The prevalence of sexually transmissible infections among female sex workers from countries with low and high prevalences in Melbourne

Sexual Health ◽  
2013 ◽  
Vol 10 (2) ◽  
pp. 142 ◽  
Author(s):  
Haiping Tang ◽  
Jane S. Hocking ◽  
Glenda Fehler ◽  
Hennriette Williams ◽  
Marcus Y. Chen ◽  
...  
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Health Centre ◽  
Sex Partners ◽  
Female Sex ◽  
Retrospective Data Analysis ◽  
Sexually Transmissible Infections ◽  
High Prevalence ◽  
Centre Database ◽  
Low Prevalence

Objectives To assess the proportion of female sex workers (FSWs) from low-prevalence (‘other’) and high-prevalence countries (HPCs) for sexually transmissible infections (STIs) in Melbourne. Methods: Retrospective data analysis from the Melbourne Sexual Health Centre database for February 2002–May 2011. Results: Some 1702 HPC FSWs, 2594 other FSWs and 13 644 nonFSW women were included, with 12 891 and 21 611 consultations, respectively, for HPC FSWs and other FSWs. Proportions of HPC FSWs with chlamydia (Chlamydia trachomatis) (4.2% v. 3.3%, P = 0.14), gonorrhoea (Neisseria gonorrhoeae) (0.24% v. 0.31%, P = 0.66) or trichomonas (0.65 v. 0.46, P = 0.42) at first visit were similar to those of other FSWs, but nonFSWs had a higher prevalence of chlamydia and gonorrhoea (P < 0.01). On return visits, chlamydia (1.2% v. 0.92%, P < 0.05) and gonorrhoea (0.29% v. 0.10%, P = <0.05) were more common in HPC FSWs than other FSWs. The presence of any of these STIs among FSWs was predicted by having private nonpaying partners in the last year (adjusted odds ratio (AOR): 1.99 (95% confidence interval (CI): 1.52–2.61)), having private partners from overseas (AOR: 1.69 (95% CI: 1.33–2.16)) and being a HPC FSW (AOR: 1.38 (95% CI: 1.12–1.72)). Injecting drug use was less common in HPC FSWs than in other FSWs (0.82% v. 16.54%, P < 0.0001). Conclusions: STI prevalence was low among FSWs from countries with high and low background STI. Among FSWs having private sex partners and private partners from overseas were the primary predictors for STIs.

Group sex events among female sex workers in Melbourne, Australia

Sexual Health ◽  
2020 ◽  
Vol 17 (6) ◽  
pp. 534
Author(s):  
Evelyn M. Turek ◽  
Christopher K. Fairley ◽  
Marjan Tabesh ◽  
Tiffany R. Phillips ◽  
Eric P. F. Chow
Keyword(s):  
Sexual Health ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Health Centre ◽  
Cross Sectional Survey ◽  
The Past ◽  
Female Sex ◽  
Increased Risk ◽  
Sexually Transmissible Infections ◽  
Group Sex

Background Group sex is associated with increased risk of HIV and sexually transmissible infections (STIs), but there is limited data on group sex among female sex workers (FSW). Understanding current group sex practices among FSW may assist with understanding and addressing the rise in STIs observed among Australian FSW in the 2010s. The aim of this study was to examine the proportion of FSWs who had engaged in group sex. Methods: A cross-sectional survey was conducted among FSWs attending the Melbourne Sexual Health Centre, Australia, between March and April 2019. Females aged ≥18 years who self-reported as a sex worker were invited to participate in the survey asking whether they had had group sex in the past 3 months. Group sex was defined as sex that involved two or more sexual partners. Results: Of the 51 FSWs who completed the survey, the median age was 29 years (IQR 24–34). Almost half (49%; n = 25) reported having group sex in the past 3 months, with a median number of group sex events of two (IQR 1–4). Australian-born FSW were more likely to report group sex than overseas-born FSW (76% vs 42%; P = 0.02). Age, number of paid clients and injecting drug use were not associated with group sex. Conclusion: The present study findings show that group sex is common among FSW and should be included in peer sexual health education and interventions among FSW.

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.

scholarly journals 0872 Correlates Of Restless Sleep Among Female Sex Workers In Baltimore, MD

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A332-A333
Author(s):  
G J Urquhart ◽  
A P Spira ◽  
J N Park ◽  
S G Sherman
Keyword(s):  
Substance Use ◽  
Sleep Quality ◽  
Food Insecurity ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Poor Sleep ◽  
Structural Vulnerability ◽  
The Past ◽  
Female Sex ◽  
High Prevalence

