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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...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2021
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Materias: | |
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. |
format | Online Article Text |
id | pubmed-8101946 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
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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