Sexually Transmitted Infection Risks and Symptoms Heightened Among Female Sex Workers who Started Selling Sex Before the Age of 18 in Five Cities in Cameroon.

Autor: Grosso A; Institute for Health, Health Care Policy and Aging Research, Rutgers University, 112 Paterson Street, New Brunswick, NJ, 08901, USA. agrosso@ifh.rutgers.edu., Bowring AL; Department of Epidemiology, Johns Hopkins University, 615 N Wolfe , MD, Baltimore, 21205, USA.; Burnet Institute, 85 Commercial Road, Melbourne, VIC, 3004, Australia., Njindam IM; Department of Epidemiology, Johns Hopkins University, 615 N Wolfe , MD, Baltimore, 21205, USA., Decker MR; Department of Population, Family, and Reproductive Health, Johns Hopkins University, 615 N Wolfe St Baltimore, MD, Baltimore, 21205, USA., Lyons C; Department of Epidemiology, Johns Hopkins University, 615 N Wolfe , MD, Baltimore, 21205, USA., Rao A; Department of Epidemiology, Johns Hopkins University, 615 N Wolfe , MD, Baltimore, 21205, USA., Tamoufe U; Metabiota, Avenue Mvog-Fouda Ada, Av 1.085, Carrefour Intendance BP, Yaoundé, 15939, Cameroon., Fako GH; Care and Health Program, Yaoundé, Cameroon., Fouda G; CARE Cameroon, Villa La Rose (3è étage, Av. Churchill, Yaoundé, Cameroon., Levitt D; CARE USA, 115 Broadway, 5th floor, New York, NY, 10006, USA.; FHI 360, New York, United States., Turpin G; Department of Epidemiology, Johns Hopkins University, 615 N Wolfe , MD, Baltimore, 21205, USA., Billong SC; Groupe Technique Central, CNLS, Rue Henri Dunant, Yaoundé, Cameroon., Zoung-Kanyi Bissek AC; Department of Operational Research, Ministry of Health, Quartier du Lac Road, Yaoundé, 3038, Cameroon., Njoya O; Department of Internal Medicine, Yaoundé University Hospital Center, Joseph Tchooungui Akoa, Yaoundé, Cameroon., Baral S; Department of Epidemiology, Johns Hopkins University, 615 N Wolfe , MD, Baltimore, 21205, USA.
Jazyk: angličtina
Zdroj: AIDS and behavior [AIDS Behav] 2024 Mar; Vol. 28 (3), pp. 898-906. Date of Electronic Publication: 2023 Oct 16.
DOI: 10.1007/s10461-023-04196-9
Abstrakt: Many adolescents under 18 years old who sell sex are at elevated risk for sexually transmitted infection (STI) acquisition, which may persist into adulthood. There has been limited study of the burden of the risks and vulnerabilities among women who started selling sex as adolescents across Sub-Saharan Africa. In this study, a Adult female sex workers (FSW) recruited through respondent-driven sampling in five cities in Cameroon from December 2015 to October 2016 completed a questionnaire and human immunodeficiency virus (HIV) and syphilis testing. Multivariable logistic regression analysis controlling for age was used to identify factors associated with reporting selling sex before age 18. Selling sex before age 18 was reported by 11.5% (256/2,220) of FSW. Initiation of selling sex as an adolescent was positively associated with experiencing dysuria (adjusted odds ratio [aOR]:1.50, 95% confidence interval [CI]:1.08-2.10) or genital warts (aOR:1.78, 95% CI:1.08-2.94) and negatively associated with prior recent testing for HIV (aOR:0.71, 95% CI:0.53-0.96) or STIs (aOR:0.65, 95% CI:0.44-0.96). Consistent condom use with clients was negatively associated with early initiation of selling sex (aOR:0.58, 95% CI:0.42-0.80), while experience of recent sexual violence was positively associated with early initiation (aOR:1.74, 95% CI:1.15-2.63). There were no independent significant differences in HIV (24.5%) or syphilis (8.3%) prevalence. Given the limited use of HIV and STI testing services by women who sold sex as adolescents, the prevalence of forced sex, condomless sex, and STI symptoms were high. Programs serving FSW should more vigorously aim to serve adolescents and adults who began selling sex early.
(© 2023. The Author(s).)
Databáze: MEDLINE
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