Cervical human papillomavirus infections in commercial sex workers—risk factors and behaviours

Despite all significant efforts being made by the public healthcare, state authorities, and public organizations, HIV-infection has been a topical issue over the last 30 years. Commercial sex workers (CSW) are a basic risk group when it comes down to this infection. Our research goal was to determine HIV prevalence among commercial sex workers and risk factors that cause their contagion with it. We performed an epidemiologic analytical ecologic examination to study HIV prevalence risk factors that cause spread of this infection among CSW. 154 CSW were questioned with a sociological procedure applied to do it; they lived in three cities in Perm region, and morbidity with HIV was higher than on average in the region in two of them, B. and K. The city P. was taken as a reference territory due to a relatively favorable situation with HIV infection spread there. Risk factors that caused HIV infection were determined via an observational analytical case-control study; the «case» group was made up of 46 CSW who were infected with HIV and the control group included 108 CSW who didn’t have this infection. All the obtained data were statistically processed with SPSS Statistics 17.0 and Statistica 6.0 software packages. HIV prevalence among commercial sex workers was rather different on the examined territories. It amounted to 42.6% and 35.0% in cities B. and K. and it was 2.3 and 1.9 times higher accordingly than in city P. It was detected that there were several factors making for HIV infection spread among CSW; they were high morbidity with HIV on a given territory; an early start of sexual life; disregard of contraception; drug abuse; medical services and prevention programs being hardly available to CSW. A high probability that CSW would get infected with HIV was determined for people who didn’t use condoms, took drugs intravenously, and were not epidemiologically alerted to HIV infection.

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Multiple human papillomavirus infections and HIV seropositivity as risk factors for abnormal cervical cytology among female sex workers in Nairobi

International Journal of STD & AIDS ◽

10.1177/0956462412472446 ◽

2013 ◽

Vol 24 (3) ◽

pp. 221-225 ◽

Cited By ~ 9

Author(s):

S J Patel ◽

N R Mugo ◽

C R Cohen ◽

J Ting ◽

R Nguti ◽

...

Keyword(s):

Risk Factors ◽

Human Papillomavirus ◽

Sex Workers ◽

Female Sex Workers ◽

Cervical Cytology ◽

Papillomavirus Infections ◽

Hiv Seropositivity ◽

Female Sex ◽

Abnormal Cervical Cytology

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Regular condom use tends to decrease cervical lesions in resident-commercial sex workers in Sub-Saharan Africa

Zinc supplementation improves heme biosynthesis in rats exposed to lead ◽

10.18051/univmed.2018.v37.39-49 ◽

2018 ◽

Vol 37 (1) ◽

pp. 39

Author(s):

Efosa Bolaji Odigie ◽

Peter Uwadiegwu Achukwu

Keyword(s):

Risk Factors ◽

Condom Use ◽

Sex Workers ◽

Sub Saharan Africa ◽

Low Grade ◽

Commercial Sex ◽

Cervical Lesions ◽

Cross Sectional ◽

Commercial Sex Workers ◽

Behavioural Risk Factors

BACKGROUND Cervical lesions are abnormalities seen in tissues and cells examined from the uterine cervix. These abnormalities are on the increase and are ignored; thereby constituting major health problems in resident commercial sex workers (CSWs) who temporarily reside in brothels for sex business. Hence, we investigated the associations between behavioural risk factors and cervical lesions in resident commercial sex workers. METHODS We conducted a cross-sectional study among 119 resident commercial sex workers using questionnaires as the data gathering tool, liquid-based cytology for cervical lesions screening, and microscopy for examination of slides. Statistical analyses were conducted using Epi- Info™ version 6.4 and STATISTICA (StatSoft, version 5, 2009 Edition, Atlanta, GA 30329-4027 USA). Data were analysed using multivariate and simple logistic regression analyses, while the level of significance was set at p £0.05. RESULTS The behavioural risk factors, like smoking and hard drugs, alcohol intake, commercial sex duration, client’s daily patronage and sex frequency were not significant apart, but regular condom use tends to decrease the cervical lesions in CSWs (OR=0.91;95% C.I. 0.92-1.06), including anal and oral sex (OR = 0.99 (95% C.I. 0.29-3.60). The patterns of cervical lesions further showed acute and chronic cervicitis with a prevalence of 10.1%, including low-grade squamous intraepithelial lesion (LSIL) and atypical squamous cells of undetermined significance (ASCUS). We recorded 8/12 (66.7%) for acute cervicitis, 4/12 (33.3%) chronic, and 82.4% negative. CONCLUSION We suggest that behavioural risk factors are associated with cervical lesions and that regular condom use tends to decrease cervical lesions among resident CSWs.

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