Part time female sex workers in a suburban community in Kenya: a vulnerable hidden population.

Autor: Hawken, M.P., Melis, R.D.J., Ngombo, D.T., Mandaliya, K., Ng'ang'a, L.W., Price, J., Dallabetta, G., Temmerman, M.
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Zdroj: Sexually Transmitted Infections; Aug2002, Vol. 78 Issue 4, p271-273, 3p, 2 Charts
Abstrakt: Background: In sub-Saharan Africa, female sex workers (FSWs) are a vulnerable high risk group for the acquisition and transmission of sexually transmitted infections (STI) and HIV.Objectives: To study parameters of sexual behaviour and knowledge of STI and HIV, to describe health seeking behaviour related to STI, and to measure the prevalence of gonorrhoea, chlamydia, syphilis, and HIV-1, to provide baseline data for targeted STI and HIV prevention interventions.Methods: In a cross sectional survey with snowballing recruitment, between February and March 2000, 503 self identified FSWs in a suburb in Mombasa, Kenya, were interviewed with a structured questionnaire and screened for gonorrhoea, chlamydia, syphilis, and HIV-1.Results: The mean number of sexual partners in the previous week was 2.8 (SD 1.6). The mean number of non-regular clients and regular clients in the previous week was 1.5 (1.0) and 1.0 (0.9) respectively. The median weekly income from sex work was $US15. A total of 337 (67%) women had an alternative income in the informal sector. 146 (29%) and 145 (45%) never used a condom with a client and non-paying partner respectively. The prevalence of gonorrhoea, chlamydia, and syphilis was 1.8%, 4.2%, and 2.0% respectively. The overall HIV-1 seroprevalence was 30.6%.Conclusions: There is a large need for intensive STI and HIV prevention interventions in part time FSW. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index