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 (Universitat Autònoma de Barcelona. Departament de Medicina)
Sadiq, S. Tariq (St George's University of London)
Márquez, Cynthia (Universidad Internacional de Ecuador)
Cooper, Philip (St George's University of London)
Furegato, Martina (St George's University of London)
Zhou, Liqing (St George's University of London)
Aranha, Luisa (Ministerio de Salud Pública de Ecuador)
Mateo, Miguel Martín (Grups de Recerca d'Amèrica i Àfrica Llatines- GRAAL (Barcelona, Catalunya))
Romero-Sandoval, Natalia (Universitat Autònoma de Barcelona. Departament de Medicina)

Data:	2021
Resum:	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. 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). 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). 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.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Publicat a:	PloS one, Vol. 16 (may 2021) , ISSN 1932-6203

DOI: 10.1371/journal.pone.0250117
PMID: 33956840

9 p, 547.6 KB

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