Effect of interventions to control sexually transmitted disease on the incidence of HIV infection in female sex workers

AIDS ◽  
2001 ◽  
Vol 15 (11) ◽  
pp. 1421-1431 ◽  
Author(s):  
Peter D. Ghys ◽  
Mamadou O. Diallo ◽  
Virginie Ettiègne-Traoré ◽  
Glen A. Satten ◽  
Camille K. Anoma ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Sex Workers ◽  
Sexually Transmitted Disease ◽  
Female Sex Workers ◽  
Transmitted Disease ◽  
Sexually Transmitted ◽  
Female Sex

Co-infection with genital gonorrhoea and genital chlamydia in female sex workers in Yunnan, China

2006 ◽  
Vol 17 (5) ◽  
pp. 329-332 ◽  
Author(s):  
Xiang-Sheng Chen ◽  
Yue-Ping Yin ◽  
Guo-Jun Liang ◽  
Xiang-Dong Gong ◽  
Hua-Sheng Li ◽  
...  
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Vaginal Discharge ◽  
Transmitted Disease ◽  
Clinical Information ◽  
Gonococcal Infection ◽  
Structured Interviews ◽  
Sexually Transmitted ◽  
Female Sex ◽  
Control Programmes

An observational study on prevalence of co-infection with gonorrhoea and chlamydia was conducted among female sex workers (FSWs) in Kunming, China. A total of 505 FSWs participated in the study. All eligible participants gave informed consent. Demographic, behavioural and clinical information of the participants was gathered by direct structured interviews. Tampon swabs were collected to test for Chlamydia trachomatis and Nesseria gonorrhoeae. One-hundred and twenty-four (24.6%) FSWs were co-infected with these two pathogens. Of the 191 FSWs with gonorrhea, 124 (64.9%, 95% confidence interval [CI] = 57.9–71.3%) were co-infected with chlamydia which was significantly higher than the proportion (41.9%, 95% CI = 36.4–47.6%) co-infected with gonorrhoea among 296 FSWs with chlamydia ( P < 0.001). Only 47 of 191 (24.6%) FSWs with gonococcal infection and 28 of 124 (22.6%) with co-infection with gonorrhoea and chlamydia reported vaginal discharge. The results of the study justify the recommendation in the national sexually transmitted disease (STD) guidelines that patients infected with gonorrhoea also be treated routinely with an anti-chlamydial regimen. However, a periodic mass treatment may be considered in some circumstances in STD control programmes to rapidly reduce the infections in this population.

scholarly journals Prevalence of Sexually Transmitted Diseases and Hepatitis C in a Survey of Female Sex Workers in the North-East of Italy

2012 ◽  
Vol 6 (1) ◽  
pp. 60-64 ◽  
Author(s):  
Monica Zermiani ◽  
Carlo Mengoli ◽  
Claudia Rimondo ◽  
Umberto Galvan ◽  
Mario Cruciani ◽  
...  
Keyword(s):  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Hiv Infection ◽  
Eastern Europe ◽  
Sexually Transmitted Diseases ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Sexually Transmitted ◽  
Female Sex ◽  
Starting Point

A key issue in the prevention and control of Sexually Transmitted Diseases (STD) is to provide access to health centres, and in diagnosing and treating STD. The present study is aimed to assess the prevalence of sexually transmitted diseases (STDs) and Hepatitis C virus (HCV) in a population of immigrant female sex workers (FSWs). We conducted a cross sectional survey of FSWs working in Verona, North-eastern Italy. Screening test included serology for STDs [including Human Immunodeficiency Virus (HIV), syphilis and Hepatitis B virus (HBV)] and hepatitis C virus (HCV). Sixteen out of 345 (4.6%) street FSWs screened during 1999-2007 resulted positive for HIV, 12 (3.5%) were positive for HBsAg, 7 (2.0%) were positive for syphilis serological test, and 3 (0.9%) were positive for HCV. Comparison of the prevalence data between women from Africa (286/345, 82.8%) and other countries showed no statistical difference for HIV infection (R.R. 1.44; 95% CI, 0.34-6.19) and for presence of HBsAg (R.R. 2.27; 95% CI, 0.30-17.24). The positivity of syphilis serologic tests had a lower prevalence among African FSWs (mostly coming from Nigeria) than among FSWs from Eastern Europe (57/345, 16.5%). This difference was statistically significant (R.R. 0.03; 95% CI, 0.00-0.28). The prevalence of HIV infection increased with age (p=0.04, by chi2 for trend analysis), but not with the time worked as sex workers in Italy. Moreover, the presence of any of the screened infections was predictable by both age and earlier time of immigration by way of logistic multivariable regression. The prevalence of HIV and HBsAg was higher in the whole analyzed cohort compared to the general population; prevalence of syphilis was significantly higher in FSWs from Eastern Europe than in FSWs from Africa. HCV prevalence remains low among non intravenous drug abuser FSWs. The data offers a starting point to address targeted intervention that would prevent FSWs acquiring and transmitting STDs.

scholarly journals Low prevalences of HIV infection and sexually transmitted disease among female commercial sex workers in Mexico City.

1997 ◽  
Vol 87 (6) ◽  
pp. 1012-1015 ◽  
Author(s):  
F Uribe-Salas ◽  
M Hernández-Avila ◽  
C J Conde-González ◽  
L Juárez-Figueroa ◽  
B Allen ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Mexico City ◽  
Sex Workers ◽  
Sexually Transmitted Disease ◽  
Transmitted Disease ◽  
Commercial Sex ◽  
Commercial Sex Workers ◽  
Sexually Transmitted ◽  
Female Commercial Sex Workers

Condom use among brothel-based sex workers and clients in Bali, Indonesia

Sexual Health ◽  
2005 ◽  
Vol 2 (2) ◽  
pp. 89 ◽  
Author(s):  
Kathleen Ford ◽  
Dewa Nyoman Wirawan
Keyword(s):  
Hiv Infection ◽  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Educational Interventions ◽  
Media Campaigns ◽  
Sexually Transmitted ◽  
Female Sex ◽  
Male Clients ◽  
The Media

Background: The objective of this paper is to describe the situation among Indonesian sex workers and clients in Bali, Indonesia, through a series of studies conducted during the 1990s. Methods: Five surveys of sex workers and clients were conducted from 1992 through to 1999. Results: The proportion of female sex workers who have heard about AIDS and condom use has increased tremendously in this area. In 1992–93, 51% of women reported ever hearing of AIDS and this had increased to 97% by 1999 (P < 0.01). Reported condom use with clients increased from 19% in 1992–93 to 78% in 1999 (P < 0.01). However, condom use is still far from 100% and perceived susceptibility towards HIV infection among female sex workers and their male clients remains low. Ineffective preventive strategies such as medication use remain common. HIV infection was very low in this population, although the prevalence of other sexually transmitted infections such as gonorrhea and chlamydia was very high. Conclusions: Educational interventions have been conducted with the sex workers, but the main source of education for clients has been through the media. Future programs need to develop more focused efforts to reach clients. These interventions may include worksite interventions, mass media campaigns, youth programs or other models.

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