Use of lemon or lime juice douches in women in Jos, Nigeria

Sexual Health ◽  
2005 ◽  
Vol 2 (4) ◽  
pp. 237 ◽  
Author(s):  
Godwin E. Imade ◽  
Atiene S. Sagay ◽  
Viola A. Onwuliri ◽  
Daniel Z. Egah ◽  
Malcolm Potts ◽  
...  
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Transmission ◽  
Lemon Juice ◽  
Sexually Active ◽  
Hiv Status ◽  
Lime Juice ◽  
Safety And Efficacy ◽  
Sexually Transmitted ◽  
Family Planning Clients

Objective: To describe the use of lemon/lime juice for douching by female sex workers (FSWs) and family planning clients (FPCs) in Jos, Nigeria. Method: A total of 300 sexually active women comprising 200 FSWs and 100 FPCs were interviewed in June 2004 to determine the mode and rationale for the use of lemon/lime juice for sex. Result: Majority of the women 167/300 (55.7%, 95% CI = 50–61%) i.e. 163/200 (81.5%, 95% CI=75–87%) FSWs, 4/100 (4%, 95% CI=1–10%) FPCs used vaginal lemon/lime douches. Lime juice was used by 105/167 (62.8%, 95% CI=55–70%), lemon juice by 30/167 (18%, 95% CI=12–25%) or a mixture by 18/167 (10.8%, 95% CI=7–25%). The juice was used either neat 44/167 (26%, 95% CI=20–34%) or diluted in water 75/167 (45%, 95% CI=37–53%) either before or after sex. Nineteen per cent (32/167) found the juice painful. Over half of the women believed that it protected them from pregnancy and/or sexually transmitted infections; they did not know their HIV status. Eighty-six per cent would recommend it to others, and 71% would be willing to take part in a study to evaluate its safety and efficacy. Conclusion: Lemon and lime juice are widely used for douches among women at high risk of HIV transmission. There is an urgent need to determine whether or not this practice promotes or prevents HIV infection.

scholarly journals HIV testing and its associated factors among street-based female sex workers in Iran: results of a national rapid assessment and response survey

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Sina Ahmadi ◽  
Mehrdad Khezri ◽  
Payam Roshanfekr ◽  
Salah Eddin Karimi ◽  
Meroe Vameghi ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Sex Workers ◽  
Associated Factors ◽  
Female Sex Workers ◽  
Rapid Assessment ◽  
Evidence Based ◽  
Multivariable Model ◽  
Sexually Transmitted ◽  
Female Sex ◽  
Self Testing

Abstract Background Female sex workers (FSWs) are at a disproportionate risk of sexually transmitted infections and they may face significant barriers to HIV testing. This study aimed to examine HIV testing prevalence and its associated factors among street-based FSWs in Iran. Method A total of 898 FSWs were recruited from 414 venues across 19 major cities in Iran between October 2016 and March 2017. Eligible FSWs were women aged 18 years of age who had at least one commercial sexual intercourse in the previous year. HIV testing was defined as having tested for HIV in the lifetime. Bivariable and multivariable logistic regression were used to examine the correlates of HIV testing. We report adjusted odds ratios (aOR) and their 95% confidence intervals (CI). Result Overall, 57.8% (95%CI: 20.0, 88.0) of participants reported having tested for HIV, and HIV prevalence among FSWs who tested for HIV was 10.3% (95%CI: 7.5, 13.0). The multivariable model showed that unstable housing (aOR: 8.86, 95%CI: 2.68, 29.32) and drug use (aOR: 3.47, 95%CI: 1.33, 9.06) were associated with increased likelihood of HIV testing. However, FSWs with a higher level of income were less likely to be tested for HIV (aOR: 0.09, 95%CI: 0.02, 0.43). Conclusion Almost one in ten street-based FSWs had never tested for HIV. These findings suggest the need for evidence-based strategies such as outreach support and HIV self-testing to improve HIV testing in this marginalized population.

