Arid
DOI10.1097/OLQ.0b013e31818d64e6
Sex work, Syphilis, and Seeking Treatment: An Opportunity for Intervention in HIV Prevention Programming in Karnataka, South India
Mishra, Sharmistha1; Moses, Stephen2,3; Hanumaiah, Prakash K.4; Washington, Reynold2,4,5; Alary, Michel6; Ramesh, B. M.2,4; Isac, Shajy4; Blanchard, James F.2,3
通讯作者Mishra, Sharmistha
来源期刊SEXUALLY TRANSMITTED DISEASES
ISSN0148-5717
出版年2009
卷号36期号:3页码:157-164
英文摘要

Objectives: To measure the determinants of syphilis among female sex workers (FSWs) in the state of Karnataka, South India.


Methods: During 2004-2006, cross- sectional surveys were administered to 23 12 FSWs across 5 districts in the state, in the context of a large-scale HIV preventive intervention program. Demographic and behavioral information. and serum (for syphilis, HSV-2 and HIV) and urine specimens (for Neisseria gonorrhoeae and Chlamydia trachomatis) were obtained.


Results: The prevalences of lifetime (TPHA positive) and active (RPR and TPHA positive) syphilis were 25.3% and 9.6%, respectively. There was considerable variation in the prevalence between districts. ranging from 10.9% to 37.4% lifetime, and 3.4% to 24.9% active infection. Factors associated with lifetime syphilis were older age, longer duration of sex work. illiteracy, client volume, practising sex work in > 1 city. and sex work typology (public solicitation followed by brothel or lodge-based sex). The same typology. client volume. illiteracy, and having been widowed. divorced or deserted, were predictive of active infection. Of the 976 women who had symptoms of an STI. 78.8% had sought medical treatment, behavior that was protective for both outcomes. HIV infection was strongly associated with lifetime (OR 2.0; 95% CI: 1.6-2.6) and active syphilis (OR 2.1; 95% CI: 1.5-2.9).


Conclusions: Despite reasonable treatment-seeking behavior, the high prevalence of syphilis has necessitated enhanced outreach efforts for FSWs and acceleration of the implementation of syphilis screening. Mobilizing resources to enhance syphilis control will not only reduce the burden of syphilis morbidity, but should impact in reducing HIV transmission.


类型Article
语种英语
国家Canada ; India
收录类别SCI-E
WOS记录号WOS:000263728900007
WOS关键词SEXUALLY-TRANSMITTED INFECTIONS ; HUMAN-IMMUNODEFICIENCY-VIRUS ; RISK BEHAVIORS ; PREVALENCE ; SEROCONVERSION ; PROVINCES ; ALCOHOL ; MUMBAI ; ADULTS ; MEN
WOS类目Infectious Diseases
WOS研究方向Infectious Diseases
资源类型期刊论文
条目标识符http://119.78.100.177/qdio/handle/2XILL650/162587
作者单位1.Univ Toronto, Dept Med, Toronto, ON, Canada;
2.Univ Manitoba, Dept Community Hlth Sci, Winnipeg, MB R3T 2N2, Canada;
3.Univ Manitoba, Dept Med Microbiol, Winnipeg, MB R3T 2N2, Canada;
4.Karnataka Hlth Promot Trust, Bangalore, Karnataka, India;
5.St Johns Med Coll & Hosp, Bangalore, Karnataka, India;
6.Ctr Hosp Affilie Univ Quebec, Populat Hlth Res Unit, Quebec City, PQ, Canada
推荐引用方式
GB/T 7714
Mishra, Sharmistha,Moses, Stephen,Hanumaiah, Prakash K.,et al. Sex work, Syphilis, and Seeking Treatment: An Opportunity for Intervention in HIV Prevention Programming in Karnataka, South India[J],2009,36(3):157-164.
APA Mishra, Sharmistha.,Moses, Stephen.,Hanumaiah, Prakash K..,Washington, Reynold.,Alary, Michel.,...&Blanchard, James F..(2009).Sex work, Syphilis, and Seeking Treatment: An Opportunity for Intervention in HIV Prevention Programming in Karnataka, South India.SEXUALLY TRANSMITTED DISEASES,36(3),157-164.
MLA Mishra, Sharmistha,et al."Sex work, Syphilis, and Seeking Treatment: An Opportunity for Intervention in HIV Prevention Programming in Karnataka, South India".SEXUALLY TRANSMITTED DISEASES 36.3(2009):157-164.
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