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.

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.

Prevalence and correlates of HIV infection and sexually transmitted infections in female sex workers (FSWs) in Shanghai, China

2014 ◽  
Vol 143 (2) ◽  
pp. 258-266 ◽  
Author(s):  
R. S. REMIS ◽  
L. KANG ◽  
L. CALZAVARA ◽  
Q. PAN ◽  
J. LIU ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Preventive Intervention ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Female Sex ◽  
Intervention Measures ◽  
Younger Age

SUMMARYIn 2009, we examined HIV and sexually transmitted infections (STIs) in 750 female sex workers (FSWs) in Shanghai using a cross-sectional survey. Participants (mean age 27 years) were interviewed and tested for HIV and selected STIs. Prevalence was: HIV 0·13%, chlamydia 14·7%, gonorrhoea 3·5% and syphilis 1·3%. In a demographic multivariate model, younger age, higher income and originating from provinces other than Zhejiang and Shanghai were independently associated with STI. In a social and sexual behavioural model, women working in small venues with fewer clients per week, use of drugs, and higher price charged per sex act indicated a greater risk for STI. Although HIV appears rare in Shanghai FSWs, chlamydial infection is common, especially in women aged <25 years (prevalence 19·6%). Since STI and HIV share similar risk factors, preventive intervention measures should be implemented immediately based on the venues and characteristics of FSWs to prevent future spread of HIV.

scholarly journals Prevalence of HIV and sexually transmitted infections among clients of female sex workers in Karnataka, India: a cross-sectional study

2011 ◽  
Vol 11 (Suppl 6) ◽  
pp. S4 ◽  
Author(s):  
Souradet Y Shaw ◽  
Kathleen N Deering ◽  
Sushena Reza-Paul ◽  
Shajy Isac ◽  
Banadakoppa M Ramesh ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Female Sex
Sign in / Sign up

Export Citation Format

Share Document