Gender relations and risks of HIV transmission in South India: the discourse of female sex workers' clients

2012 ◽  
Vol 14 (6) ◽  
pp. 629-644 ◽  
Author(s):  
Joanne Aubé-Maurice ◽  
Michèle Clément ◽  
Janet Bradley ◽  
Catherine M. Lowndes ◽  
Kaveri Gurav ◽  
...  
Keyword(s):  
Sex Workers ◽  
Gender Relations ◽  
Female Sex Workers ◽  
South India ◽  
Hiv Transmission ◽  
Female Sex

Co-infection with genital gonorrhoea and genital chlamydia in female sex workers in Yunnan, China

2006 ◽  
Vol 17 (5) ◽  
pp. 329-332 ◽  
Author(s):  
Xiang-Sheng Chen ◽  
Yue-Ping Yin ◽  
Guo-Jun Liang ◽  
Xiang-Dong Gong ◽  
Hua-Sheng Li ◽  
...  
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Vaginal Discharge ◽  
Transmitted Disease ◽  
Clinical Information ◽  
Gonococcal Infection ◽  
Structured Interviews ◽  
Sexually Transmitted ◽  
Female Sex ◽  
Control Programmes

An observational study on prevalence of co-infection with gonorrhoea and chlamydia was conducted among female sex workers (FSWs) in Kunming, China. A total of 505 FSWs participated in the study. All eligible participants gave informed consent. Demographic, behavioural and clinical information of the participants was gathered by direct structured interviews. Tampon swabs were collected to test for Chlamydia trachomatis and Nesseria gonorrhoeae. One-hundred and twenty-four (24.6%) FSWs were co-infected with these two pathogens. Of the 191 FSWs with gonorrhea, 124 (64.9%, 95% confidence interval [CI] = 57.9–71.3%) were co-infected with chlamydia which was significantly higher than the proportion (41.9%, 95% CI = 36.4–47.6%) co-infected with gonorrhoea among 296 FSWs with chlamydia ( P < 0.001). Only 47 of 191 (24.6%) FSWs with gonococcal infection and 28 of 124 (22.6%) with co-infection with gonorrhoea and chlamydia reported vaginal discharge. The results of the study justify the recommendation in the national sexually transmitted disease (STD) guidelines that patients infected with gonorrhoea also be treated routinely with an anti-chlamydial regimen. However, a periodic mass treatment may be considered in some circumstances in STD control programmes to rapidly reduce the infections in this population.

scholarly journals Social cohesion, condom use, and sexually transmitted infections among female sex workers living with HIV in the Dominican Republic

2018 ◽  
Vol 30 (1) ◽  
pp. 64-71 ◽  
Author(s):  
MA Carrasco ◽  
C Barrington ◽  
M Perez ◽  
Y Donastorg ◽  
D Kerrigan
Keyword(s):  
Dominican Republic ◽  
Condom Use ◽  
Sexually Transmitted Infections ◽  
Social Cohesion ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Pregnancy Intentions ◽  
Sexually Transmitted ◽  
Living With Hiv

This cross-sectional study examines the relationship between social cohesion with consistent condom use (CCU) and sexually transmitted infections (STIs) among the Abriendo Puertas (Opening Doors) cohort of female sex workers (FSWs) living with human immunodeficiency virus (HIV) in the Dominican Republic (n = 228). Using data from the follow-up survey of the cohort, we conducted multivariate logistic regression to explore these dynamics. Social cohesion was significantly associated with CCU between FSWs living with HIV and their clients in the last month (adjusted odds ratio [AOR] = 1.65, 95% confidence interval [CI]: 1.11–2.45) and STI prevalence among FSWs (AOR: 3.76, CI: 1.159–12.162). Social cohesion was not associated with CCU between FSWs living with HIV and their steady partners. However, both illicit drug use in the past six months (AOR = 0.11, CI: 0.023–0.57) and pregnancy intentions (AOR = 0.11; CI: 0.02–0.42) were significantly associated with CCU with steady partners. Findings highlight the differential role of social cohesion on condom use outcomes between FSWs living with HIV and their paying clients versus steady partners. Research on the pathways via which cohesion influences condom use among sex workers and their clients is merited, as is research regarding the role of drug use and pregnancy intentions on condom use with steady partners.

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