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Sexually transmitted infections and factors associated with risky sexual practices among female sex workers: A cross sectional study in a large Andean city

BACKGROUND: There are limited published data on factors related to risky sexual practices (RSP) affecting sexually transmitted infections (STIs) among female sex workers (FSWs) in Ecuador. METHODS: Cross-sectional study of FSWs presenting for a consultation in a primary health care centre during 201...

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Autores principales: Llangarí-Arizo, Luz Marina, Sadiq, S. Tariq, Márquez, Cynthia, Cooper, Philip, Furegato, Martina, Zhou, Liqing, Aranha, Luisa, Mateo, Miguel Martín, Romero-Sandoval, Natalia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8101946/
https://www.ncbi.nlm.nih.gov/pubmed/33956840
http://dx.doi.org/10.1371/journal.pone.0250117
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author Llangarí-Arizo, Luz Marina
Sadiq, S. Tariq
Márquez, Cynthia
Cooper, Philip
Furegato, Martina
Zhou, Liqing
Aranha, Luisa
Mateo, Miguel Martín
Romero-Sandoval, Natalia
author_facet Llangarí-Arizo, Luz Marina
Sadiq, S. Tariq
Márquez, Cynthia
Cooper, Philip
Furegato, Martina
Zhou, Liqing
Aranha, Luisa
Mateo, Miguel Martín
Romero-Sandoval, Natalia
author_sort Llangarí-Arizo, Luz Marina
collection PubMed
description BACKGROUND: There are limited published data on factors related to risky sexual practices (RSP) affecting sexually transmitted infections (STIs) among female sex workers (FSWs) in Ecuador. METHODS: Cross-sectional study of FSWs presenting for a consultation in a primary health care centre during 2017. A questionnaire was administered to collect information on RSP and potential risk factors including age, membership of an FSW association, self-report of previous STI diagnosis, previous treatment for suspected STI and temporary migration for sex work. Associations between RSP and potential risk factors were estimated by logistic regression. The proportion of STI was estimated from vaginal swabs by real-time PCR for four sexually transmitted pathogens (Neisseria gonorrhoeae, Trichomonas vaginalis, Chlamydia trachomatis, and Mycoplasma genitalium). RESULTS: Of 249 FSWs recruited, 22.5% had reported RSPs at least once during sex work. Among FSWs reporting unprotected vaginal sex in the previous three months, 25.5% had at least one other RSP type. 17.6% (95%CI 13.3–22.8) had at least one active STI. Prevalence of co-infections was 2.4% (95%CI 1.1–5.2). In multivariable analysis, RSP was associated with age (adjusted OR 1.06; 95%CI 1.02–1.10), membership of an FSWs association (aOR 3.51; 95%CI 1.60–7.72) and self-reported previous STI (aOR 3.43; 95%CI 1.28–9.17). CONCLUSIONS: Among a population of female sex workers with high proportion of STIs, increasing age and belonging to an FSWs association was associated with a higher likelihood of engaging in RSP with clients. Engaging with FSWs organisations may reduce the burden of STI among sex workers.
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spelling pubmed-81019462021-05-17 Sexually transmitted infections and factors associated with risky sexual practices among female sex workers: A cross sectional study in a large Andean city Llangarí-Arizo, Luz Marina Sadiq, S. Tariq Márquez, Cynthia Cooper, Philip Furegato, Martina Zhou, Liqing Aranha, Luisa Mateo, Miguel Martín Romero-Sandoval, Natalia PLoS One Research Article BACKGROUND: There are limited published data on factors related to risky sexual practices (RSP) affecting sexually transmitted infections (STIs) among female sex workers (FSWs) in Ecuador. METHODS: Cross-sectional study of FSWs presenting for a consultation in a primary health care centre during 2017. A questionnaire was administered to collect information on RSP and potential risk factors including age, membership of an FSW association, self-report of previous STI diagnosis, previous treatment for suspected STI and temporary migration for sex work. Associations between RSP and potential risk factors were estimated by logistic regression. The proportion of STI was estimated from vaginal swabs by real-time PCR for four sexually transmitted pathogens (Neisseria gonorrhoeae, Trichomonas vaginalis, Chlamydia trachomatis, and Mycoplasma genitalium). RESULTS: Of 249 FSWs recruited, 22.5% had reported RSPs at least once during sex work. Among FSWs reporting unprotected vaginal sex in the previous three months, 25.5% had at least one other RSP type. 17.6% (95%CI 13.3–22.8) had at least one active STI. Prevalence of co-infections was 2.4% (95%CI 1.1–5.2). In multivariable analysis, RSP was associated with age (adjusted OR 1.06; 95%CI 1.02–1.10), membership of an FSWs association (aOR 3.51; 95%CI 1.60–7.72) and self-reported previous STI (aOR 3.43; 95%CI 1.28–9.17). CONCLUSIONS: Among a population of female sex workers with high proportion of STIs, increasing age and belonging to an FSWs association was associated with a higher likelihood of engaging in RSP with clients. Engaging with FSWs organisations may reduce the burden of STI among sex workers. Public Library of Science 2021-05-06 /pmc/articles/PMC8101946/ /pubmed/33956840 http://dx.doi.org/10.1371/journal.pone.0250117 Text en © 2021 Llangarí-Arizo et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Llangarí-Arizo, Luz Marina
Sadiq, S. Tariq
Márquez, Cynthia
Cooper, Philip
Furegato, Martina
Zhou, Liqing
Aranha, Luisa
Mateo, Miguel Martín
Romero-Sandoval, Natalia
Sexually transmitted infections and factors associated with risky sexual practices among female sex workers: A cross sectional study in a large Andean city
title Sexually transmitted infections and factors associated with risky sexual practices among female sex workers: A cross sectional study in a large Andean city
title_full Sexually transmitted infections and factors associated with risky sexual practices among female sex workers: A cross sectional study in a large Andean city
title_fullStr Sexually transmitted infections and factors associated with risky sexual practices among female sex workers: A cross sectional study in a large Andean city
title_full_unstemmed Sexually transmitted infections and factors associated with risky sexual practices among female sex workers: A cross sectional study in a large Andean city
title_short Sexually transmitted infections and factors associated with risky sexual practices among female sex workers: A cross sectional study in a large Andean city
title_sort sexually transmitted infections and factors associated with risky sexual practices among female sex workers: a cross sectional study in a large andean city
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8101946/
https://www.ncbi.nlm.nih.gov/pubmed/33956840
http://dx.doi.org/10.1371/journal.pone.0250117
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