The Indian Ocean paradox revisited: HIV and sexually transmitted infections in the Comoros

2007 ◽  
Vol 18 (9) ◽  
pp. 596-600 ◽  
Author(s):  
Yasmina Dada ◽  
François Milord ◽  
Eric Frost ◽  
Jean-Pierre Manshande ◽  
Aloys Kamuragiye ◽  
...  
Keyword(s):  
Indian Ocean ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Adult Population ◽  
Adverse Outcomes ◽  
Transmitted Infection ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Number Of Sexual Partners ◽  
The Indian Ocean

The combination of high sexually transmitted infection (STI) prevalence and low HIV prevalence has been described as the Indian Ocean paradox. To investigate current epidemiology of HIV and STI in the Comoros, we conducted cross-sectional surveys of a representative sample of the adult population, and convenience samples of female sex workers and male STI patients. Only one (0.025%) of 3990 community participants was HIV-infected, while 142 (3.6%) had treponemal antibodies. Treponemal antibodies were not associated with past genital ulcers, number of sexual partners or adverse outcomes of pregnancies; their prevalence did not increase with age and there was no concordance within couples. Thus, most individuals with treponemal antibodies were probably infected during childhood with a non-venereal treponematosis. Only 1/70 (1.4%) and 0/83 sex workers sampled in 2004 and 2005 were HIV-infected. The Comoros have been protected by their insular status, male circumcision and paucity of syphilis. HIV control should focus on sex workers.

scholarly journals Sexually Transmitted Infections among Street, Hotel, and Residence-Based Female Sex Workers in Dhaka, Bangladesh: Prevalence from Three HIV/STI Drop-in-Centers

Sexes ◽  
2021 ◽  
Vol 2 (1) ◽  
pp. 69-78
Author(s):  
Tasmia Jebin Farabi ◽  
Yamin Tauseef Jahangir ◽  
Afrin Ahmed Clara ◽  
Mohammad Hayatun Nabi ◽  
Mohammad Delwer Hossain Hawlader
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Cross Sectional Study ◽  
Transmitted Infection ◽  
Cross Sectional ◽  
Literacy Interventions ◽  
Sexually Transmitted ◽  
Female Sex ◽  
Contraception Use ◽  
Associated Risk Factors

Introduction: Considering a growing number of female sex workers (FSWs) in Bangladesh, there remains a greater need to reduce sexually transmitted infection (STI) rates, as lower social and cultural status cause FSWs to have less access to education, employment opportunities, and health care, including opportunities for HIV tests, counseling, and medical care. Methods: A cross-sectional study was conducted among 546 street, hotel, and residence-based FSWs. This current study aimed to identify the prevalence and to ascertain the associated risk factors among the FSW populations in Dhaka. Results: We found a majority of the participants were in the working age of more than 26 years for the FSW profession, with a mean age of 28 years. While the majority were unemployed (42.5%), alcohol abuse (p = 0.01) and drug dependency (p = 0.01) had an association, and inconsistency of condom use had a higher risk factor (AOR = 3.54) for a new STI case. Conclusions: FSW-oriented service platform should be integrated with health literacy interventions in urban and rural locations in Bangladesh. Understanding the differences in risk patterns and tailoring intervention will increase contraception use and lower STI cases and improve overall FSW quality of life.

scholarly journals Hubungan Pengetahuan dan Jumlah Pasangan Seksual dengan Risiko HIV pada Wanita Pekerja Seksual (WPS) di Kota Ternate

2021 ◽  
pp. 223-228
Author(s):  
Nita Anggerina Putri Hi Setiawan ◽  
Dwi Sutiningsih ◽  
Bagoes Widjanarko
Keyword(s):  
Hiv Risk ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Sexual Partners ◽  
Questionnaire Data ◽  
Cross Sectional ◽  
Poor Knowledge ◽  
Key Population ◽  
Number Of Sexual Partners ◽  
Cross Sectional Design

Background: The number of HIV/AIDS cases in Ternate is increasing, until now there are 472 cases reported and in 2019 there were 46 new cases. FSW is one of the key population at risk of HIV.Methods: The purpose of this study was to identify the correlation between knowledge and number of sexual partner with HIV risk among female sex workers (FSW) in Ternate. This study used a cross sectional design. The number of respondents was 92 respondents. The instrument used in this study was a questionnaire. Data analysis was univariate, and bivariate with chi-square.Result: There were correlation between knowledge (p= 0,013; PR 1,363; 95% CI 1,069-1,704), and the number of sexual partners (p= 0.030; PR 1,497; 95% CI 0,961-2,331) with HIV risk among FSW in Ternate.Conclusion : FSW who had poor knowledge and had ≥3 clients, was correlated with HIV risk.

Human papillomavirus infection among male clients of female sex workers soliciting sex in brothels in Peru

2017 ◽  
Vol 29 (2) ◽  
pp. 178-184 ◽  
Author(s):  
Jenell Stewart ◽  
Martha Calderon ◽  
Alison Hathaway ◽  
Rachel L Winer ◽  
Joseph Zunt
Keyword(s):  
Human Papillomavirus ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Transmitted Infection ◽  
Hpv Dna ◽  
Sexually Transmitted ◽  
Female Sex ◽  
Male Clients ◽  
Hpv Prevalence ◽  
The Difference

The prevalence of high-risk human papillomavirus (HR-HPV) has been reported to be three times higher in female sex workers (FSWs) in Callao, Peru than in the general population of women in Peru. Prevalence of HR-HPV among male clients has not yet been reported. A total of 150 men soliciting intercourse in sex work venues submitted questionnaires, samples for sexually transmitted infection (STI) testing, and self-collected penile samples prior to and following intercourse for HPV genotyping. We identified variables associated with pre-coital HR-HPV, and compared HR-HPV detection pre- and post-coitus. Prior to intercourse, HR-HPV prevalence was 41.9%. Married clients were less likely than unmarried clients to have HR-HPV detected ( p = 0.03). While post-coital HR-HPV prevalence was higher (47.6%), the difference was not statistically significant. However, there was a significant increase in the mean number of HR-HPV DNA strains detected before (0.75) and after (0.94) intercourse ( p = 0.02). No cases of gonorrhoea or syphilis and six (4.1%) cases of chlamydial infection were detected. Despite low prevalence of other STIs, male clients had a high HR-HPV prevalence. The increase in detection of HR-HPV following intercourse demonstrates a potential for transmission of HR-HPV despite high self-reported condom use.

scholarly journals Impact of an HIV Prevention Intervention on HIV Risk Behavior and Sexually Transmitted Infection among Female Sex Workers in Tamil Nadu, India

2017 ◽  
Vol 07 (03) ◽  
pp. 166-178
Author(s):  
Joseph D. Williams ◽  
Arumugam Vijayaraman ◽  
Priya Krishnaswamy ◽  
Niranjan Saggurti ◽  
Sowmya Ramesh ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Risk Behavior ◽  
Hiv Risk ◽  
Sex Workers ◽  
Tamil Nadu ◽  
Female Sex Workers ◽  
Hiv Risk Behavior ◽  
Transmitted Infection ◽  
Hiv Prevention Intervention ◽  
Sexually Transmitted
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