A cross-sectional study of reported symptoms for sexually transmissible infections among female sex workers in Papua New Guinea

Sexual Health ◽  
2010 ◽  
Vol 7 (1) ◽  
pp. 71 ◽  
Author(s):  
Eunice Bruce ◽  
Ludwina Bauai ◽  
Andrew Masta ◽  
Poyap J. Rooney ◽  
Michael Paniu ◽  
...  
Keyword(s):  
Sex Workers ◽  
Trichomonas Vaginalis ◽  
Female Sex Workers ◽  
Lower Abdominal Pain ◽  
Dipstick Test ◽  
Cross Sectional ◽  
Urine Dipstick ◽  
Female Sex ◽  
Sexually Transmissible Infections ◽  
Urine Dipstick Test

Background: Sexually transmissible infections (STIs) are common in female sex workers (FSWs), most of which are asymptomatic and therefore under-reported. Our aim was to determine the sensitivity and specificity of reported symptoms obtained via questionnaire augmented with leukocyte esterase (LE) urine dipstick test for the detection of Chlamydia trachomatis (Ct), Neisseria gonorrhea (Ng) and Trichomonas vaginalis (Tv) detected using polymerase chain reaction (PCR). Methods: In November 2003, a cohort of FSWs was screened for STIs and completed a questionnaire. Results: We enrolled 129 FSWs (90% participation rate) of whom 48 (37%), 30 (23%) and 53 (41%) were diagnosed with Ng, Ct and Tv, respectively, by PCR. Of those diagnosed with any of these infections, 78% reported anogenital symptoms and of those without infections, 28% reported symptoms. Anogenital symptoms were present in over 50% FSWs. Genital odour (present in 26%), lower abdominal pain (present in 29%), dysuria (present in 19%) had a sensitivity around (50%), specificity (>80%) and all were significantly associated with positive PCR results for individual organisms; however, the sensitivity of these symptoms to detect the presence of any positive PCR result was low (<50%). When LE urine dipstick test result of >1 was combined with the presence of three reported symptoms the sensitivity was 86%, specificity of 73% and a positive predictive value of 72%; a better predictor of infections. Conclusions: Our finding suggest an approach that incorporates LE urine dipstick test >1 and multiple symptoms may be a feasible option for screening infections among FSWs in resource constraint settings.

Sexually transmissible infections among female sex workers: an international review with an emphasis on hard-to-access populations

Sexual Health ◽  
2008 ◽  
Vol 5 (1) ◽  
pp. 9 ◽  
Author(s):  
Julie G. Cwikel ◽  
Tal Lazer ◽  
Fernanda Press ◽  
Simcha Lazer
Keyword(s):  
Sex Workers ◽  
Trichomonas Vaginalis ◽  
Female Sex Workers ◽  
High Risk Group ◽  
Vulnerable Groups ◽  
African Countries ◽  
Female Sex ◽  
Sexually Transmissible Infections ◽  
The World ◽  
Neisseria Gonorrhea

Background: Women who work commercially in sex work (female sex workers [FSW]) are considered a high-risk group for sexually transmissible infections (STI), yet the level of reported pathogens varies in studies around the world. This study reviewed STI rates reported in 42 studies of FSW around the world published between 1995 and 2006 and analysed the trends and types of populations surveyed, emphasising difficult to access FSW populations. Methods:Studies were retrieved by PUBMED and other search engines and were included if two or more pathogens were studied and valid laboratory methods were reported. Results: The five most commonly assessed pathogens were Neisseria gonorrhea (prevalence 0.5–41.3), Chlamydia trachomatis (0.61–46.2), Treponema pallidum (syphilis; 1.5–60.5), HIV (0–76.6), and Trichomonas vaginalis (trichmoniasis; 0.11–51.0). Neisseria gonorrhea and C. trachomatis were the most commonly tested pathogens and high prevalence levels were found in diverse areas of the world. HIV was highly prevalent mostly in African countries. Although human papillomavirus infection was surveyed in few studies, prevalence rates were very high and its aetiological role in cervical cancer warrant its inclusion in future FSW monitoring. Hard-to-access FSW groups tended to have higher rates of STI. Conclusions: The five most commonly detected pathogens correspond to those that are highly prevalent in the general population, however there is an urgent need to develop rapid testing diagnostics for all five pathogens to increase prevention and treatment, especially in outreach programs to the most vulnerable groups among FSW.