Abstract Introduction Sleep quality is understudied among street-based female sex workers (FSW), a population characterized by high rates of structural vulnerability. FSW may be at higher risk for poor sleep due to food and housing insecurity, violence, substance use and irregular work hours. We studied correlates of restless sleep in an urban, street-based risk environment. Methods Data are from a year-long observational prospective cohort study of street-based FSW (n=250) in Baltimore, MD. Baseline survey data, collected April 2016 to February 2017, included topics such as structural vulnerability, mental and physical health, substance use and lifetime violence. Sleep was measured with item 7 on the CES-D-10 Scale; respondents indicated how many days in the past week their sleep was restless (&lt; 1 day, 1-2 days, 3-4 days, 5-7 days). We conducted bivariate and multivariable logistic analysis to identify correlates of experiencing 5-7 days of restless sleep vs. fewer. Results Median age was 35 years. Most (66%) were Non-Hispanic White, 62% were homeless, 61% reported food insecurity, and 65% injected heroin. We documented a high prevalence of trauma; 81% reported lifetime sexual or physical violence by family members, intimate partners, paying clients, or police officers, and 62% screened positive for PTSD on the PCL-5 Checklist. 54% reported 5-7 days of restless sleep in the past week. Independent associations with frequent restless sleep included older age (age 35+ aOR: 2.67 [1.64-4.36]), food insecurity (aOR: 2.02 [1.42-2.88]), self-reported poor health (aOR: 3.98 [1.99-7.96]), and lifetime violence: a greater number of violent experiences corresponded with higher odds of restless sleep (1-2 vs. 0 experiences aOR: 2.38 [1.43-3.99], 3-4 vs. 0 experiences aOR: 3.67 [2.22-6.05]). Conclusion These data demonstrate high prevalence of restless sleep among street-based FSW with higher risk among those who experience intersecting vulnerabilities and multiple exposures to violence. Trauma-informed structural interventions may improve sleep quality among this population. Support This work was supported by the National Institute of Drug Research (R01DA038499-01).

scholarly journals Acceptability of microbicidal vaginal rings and oral pre-exposure prophylaxis for HIV prevention among female sex workers in a high-prevalence US city

AIDS Care ◽  
2017 ◽  
Vol 29 (11) ◽  
pp. 1453-1457 ◽  
Author(s):  
Sarah M. Peitzmeier ◽  
Catherine Tomko ◽  
Erin Wingo ◽  
Anne Sawyer ◽  
Susan G. Sherman ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Female Sex ◽  
High Prevalence ◽  
Vaginal Rings ◽  
Exposure Prophylaxis

Cross-sectional survey of Chinese-speaking and Thai-speaking female sex workers in Sydney, Australia: factors associated with consistent condom use

Sexual Health ◽  
2018 ◽  
Vol 15 (5) ◽  
pp. 389 ◽  
Author(s):  
Rosalind Foster ◽  
Lynne McCormack ◽  
Caroline Thng ◽  
Handan Wand ◽  
Anna McNulty
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Consistent Condom ◽  
Consistent Condom Use ◽  
Female Sex ◽  
Sexually Transmissible Infections ◽  
Vaginal Sex ◽  
Sydney Australia ◽  
Sex Practices

Background Previous studies have described inconsistent condom use in Chinese- and Thai-speaking female sex workers in Sydney, Australia. In the present study, we describe the demographics and safe sexual practices in the Chinese- and Thai-speaking female sex workers attending the Sydney Sexual Health Centre (SSHC) in 2014–15. Methods: A self-completed 60-item anonymous questionnaire, adapted from previous surveys conducted in 1993 and 2003, was translated into Chinese and Thai and administered to female sex workers attending the SSHC or seen on outreach. Results: In all, 488 surveys were distributed, of which 435 were returned; 43% in Chinese and 57% in Thai. Most women did not plan on sex work before their arrival in Australia. Compared with Chinese-speaking women, Thai-speaking women rated themselves higher on English language literacy, had better knowledge of the transmission of HIV and sexually transmissible infections (STIs) and were more likely to practice 100% condom use. Overall, 72% of the sex workers surveyed reported consistent condom use for vaginal sex at work. Conclusions: Consistent condom use for vaginal sex at work among Chinese- and Thai-speaking female sex workers has decreased slightly from that reported in a similar survey conducted by the SSHC in 2003, when 85% of sex workers reported consistent condom use. There are significant differences between Chinese- and Thai-speaking sex workers in terms of both knowledge and safer sex practices. Ongoing health promotion efforts should focus on providing culturally appropriate education around STIs and safe sex practices not only to workers, but also to parlour owners, managers and consumers.

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

2009 ◽  
Vol 2009 ◽  
pp. 1-11 ◽  
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.

Sexually transmitted infections among female sex workers in Tunisia: high prevalence of Chlamydia trachomatis

2010 ◽  
Vol 86 (7) ◽  
pp. 500-505 ◽  
Author(s):  
A. Znazen ◽  
O. Frikha-Gargouri ◽  
L. Berrajah ◽  
S. Bellalouna ◽  
H. Hakim ◽  
...  
Keyword(s):  
Chlamydia Trachomatis ◽  
Sexually Transmitted Infections ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Sexually Transmitted ◽  
Female Sex ◽  
High Prevalence
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