic. Syphilis seropositivity was 10.1%.Conclusions. At study sites, presumptive treatment for gonorrhea, chlamydia, and syphilis screening should continue. Presumptive treatment for trichomoniasis should be considered. Consistent condom use and partner treatment need to be reemphasized.

scholarly journals Incidence and time-varying predictors of HIV and sexually transmitted infections among male sex workers in Mexico City

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Karla Y. Ganley ◽  
Marta Wilson-Barthes ◽  
Andrew R. Zullo ◽  
Sandra G. Sosa-Rubí ◽  
Carlos J. Conde-Glez ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Mexico City ◽  
Sex Workers ◽  
Incidence Rates ◽  
Consistent Condom ◽  
Vaginal Intercourse ◽  
Time Varying ◽  
Male Sex Workers ◽  
Sexually Transmitted ◽  
Male Sex

Abstract Background Male sex workers are at high-risk for acquisition of sexually transmitted infections (STIs), including human immunodeficiency virus (HIV). We quantified incidence rates of STIs and identified their time-varying predictors among male sex workers in Mexico City. Methods From January 2012 to May 2014, male sex workers recruited from the largest HIV clinic and community sites in Mexico City were tested for chlamydia, gonorrhea, syphilis, hepatitis, and HIV at baseline, 6-months, and 12-months. Incidence rates with 95% bootstrapped confidence limits were calculated. We examined potential time-varying predictors using generalized estimating equations for a population averaged model. Results Among 227 male sex workers, median age was 24 and baseline HIV prevalence was 32%. Incidence rates (per 100 person-years) were as follows: HIV [5.23; 95% confidence interval (CI): 2.15–10.31], chlamydia (5.15; 95% CI: 2.58–9.34), gonorrhea (3.93; 95% CI: 1.88–7.83), syphilis (13.04; 95% CI: 8.24–19.94), hepatitis B (2.11; 95% CI: 0.53–4.89), hepatitis C (0.95; 95% CI: 0.00–3.16), any STI except HIV (30.99; 95% CI: 21.73–40.26), and any STI including HIV (50.08; 95% CI: 37.60–62.55). In the multivariable-adjusted model, incident STI (excluding HIV) were lower among those who reported consistently using condoms during anal and vaginal intercourse (odds ratio = 0.03, 95% CI: 0.00–0.68) compared to those who reported inconsistently using condoms during anal and vaginal intercourse. Conclusions Incidence of STIs is high among male sex workers in Mexico City. Consistent condom use is an important protective factor for STIs, and should be an important component of interventions to prevent incident infections.

scholarly journals Sexually Transmitted Infections Among Female Sex Workers in Hong Kong: The Role of Migration Status

2011 ◽  
Vol 18 (1) ◽  
pp. 1-7 ◽  
Author(s):  
William C.W. Wong ◽  
Yuet Lin Yim ◽  
Henry Lynn
Keyword(s):  
Hong Kong ◽  
Sexually Transmitted Infections ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Migration Status ◽  
Sexually Transmitted ◽  
Female Sex

scholarly journals Incidence and Predictors of HIV and Sexually Transmitted Infections Among Female Sex Workers and Their Intimate Male Partners in Northern Mexico: A Longitudinal, Multilevel Study

2015 ◽  
Vol 181 (9) ◽  
pp. 723-731 ◽  
Author(s):  
A. R. Bazzi ◽  
G. Rangel ◽  
G. Martinez ◽  
M. D. Ulibarri ◽  
J. L. Syvertsen ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Male Partners ◽  
Sexually Transmitted ◽  
Northern Mexico ◽  
Multilevel Study ◽  
Female Sex
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