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Drug use and syphilis. Co-factors for HIV transmission among commercial sex workers in Guyana
Persaud, N. E; Klaskala, W; Tewari, T; Shultz, J; Baum, M.
  • Persaud, N. E; Ministry of Health. GY
  • Klaskala, W; s.af
  • Tewari, T; s.af
  • Shultz, J; s.af
  • Baum, M; s.af
West Indian med. j ; 48(2): 52-56, Jun. 1999.
Artículo en Inglés | LILACS | ID: lil-473112
ABSTRACT
A cross-sectional survey was conducted among 124 street- and brothel-based female commercial sex workers (CSWs) in Georgetown in January and February 1997 to determine the seroprevalence of human immunodeficiency virus (HIV) infection and describe the sexual practices and drug use patterns. Their median age was 30 years (range 17 to 52 years). 119 (88) reported regular alcohol consumption while looking for clients, 27 (22) said they smoked cocaine and 51 (42) reported use of marijuana. Street-based CSWs were significantly more likely to report marijuana use (p = 0.033). 72reported that they never used condoms with regular sex partners and 35reported that they never used condoms with clients. Brothel-based women were significantly more likely to report consistent condom use with their clients (p = 0.05). 46(54/118) tested HIV positive and 28(33/118) had a positive serological test for syphilis. Factors that were significantly associated with HIV infection included a positive serological test for syphilis (OR = 7.56; 95CI = 2.7-21.97; p < 0.01) and a history of having received treatment for syphilis (OR = 2.93; 95CI = 1.12-7.8). Weak associations were also found between HIV infection and a history of cocaine use (OR = 2.57; 95CI = 0.95-7.11; p = 0.039); having more than four clients per night (OR = 5.14; 95CI = 1.65-16.74; p = 0.04); and a history of receiving treatment for salpingitis (OR = 2.31; 95CI = .93-5.75; p = 0.0035). No statistically significant association was found between HIV infection and marijuana use nor any sociodemographic variables (age, place of work, and duration of sex work). There is an urgent need for a community based behavioural intervention programme targetting this high risk population.
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Índice: LILACS (Américas) Asunto principal: Trabajo Sexual / Sífilis / Infecciones por VIH / Trastornos Relacionados con Sustancias Tipo de estudio: Estudio diagnóstico / Estudio de etiología / Estudio observacional / Estudio de prevalencia / Factores de riesgo Límite: Adolescente / Adulto / Femenino / Humanos País/Región como asunto: America del Sur / Caribe Inglés / Guyana Idioma: Inglés Revista: West Indian med. j Asunto de la revista: Medicina Año: 1999 Tipo del documento: Artículo País de afiliación: Guyana Institución/País de afiliación: Ministry of Health/GY

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Índice: LILACS (Américas) Asunto principal: Trabajo Sexual / Sífilis / Infecciones por VIH / Trastornos Relacionados con Sustancias Tipo de estudio: Estudio diagnóstico / Estudio de etiología / Estudio observacional / Estudio de prevalencia / Factores de riesgo Límite: Adolescente / Adulto / Femenino / Humanos País/Región como asunto: America del Sur / Caribe Inglés / Guyana Idioma: Inglés Revista: West Indian med. j Asunto de la revista: Medicina Año: 1999 Tipo del documento: Artículo País de afiliación: Guyana Institución/País de afiliación: Ministry of Health/GY