scholarly journals Prevalence and factors associated with trichomonas vaginalis infection among female sex workers in Togo, 2017

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Martin Kouame TCHANKONI ◽  
Alexandra Marie Bitty-Anderson ◽  
Arnold Junior SADIO ◽  
Fifonsi Adjidossi GBEASOR-KOMLANVI ◽  
Valentine Marie FERRÉ ◽  
...  
Keyword(s):  
Sex Workers ◽  
Trichomonas Vaginalis ◽  
Female Sex Workers ◽  
Serological Test ◽  
Demographic Data ◽  
Rapid Test ◽  
Binary Logistic Regression ◽  
Cross Sectional ◽  
Factors Associated ◽  
Female Sex

Abstract Background The aim of this study was to estimate the prevalence and factors associated with Trichomonas vaginalis (T. vaginalis) among female sex workers (FSW) in Togo in 2017. A cross-sectional bio-behavioral study was conducted from August to October 2017 using a respondent-driven sampling method in four cities in Togo. Method A standardized questionnaire was used to record socio-demographic data and sexual behavior patterns. T. vaginalis detection by molecular biology tests was performed using Allplex STI Essential Assay which detect also 6 others micro-organisms. A blood sample was drawn and serological test using SD Bioline Duo VIH/Syphilis rapid test was performed for Human immunodeficiency virus (HIV) and syphilis testing. Results A total of 310 FSW with median age 25 years, interquartile range (IQR) [21–32 years] were included. The prevalence of T. vaginalis was 6.5% (95%CI = [4.1–9.9]) and, overall, prevalence of other STI ranged from 4.2% (95%CI = [2.3–7.2]) for N. gonorrhoeae to 10.6% (95% CI = [7.5–14.7]) for HIV. Binary logistic regression was conducted to assess factors associated with T. vaginalis infection. Living in Lomé (aOR = 3.19; 95%CI = [1.11–11.49]), having had sexual intercourse before the age of 18 (aOR = 5.72; 95%CI = [1.13–10.89]), and being infected with C. trachomatis (aOR = 3.74; 95%CI = [2.95–12.25]) were factors associated with T. vaginalis among FSW. Conclusion The prevalence of T. vaginalis infection using molecular test was low among FSW in Togo. Extensive studies are needed to confirm and to better understand the epidemiology of T. vaginalis among this population and in other populations in Togo.

scholarly journals Prevalence and factors associated with Trichomonas vaginalis infection among men who have sex with men and female sex workers in Togo, 2017.

2020 ◽  
Author(s):  
Martin Kouame TCHANKONI ◽  
Arnold Junior SADIO ◽  
Fifonsi Adjidossi GBEASOR-KOMLANVI ◽  
Valentine Marie FERRÉ ◽  
Wendpouiré Ida Carine ZIDA-COMPAORE ◽  
...  
Keyword(s):  
Sex Workers ◽  
Trichomonas Vaginalis ◽  
Female Sex Workers ◽  
Serological Test ◽  
Demographic Data ◽  
Rapid Test ◽  
Cross Sectional ◽  
Factors Associated ◽  
Female Sex ◽  
Sex With Men

Abstract Background The aim of this study was to estimate the prevalence and factors associated with Trichomonas vaginalis (T. vaginalis) among men who have sex with men (MSM) and female sex workers (FSW) in Togo in 2017. A cross-sectional bio-behavioral study was conducted from August to October 2017 using a respondent-driven sampling method in four cities in Togo. Methods A standardized questionnaire was used to record socio-demographic data and sexual behavior patterns. T. vaginalis detection by molecular biology tests was performed using Allplex STI Essential Assay which detect also 6 others micro-organisms. A blood sample was drawn and serological test using SD Bioline Duo VIH/Syphilis rapid test was performed for HIV and syphilis testing. Results A total of 517 key populations including 310 FSW and 207 MSM with median age 24 years, interquartile range (IQR) [20–28 years] were included. The overall prevalence of T. vaginalis, HIV, Mycoplasma genitalium, Chlamydia trachomatis (C. trachomatis), Neisseria gonorrhoeae were 3.9%, 16.8%, 9.3%, 7.5% and 7.2% respectively. T. vaginalis prevalence among FSW was 6.5% (95%CI= [4.1–9.9]) and 0.0% (95%CI= [0.0-2.3]) among MSM. Logistic regression was conducted to identify factors associated with T. vaginalis infection. Living in Lomé (AOR = 3.19; 95%CI= [1.11–11.49]), having had sexual intercourse before the age of 18 (AOR = 5.72; 95%CI= [1.13–10.89]), and being infected with C. trachomatis (AOR = 3.74; 95%CI= [2.95–12.25]) were factors associated with T. vaginalis among FSW. Conclusion The prevalence of T. vaginalis infection using molecular test was low among MSM and FSW in Togo. Extensive studies are needed to confirm and better understand the epidemiology of T. vaginalis in these populations and in other populations in Togo.

