Prevalence and correlates of HIV infection and sexually transmitted infections in female sex workers (FSWs) in Shanghai, China

Abstract

In 2009, we examined HIV and sexually transmitted infections (STIs) in 750 female sex workers (FSWs) in Shanghai using a cross-sectional survey. Participants (mean age 27 years) were interviewed and tested for HIV and selected STIs. Prevalence was: HIV 0·13%, chlamydia 14·7%, gonorrhoea 3·5% and syphilis 1·3%. In a demographic multivariate model, younger age, higher income and originating from provinces other than Zhejiang and Shanghai were independently associated with STI. In a social and sexual behavioural model, women working in small venues with fewer clients per week, use of drugs, and higher price charged per sex act indicated a greater risk for STI. Although HIV appears rare in Shanghai FSWs, chlamydial infection is common, especially in women aged <25 years (prevalence 19·6%). Since STI and HIV share similar risk factors, preventive intervention measures should be implemented immediately based on the venues and characteristics of FSWs to prevent future spread of HIV.

Syphilis of prevalence in women sex professionals: integrative review / Prevalência de sífilis em mulheres profissionais do sexo: revisão integrativa / La prevalencia de sífilis en las mujeres profesionales del sexo: revisión integradora

“…Categoria temática Síntese do conhecimento (n=17) Caracterização da MPS Os artigos mostram as características da MPS em relação aos aspectos sociodemográficos (idade, local de atuação, valor do programa) e comportamentais (início da atividade sexual, uso de drogas, número de parceiros sexuais, tipo de prática, tipo de parceria (fixo ou casual) (3)(4)10,12,18) . Prevalência de Sífilis, fatores associados e coinfecção A prevalência de sífilis variou de 0,1% a 35,4% (1-2-3-4-8-9-10-11-12-13- 14-15-16-17-18-19) .…”

“…A presença de infecções por sífilis, também, pode estar associada a outras infecções como clamídia 7% e gonorréia 3,5% em 7500 MPS na China (4) . Pesquisa nacional realizada no sudeste do país, mostrou que 102 MPS obtiveram uma prevalência de IST de 71,6%, sendo que os maiores valores encontrados foram para o HPV 67,7% e infecção clamidiana 20,5% (20) .…”

“…Assim sendo, a dimensão territorial do Brasil, suas diferenças regionais, e que ainda não há estudos sobre a magnitude de sífilis no município de Teresina-PI, o estudo torna-se relevante, pela possibilidade de maior visibilidade dessa problemática no mundo, e dessa forma despertar o interesse de profissionais de saúde para a elaboração de práticas de promoção e prevenção da infecção com vistas a contribuir para um tratamento precoce e redução de novos agravos nessa população. O controle dessa infecção pode refletir na redução e propagação futura do HIV (4) .…”

Overview of Achievements and Challenges of the Fight against AIDS in China

“…In the meantime, there were 7335 clinics to serve Voluntary Counseling Testing (VCT) and 1,630,926 received counseling, of them 1,605,079 were tested for HIV antibody. Specifically, since 2005 the Ministry of Health in China cooperated with UNAIDS, WHO, US CDC, and other international organizations to jointly release "Update on the HIV Epidemic and Response in China" every two years, from which according to the estimation of HIV/AIDS the cumulative number of PLHIV was 650,000 in 2005, 700,000 in 2007, 740,000 in 2009, and 780,000 in 2011, respectively [12][13][14][15][16][17][18][19].…”

Bias in Self-Reported Condom Use: Association Between Over-Reported Condom Use and Syphilis in a Three-Site Study in China

“…Previous studies have documented that a majority of older HIV/STI cases in China reported a history of commercial sex with mid-age female sex workers (FSWs) who were over 35 years [30, 31]. Research in China and other developing countries have examined the epidemic of syphilis and its potential determinants among predominantly young FSWs who are younger than 35 years [32–34]. However, findings from these studies may not apply to mid-age FSWs as they may have different behavioral risk factors for HIV/STIs.…”