Impact of a community sexually transmitted infection/HIV intervention project on female sex workers in five border provinces of Vietnam
| Autor: | Cao Thi Bao Van, Nigel O'Farrell, Knut Fylkesnes, Bui Hoang Duc, Peter Godwin, Nguyen Anh Tuan, Tran Phuc Hau, Nguyen Vu Thuong, Nguyen Thanh Long, Nguyen Thi Kim Tien, Khuu Van Nghia, Luong Thu Tram |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Sexually transmitted disease
Adult Adolescent Population Prevalence Sexually Transmitted Diseases HIV Infections Dermatology Health Promotion urologic and male genital diseases medicine.disease_cause Condoms Acquired immunodeficiency syndrome (AIDS) Medicine Humans education education.field_of_study Chlamydia Unsafe Sex business.industry Age Factors virus diseases HIV medicine.disease Sex Work Infectious Diseases Sexual Partners Vietnam Immunology Multivariate Analysis Health education Syphilis Female business Chlamydia trachomatis Demography |
| Zdroj: | Sexually transmitted infections. 83(5) |
| ISSN: | 1368-4973 |
| Popis: | To determine changes in the prevalence of sexually transmitted infection (STI)/HIV in female sex workers (FSWs) after a community HIV prevention intervention project in five border provinces of Vietnam.The project focused on providing user-friendly STI services for FSWs using mobile teams operating at multiple sites depending on local client preferences. 911 FSWs were enrolled at baseline and 982 in the exit survey. Study participants were interviewed about sociodemographic characteristics, sexual behaviour, history of STIs and selected features of their husbands or cohabiting partners, and were tested for STIs.The overall prevalence rates of HIV, syphilis, herpes simplex virus 2 (HSV-2) antibodies, gonorrhoea (GC), Chlamydia trachomatis (CT), and GC and/or CT among FSWs in the five border provinces in 2004 were 3.6%, 12.9%, 24.9%, 2.9%, 9.1% and 11.3%, respectively. Compared with baseline values, GC and/or CT decreased significantly from 19.9% to 11.3%, GC from 10.7% to 2.9% and CT from 11.9% to 9.1%. HIV decreased from 4.5% to 3.6%, and HSV-2 antibodies from 27.7% to 24.9%. After adjustment for possible confounders, a significant overall decrease in having GC and/or CT (OR = 0.46, 95% CI 0.33 to 0.65; p0.001) and GC alone (OR = 0.22, 95% CI 0.13 to 0.37; p0.001) was found, and the overall prevalence of syphilis increased significantly (OR = 1.55, 95% CI 1.11 to 2.17 p = 0.011). A marked increase in syphilis from 1.0% to 14.1% was identified in the Lai Chau province.Implementation of the project was associated with a reduction in GC and/or CT infections in FSWs, more so with GC than with CT. A notable increase in syphilis in Lai Chau was identified. HIV/STI interventions in FSWs can be implemented by government services and should be intensified and expanded to other provinces. |
| Databáze: | OpenAIRE |
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