HIV and other sexually transmitted infections among female sex workers in Moscow (Russia): prevalence and associated risk factors

2020 ◽  
Vol 96 (8) ◽  
pp. 601-607
Author(s):  
Adeline Bernier ◽  
Tatiana Rumyantseva ◽  
Laura Reques ◽  
Natalia Volkova ◽  
Yan Kyburz ◽  
...  
Keyword(s):  
Sex Workers ◽  
Trichomonas Vaginalis ◽  
Female Sex Workers ◽  
Hiv Transmission ◽  
Mycoplasma Genitalium ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated ◽  
Female Sex ◽  
Associated Risk Factors

To estimate the prevalence and factors associated with HIV and five other STIs among outdoor female sex workers (OSFW) and indoor FSW (IFSW).MethodsCross-sectional survey using respondent-driven sampling methodology. Participants answered a bio-behavioural questionnaire and were tested for Neisseria gonorrhoeae (NG), Chlamydia trachomatis (CT), Trichomonas vaginalis (TV), syphilis (lifetime contact) and Mycoplasma genitalium (MG). Weighted HIV and other STIs prevalence and 95% CIs were calculated. Weighted multivariate logistic regression was performed to identify factors associated with having at least one STI (including HIV).ResultsBetween October 2017 and July 2018, 385 FSW participants were recruited, among whom 206 (53.5%) were IFSW and 179 (46.5%) were OFSW. The mean age was 31.4 years. Weighted HIV prevalence was 3.1% (95% CI 1.5 to 7.0). Weighted prevalence of other STIs was: 4.1% (95% CI 2.2 to 8.0) for NG, 8.8% (95% CI 5.9 to 13.0) for CT, 12.7% (95% CI 8.6 to 18.0) for TV, 13.9% (95% CI 9.9 to 19.0) for syphilis (lifetime contact) and 14.9% (95% CI 10.5 to 21.0) for MG. STI prevalence was significantly higher among OFSW for CT, TV and MG (p<0.001). In total, 43.2% of the participants had at least one HIV/STI. Factors associated with having HIV/STI were being an OFSW (OR 3.29; 95% CI 1.72 to 6.27); being registered in another Russian region (2.61 (95% CI 1.05 to 6.48)); having never been tested for HIV (2.51 (95% CI 0.98 to 6.41)) and having a low level of knowledge regarding HIV transmission (4.88 (95% CI 0.96 to 24.78)).ConclusionPrevalence of HIV and STIs was high among FSW in Moscow. OFSW were more vulnerable to STIs. There is an urgent need to tailor programmes for sexual and reproductive health for FSW in Russia.

Oro-anal sexual practice among female sex workers in Melbourne: implication for extragenital gonorrhoea and chlamydia transmission

Sexual Health ◽  
2020 ◽  
Vol 17 (3) ◽  
pp. 296 ◽  
Author(s):  
Eric P. F. Chow ◽  
Christopher K. Fairley
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Health Centre ◽  
Median Number ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Sex Worker ◽  
Female Sex ◽  
Male Clients ◽  
Sexually Transmissible Infections

Background The prevalence of sexually transmissible infections has been low among female sex workers (FSWs) in Melbourne, Australia. However, the prevalence of gonorrhoea and chlamydia, especially at extragenital sites, has increased since the mid-2010s. Oro-anal sex (i.e. rimming) has been identified as a risk factor for extragenital gonorrhoea and chlamydia. However, rimming has rarely been studied among the FSW population. The aim of this study was to examine the proportion of FSWs who had had rimming with their male clients. Methods: A cross-sectional survey among FSWs attending the Melbourne Sexual Health Centre in Australia in March 2018 was conducted. All females aged ≥18 years and self-reported as a sex worker were eligible. The survey included questions related to the number of insertive and receptive rimming partners with their male clients in an average working week. Results: Forty-five FSWs completed the survey; five (11.1%; 95% CI: 3.7–24.1%) FSWs had had insertive rimming and 19 (42.2%; 95% CI: 27.7–57.8%) had had receptive rimming with their male clients in an average working week. The median number of insertive rimming partners was two (interquartile range (IQR) 1–5) and the median number of receptive rimming partners was one (IQR 1–3). Conclusion: Insertive rimming is more commonly practiced than receptive rimming among FSWs with their male clients in an average working week.

