Vulvovaginal candidiasis in female sex workers

Vulvovaginal candidiasis is a frequent inflammatory process in women but it has not been widely studied in female sex workers FSWs . To estimate the frequency of Candida species infection in FSWs and to identify related risk factors and clinical findings, we carried out a retrospective study of 1923 FSWs over 11 years. We also performed a prospective study of 163 consecutive FSWs with a history of candidiasis during a 4 year period. Candida species were isolated in 1967 samples 18.5 of the total . Candida albicans 89.3 was the most frequent species, followed by Candida glabrata 2.7 , Candida parapsilosis 1.2 and Saccharomyces cerevisiae 0.4 . In the prospective study of 163 patients, we found vaginal discharge in 76.1 of cases, soreness in 52.1 and vulval pruritus in 32.5 . We identified 12 patients 7.4 with recurrent vulvovaginal candidiasis. No statistical difference was found between recurrent vulvovaginitis and the use of oral contraceptives, oral sex, tight fitting clothing and synthetic underwear. FSWs have the same prevalence of candidiasis as other groups of women described in published literature. The proportion of albicans and non albicans species does not differ between women with recurrent and non recurrent vulvovaginal candidiasis VVC .

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HIV-1 seroconversion in a prospective study of female sex workers in northern Thailand

AIDS ◽

10.1097/00002030-199814000-00021 ◽

1998 ◽

Vol 12 (14) ◽

pp. 1889-1898 ◽

Cited By ~ 73

Author(s):

Peter H. Kilmarx ◽

Khanchit Limpakarnjanarat ◽

Timothy D. Mastro ◽

Supachai Saisorn ◽

Jaranit Kaewkungwal ◽

...

Keyword(s):

Prospective Study ◽

Sex Workers ◽

Female Sex Workers ◽

Northern Thailand ◽

Female Sex ◽

A Prospective Study ◽

Hiv 1

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STI/HIV test result disclosure between female sex workers and their primary, non-commercial male partners in two Mexico-US border cities: a prospective study

Sexually Transmitted Infections ◽

10.1136/sextrans-2014-051663 ◽

2014 ◽

Vol 91 (3) ◽

pp. 207-213 ◽

Cited By ~ 2

Author(s):

Heather A Pines ◽

Thomas L Patterson ◽

Gudelia Rangel ◽

Gustavo Martinez ◽

Angela R Bazzi ◽

...

Keyword(s):

Prospective Study ◽

Sex Workers ◽

Female Sex Workers ◽

Male Partners ◽

Female Sex ◽

Hiv Test ◽

A Prospective Study ◽

Test Result

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Adherence to Diaphragm Use for Infection Prevention: A Prospective Study of Female Sex Workers in Kenya

Infectious Diseases in Obstetrics and Gynecology ◽

10.1155/2009/420196 ◽

2009 ◽

Vol 2009 ◽

pp. 1-11 ◽

Cited By ~ 3

Author(s):

Elizabeth A. Bukusi ◽

Maria F. Gallo ◽

Anjali Sharma ◽

Betty Njoroge ◽

Denise J. Jamieson ◽

...

Keyword(s):

Prospective Study ◽

Sex Workers ◽

Female Sex Workers ◽

Principal Component ◽

Consistent Condom ◽

Sex Partners ◽

Consistent Condom Use ◽

Female Sex ◽

Partner Types ◽

A Prospective Study

Objective. To assess adherence to and acceptability of the diaphragm among 140 female sex workers in Kenya in a 6-month prospective study.Methods. At baseline and bimonthly visits, participants were interviewed on diaphragm knowledge, attitude, and practices. We used principal component analysis and logistic regression to identify predictors of consistent use.Results. At 50% of 386 bimonthly visits, women reported consistently using a diaphragm with all partners during the preceding 2 weeks. Consistent use was significantly higher at the 6-month than the 2-month visit. Women reported less covert use with “helping” (regular sex partners to whom she could go for help or support) than with “other” partners. Perceptions that diaphragms are easier to use than condoms and that their lack of coital interruption is important were associated with consistent diaphragm use with both partner types. Partner support of diaphragm use is correlated with consistent use with “helping” partners only while higher parity, consistent condom use, and perceived lack of need of condoms as a benefit of diaphragms were associated with consistent use with “other” partners.Conclusions. Diaphragm acceptance among female sex workers in Nairobi was high. Future studies should distinguish between partner types when evaluating diaphragm adherence.

