Risk factors for HIV infection among sex workers in Johannesburg, South Africa

2005 ◽  
Vol 16 (3) ◽  
pp. 256-261 ◽  
Author(s):  
K L Dunkle ◽  
M E Beksinska ◽  
V H Rees ◽  
R C Ballard ◽  
Ye Htun ◽  
...  

Our objective was to determine the prevalence and risk factors for HIV infection among female sex workers in Johannesburg, South Africa. A cross-sectional survey of female sex workers was conducted using interviewer-administered questionnaires. Prevalent sexually transmitted infections including HIV were evaluated through standard laboratory testing. HIV infection was identified in 137 (46.4%) of 295 subjects tested. Increasing frequency of condom use was significantly negatively associated with HIV infection (odds ratio [OR] for moderate use = 0.21; 95% confidence interval [CI]: [0.09, 0.50]; OR for high use = 0.14; 95% CI: [0.06, 0.34]). Sex workers aged ≥29 years reported significantly different patterns of behaviour than younger workers. Among women aged ≥29, a negative association with HIV infection (OR = 0.16; 95% CI: [0.07, 0.38]) was found, but only among those not infected with Neisseria gonorrhoeae. Older women in the Johannesburg sex industry may have adaptive behavioural strategies besides condom usage which reduce their risk of acquiring HIV. However, older sex workers with gonorrhoea constitute a high-risk subgroup.

2014 ◽  
Vol 143 (2) ◽  
pp. 258-266 ◽  
Author(s):  
R. S. REMIS ◽  
L. KANG ◽  
L. CALZAVARA ◽  
Q. PAN ◽  
J. LIU ◽  
...  

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.


2021 ◽  
pp. 100012
Author(s):  
Rachel Jewkes ◽  
Kennedy Otwombe ◽  
Kristin Dunkle ◽  
Minja Milovanovic ◽  
Khuthadzo Hlongwane ◽  
...  

2018 ◽  
Vol 68 ◽  
pp. 01024
Author(s):  
Masayu Gemala Rabiah ◽  
Rini Mutahar ◽  
Rico Januar Sitorus

Chlamydia infection is one of the most common sexually transmitted infections worldwide. Based on data of IBBS 2015 in Indonesia, the highest prevalence of chlamydia occurred in direct female sex worker group (32.21%). This study a STIs to determine the risk factors for chlamydia infection in direct sex workers. This research uses Cross-Sectional study design. The population of this study were all direct female sex workers as many as 3,789 people with samples in accordance with inclusion and exclusion criteria as many as 3.114 people. The prevalence of direct female sex workers with chlamydia infection was 1.018 (32.4%). The result of the analysis showed that there was a relationship between age (PR: 0.541 95% CI: 0.456-0.643) and length of work as FDSW (PR: 1,.60, 95% CI: 1.087-1.512) chlamydia infection in female sex workers in Indonesia. most dominant variable has an effect on the incidence of chlamydia infection that is long working as FDSW after controlled by age (PR 1.282 95% CI: 1.087-1,.12). It is expected for the government to improve the implementation of prevention program of chlamydia not only among female sex worker but also proactive to customer.


1998 ◽  
Vol 9 (3) ◽  
pp. 146-150 ◽  
Author(s):  
Salif Lankoande Nicolas ◽  
Meda Lassana Sangare ◽  
Issaka P Compaore ◽  
Joseph Catraye ◽  
Paul T Sanou ◽  
...  

Summary: Little information is available regarding human immunodeficiency virus (HIV) infection among female sex workers (FSW) in Burkina Faso, West Africa. A cross-sectional study was conducted in Ouagadougou and Bobo-Dioulasso, the 2 largest cities of the country, to determine the prevalence of HIV infection and other sexually transmitted diseases (STDs) among FSWs, and to investigate the factors which were associated with HIV infection in this population. From October to November 1994, 426 FSWs were recruited. The method of anonymous and unlinked HIV screening recommended by the World Health Organization (WHO) was used. The overall HIV seroprevalence was 58.2% (95% confidence interval: 53.4-62.9) and 52.6% of FSWs had at least one STD agent. The most common STDs were trichomoniasis (23%), syphilis (15%) and gonorrhoea (13%). In a logistic regression analysis, risk factors for HIV infection were high gravidity ( 2 pregnancies), low perception of personal risk of HIV infection, syphilis and the presence of genital warts. These results suggest that FSWs in Burkina Faso need better information about HIV transmission and prevention and then need better access to STD detection and management services.


PLoS ONE ◽  
2017 ◽  
Vol 12 (12) ◽  
pp. e0188606 ◽  
Author(s):  
Jenny Coetzee ◽  
Gillian Hunt ◽  
Maya Jaffer ◽  
Kennedy Otwombe ◽  
Lesley Scott ◽  
...  

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