Effects of periodic presumptive treatment on three bacterial sexually transmissible infections and HIV among female sex workers in Port Moresby, Papua New Guinea

Sexual Health ◽  
2011 ◽  
Vol 8 (2) ◽  
pp. 222 ◽  
Author(s):  
Eunice Bruce ◽  
Ludwina Bauai ◽  
Andrew Masta ◽  
Poyap J. Rooney ◽  
Michael Paniu ◽  
...  
Keyword(s):  
Sex Workers ◽  
Trichomonas Vaginalis ◽  
Female Sex Workers ◽  
Hiv Infections ◽  
Presumptive Treatment ◽  
Female Sex ◽  
Sexually Transmissible Infections ◽  
Low Incidence ◽  
Port Moresby

Background Sexually transmissible infections (STI) are common in female sex workers (FSW). Aim: To determine if 3-monthly periodic presumptive treatments (PPT) would reduce the prevalence of STI in FSW. Methods: In a cohort study conducted between November 2003 and September 2004, FSW were enrolled, counselled and interviewed. Informed consent was obtained. Testing by using polymerase chain reaction (PCR) for Chlamydia trachomatis (Ct), Neisseria gonorrhoeae (Ng) and Trichomonas vaginalis (Tv), and serology for HIV were performed at baseline and final follow-up visits. Each FSW received 3-monthly oral amoxicillin, probenecid, a combination of amoxicillin and clavulanic acid, and azithromycin. Tinidazole was administered once. Results: The cohort consisted of 129 FSW at baseline and 71 at final follow-up visit. Of these 71 FSW, there was a significant decline in the proportion with positive PCR results for Ct from 38% to 16% (P = 0.001), Ng from 56% to 23% (P = <0.001) and Tv from 62% to 30% (P = <0.001) between baseline and the final follow-up visit. HIV prevalence increased from 15% to 21% (P = 0.125). Conclusions: PPT was statistically effective in reducing STI but rates rebounded rapidly. Several new HIV infections occurred. If PPT is to be very effective in FSW where the prevalence of STI is so high, then 100% condom use with clients and regular sexual partners (RSP), and high rates of notification of RSP would be required if low incidence and prevalence of STI were to be achievable.

scholarly journals Sexual IPV and non-partner rape of female sex workers: findings of a cross-sectional community-centric national study in South Africa

2021 ◽  
pp. 100012
Author(s):  
Rachel Jewkes ◽  
Kennedy Otwombe ◽  
Kristin Dunkle ◽  
Minja Milovanovic ◽  
Khuthadzo Hlongwane ◽  
...  
Keyword(s):  
South Africa ◽  
Sex Workers ◽  
Female Sex Workers ◽  
National Study ◽  
Cross Sectional ◽  
Female Sex

scholarly journals Association between treatment for gonorrhoea and chlamydia and lower condom use in a cross-sectional study of female sex workers in southern India

BMJ Open ◽  
2016 ◽  
Vol 6 (5) ◽  
pp. e009774
Author(s):  
Marianne Legendre-Dugal ◽  
Janet Bradley ◽  
Subramanian Potty Rajaram ◽  
Catherine M Lowndes ◽  
Banadakoppa M Ramesh ◽  
...  
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Cross Sectional Study ◽  
Southern India ◽  
Sectional Study ◽  
Cross Sectional ◽  
Female Sex

scholarly journals Early sex work initiation and condom use among alcohol-using female sex workers in Mombasa, Kenya: a cross-sectional analysis

2016 ◽  
Vol 92 (8) ◽  
pp. 593-598 ◽  
Author(s):  
Angela M Parcesepe ◽  
Kelly L L'Engle ◽  
Sandra L Martin ◽  
Sherri Green ◽  
Chirayath Suchindran ◽  
...  
Keyword(s):  
Condom Use ◽  
Sex Work ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Cross Sectional ◽  
Female Sex ◽  
Cross Sectional Analysis ◽  
Sectional Analysis
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