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A Prospective Study of Depressive Symptoms, Condomless Sex, and HIV Viral Load in HIV-Positive Female Sex Workers in Kenya

AIDS and Behavior ◽

10.1007/s10461-021-03258-0 ◽

2021 ◽

Author(s):

Molly A. Rosenthal ◽

George Wanje ◽

Barbra A. Richardson ◽

Juma Shafi ◽

Lei Wang ◽

...

Keyword(s):

Depressive Symptoms ◽

Viral Load ◽

Prospective Study ◽

Sex Workers ◽

Female Sex Workers ◽

Hiv Positive ◽

Hiv Viral Load ◽

Condomless Sex ◽

Female Sex ◽

A Prospective Study

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Can Variation in HIV/STD-Related Risk be Explained by Individual SES? Findings from Female Sex Workers in a Rural Chinese County

Health Care For Women International ◽

10.1080/07399330701738382 ◽

2008 ◽

Vol 29 (3) ◽

pp. 316-335 ◽

Cited By ~ 10

Author(s):

Xiaoyi Fang ◽

Xiaoming Li ◽

Hongmei Yang ◽

Yan Hong ◽

Bonita Stanton ◽

...

Keyword(s):

Sex Workers ◽

Female Sex Workers ◽

Female Sex ◽

Related Risk

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The influence of having children on HIV-related risk behaviors of female sex workers and their intimate male partners in two Mexico-US border cities

Journal of Tropical Pediatrics ◽

10.1093/tropej/fmt009 ◽

2013 ◽

Vol 59 (3) ◽

pp. 214-219 ◽

Cited By ~ 17

Author(s):

M. L. Rolon ◽

J. L. Syvertsen ◽

A. M. Robertson ◽

M. G. Rangel ◽

G. Martinez ◽

...

Keyword(s):

Risk Behaviors ◽

Sex Workers ◽

Female Sex Workers ◽

Male Partners ◽

Female Sex ◽

Related Risk

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Drug-Using Female Sex Workers and HIV Risk: A Systematic Review of the Global Literature

Global Journal of Health Science ◽

10.5539/gjhs.v10n5p1 ◽

2018 ◽

Vol 10 (5) ◽

pp. 1 ◽

Cited By ~ 1

Author(s):

Yeon Jung Yu ◽

Xiaoming Li

Keyword(s):

Systematic Review ◽

Drug Use ◽

Hiv Risk ◽

Sex Workers ◽

Female Sex Workers ◽

Empirical Studies ◽

Social Contexts ◽

Global Literature ◽

Female Sex ◽

Related Risk

This review examines the global literature concerning HIV risk among drug-using female sex workers (DU-FSWs). In the context of HIV prevention, the possible synergetic effects of sexual risk and drug-related risk merit a systematic review to get a better understanding of such effects among this highly vulnerable population. In particular, we look at research on the association between drug use and HIV risk among female sex workers (FSWs) in terms of multiple indicators such as HIV infection, needle sharing, and unprotected sex.The current review, through synthesizing the findings from 41 studies conducted in multiple nations, reveals a complex picture of HIV risk for DU-FSWs across diverse societies. Research findings are mixed but tend to show that drug-related and sex-related risk behaviors accelerated the risk of HIV/STI among DU-FSWs, underscoring considerable vulnerabilities. However, findings about the level of the association and significance, as well as the mechanisms of HIV transmission, are inconsistent among various empirical studies. The variations in findings may be attributed to the specificities of diverse social contexts, various characteristics of the study samples, and different measurements in different studies. The mixed findings point to the need for more empirical studies targeting DU-FSWs to understand how drug use and sexual risk interactively affect this population differently in different social contexts. Future research should focus on multiple-level risk/preventive factors, assess the overlap between drug-using networks and sexual networks, and identify the synergetic dynamics between drug use and sex work. Development of conceptual frameworks and methodological innovations are also needed.

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