Trends in sexual behaviour and the incidence of sexually transmitted diseases and HIV among drug-using prostitutes, Amsterdam 1986–1992

Ameijden, E. J. Van; Hoek, A. A. R. Van Den; Haastrecht, H J van; Coutinho, Roel A.

doi:10.1097/00002030-199402000-00009

Cited by 15 publications

(3 citation statements)

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“…18 Therefore, the implementation of these strategies should be thoroughly pursued among those IDU female sex workers and those with IDU sexual partners in our area, in addition to regular HIV testing and counselling which has also been shown to be eVective among drug using prostitutes. 19 A general problem with estimates of relative risks in this study is the wide confidence intervals owing to the relatively small number of HIV seroconverted women, particularly in some multivariate analyses. In spite of this problem, statistical significance was reached for the main interest variables because of the very strong eVects.…”

Section: Discussionmentioning

confidence: 95%

Prospective cohort study of female sex workers and the risk of HIV infection in Alicante, Spain (1986-96).

et al. 1998

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Objective: To measure the incidence of HIV infection over a 10 year follow up in a cohort of female commercial sex workers in Alicante (Spain), and to determine factors associated with high risk of infection. Methods: A prospective cohort study was carried in an AIDS information and prevention centre in Alicante, Spain. Of the 1388 female sex workers who initially sought the services of the centre since September 1986, 657 completed at least one additional follow up visit before December 1996. Main outcome measures were infection with HIV-1 and reported risk behaviours. Results: During 1815 person years of observation among 657 female sex workers who were free of HIV infection (negative test), 16 women developed the HIV infection (incidence rate of HIV infection = 8.8 cases/1000 woman years, 95% confidence interval (CI): 5.4-14.4). Reported current use of injecting drugs at the first visit was associated with an increased risk of HIV infection (relative risk, RR=12.87, 95%CI: 4.81-34.15) as well as having an usual partner with injecting drug addiction (RR=20.89, 95%CI: 7.44-58.70). Infection also was associated with younger age (RR for 1 year=0.86, 95%CI: 0.76-0.96). After multivariate adjustment using Poisson regression analysis, the factors that remained significantly associated with the risk of HIV infection were current use of injecting drugs (RR= 4.61, 95%CI: 1.37-15.46), and having a usual partner with injecting drug addiction (RR=10.08, 95%CI: 2.94-34.57). There was also some evidence that a younger age could be related to infection. Conclusion: These data suggest that the risk of HIV infection among this cohort of female sex workers in Alicante is predominately associated with the use of injecting drugs, and having a regular partner with injecting drug addiction. An increasing number of clients did not play a role in the risk of infection. (Sex Transm Inf 1998;74:284-288)

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Section: Discussionmentioning

confidence: 95%

Prospective cohort study of female sex workers and the risk of HIV infection in Alicante, Spain (1986-96).

et al. 1998

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“…[3][4][5][6] However, self-reported STI has questionable accuracy, and underreporting is commonly seen, particularly in high-risk populations. 7 The underreporting of STI may result from a number of factors: patients were not tested and were unaware of any symptoms or diagnosis, especially asymptomatic STI; patients were tested but unaware of the diagnosis because the results were not received or not understood; and patients were tested and aware of the diagnosis but did not report it.…”

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confidence: 99%

Factors Associated with Sexually Transmitted Infection Underreporting Among Female Sex Workers in China

Hong

Fang

Zhou

et al. 2011

Journal of Women's Health

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Objective: To examine the underreporting of sexually transmitted infections (STI) (i.e., no STI by self-report but have at least one STI through biological testing or clinical examination) and factors associated with underreporting among female sex workers (FSWs) in China. Methods: A total of 454 FSWs were recruited from entertainment establishments in a rural county of Guangxi, China. Participants completed a self-administered survey about their demographic and working characteristics, history of STI (past or current infections), sexual history and practices, and HIV=STI-related knowledge and perceptions; 411 of the sample were also tested for syphilis, Neisseria gonorrheae, Chlamydia, Trichomonas, and genital warts. Conclusions: Underreporting of STI was prevalent in FSWs, especially among women with perceived lower STI risks. The underreporting might be largely due to their perception of low risks for STI and unawareness of STI symptoms (including asymptomatic STIs). Future studies of FSWs should identify those new in commercial sex with lower STI awareness and perceived risks and encourage them to seek timely and appropriate testing and treatment.

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“…Thirdly, since recruitm ent for the cohort has focused on low threshold methadone maintenance clients being served by the Municipal Health Service, it leans rather heavily on the m ore ill-adapted opiate dependents; the well-adapted being served by general practitioners. 34 Although the cohort has been followed for a number of years and reductions in risk behaviour have been docum ented, 35,36 residual levels of risk behaviour remain high, as evidenced by continuously high HIV incidence rates of 2± 3 new infections per 100 person-years in recent years. 33 It is clear, furtherm ore, that the cohort in general consists of highly experienced drug users with a long (injecting) drug use history and a rich detention experience as well (more than 3 years on average).…”

Section: Discussionmentioning

confidence: 99%

High rates of drug use, but low rates of HIV risk behaviours among injecting drug users during incarceration in Dutch prisons

Haastrecht¹,

Anneke²,

Hoek³

1998

Addiction

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Trends in sexual behaviour and the incidence of sexually transmitted diseases and HIV among drug-using prostitutes, Amsterdam 1986–1992

Cited by 15 publications

References 0 publications

Prospective cohort study of female sex workers and the risk of HIV infection in Alicante, Spain (1986-96).

Prospective cohort study of female sex workers and the risk of HIV infection in Alicante, Spain (1986-96).

Factors Associated with Sexually Transmitted Infection Underreporting Among Female Sex Workers in China

High rates of drug use, but low rates of HIV risk behaviours among injecting drug users during incarceration in Dutch prisons

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