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      Prevalence of sexually transmitted diseases in female sex workers in a city in the interior of São Paulo, Brazil Translated title: Prevalencia de enfermedades sexualmente transmisibles en mujeres profesionales del sexo en un municipio del interior del estado de Sao Paulo, Brasil Translated title: Prevalência de doenças sexualmente transmissíveis em mulheres profissionais do sexo, em um município do interior paulista, Brasil

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          Abstract

          Changes in the profile of sexually transmitted diseases have increased the need for their detection, particularly where there is a concentration of individuals with risk behavior, so that diagnosis and immediate treatment can be translated in the reduction of resulting problems. The objective was to identify the prevalence of sexually transmitted diseases in female sex workers in a medium-sized city in São Paulo state. This population prevalence study was conducted in 2008 on 102 females. The prevalence was 71.6%. When considered separately and in association, the highest values found were: HPV (67.7%) and Chlamydia (20.5%). HPV typing showed oncogenic genotypes. The prevalence of syphilis was 4.0% and of trichomoniasis 3.0%. No cases of hepatitis B or gonorrhea were identified. It was concluded that the prevalence of sexually transmitted diseases in the studied group was high, since approximately two thirds of the women showed some type of disease under this classification.

          Translated abstract

          Cambios en el perfil de las enfermedades sexualmente transmisibles han ampliando la necesidad de su seguimiento, especialmente donde existe concentración de personas o grupos con comportamientos de riesgo, para que el diagnóstico y tratamiento inmediato se traduzcan en reducción de los problemas causados. El objetivo fue identificar la prevalencia de enfermedad sexualmente transmisible entre mujeres profesionales del sexo de un municipio de porte medio del interior del estado de Sao Paulo. Este estudio de prevalencia poblacional fue realizado en el año de 2008 con 102 profesionales del sexo. La prevalencia general de enfermedad sexualmente transmisible fue 71,6%. Considerados aisladamente y en asociación, los mayores valores encontrados fueron: VPH (67,7%) e infección clamidiana (20,5%). El tipaje del VPH evidenció genotipos oncogénicos. La prevalencia de sífilis fue de 4,0% y de tricomoníasis 3,0%. Ningún caso de hepatitis B o gonorrea fue identificado. Se concluye que la prevalencia de enfermedad sexualmente transmisible fue elevada, ya que aproximadamente dos tercios de las mujeres presentaban alguna enfermedad de ese tipo.

          Translated abstract

          Mudanças no perfil das doenças sexualmente transmissíveis têm ampliado a necessidade de seu rastreamento, especialmente onde existe concentração de pessoas ou grupos com comportamentos de risco, para que o diagnóstico e tratamento imediato se traduzam na redução dos problemas causados. Objetivou-se identificar a prevalência de doença sexualmente transmissível entre mulheres profissionais do sexo, de município de médio porte do interior paulista. Este estudo de prevalência populacional foi realizado no ano 2008 com 102 profissionais do sexo. A prevalência geral de doença sexualmente transmissível foi 71,6%. Considerados isoladamente e em associação, os maiores valores encontrados foram: HPV (67,7%) e infecção clamidiana (20,5%). A tipagem do HPV evidenciou genótipos oncogênicos. A prevalência de sífilis foi de 4,0% e de tricomoníase 3,0%. Nenhum caso de hepatite B ou gonorreia foi identificado. Conclui-se que a prevalência de doença sexualmente transmissível foi elevada, pois, aproximadamente dois terços das mulheres, apresentavam alguma doença assim classificada.

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          Decline in the prevalence of HIV and sexually transmitted diseases among female sex workers in Cotonou, Benin, 1993-1999.

          Within an ongoing HIV/STD prevention project aimed at female sex workers (FSW) in Cotonou, Benin, we evaluated time trends in HIV and STD prevalences from 1993 to 1999. Three serial cross-sectional surveys were conducted in 1993 (n = 374), 1995-1996 (n = 365), and 1998-1999 (n = 591). A questionnaire was administered to the FSW and they were screened for HIV, syphilis, Neisseria gonorrhoeae, and Chlamydia trachomatis. The mean percentage of condom use with clients in the week preceding the interview increased from 62.2% in 1993 to 80.7% in 1998-1999 (P = 0.0001). The prevalence of all infections decreased significantly (all P < 0.02; chi-square for trend) over time: HIV from 53.3% in 1993 to 40.6% in 1998-1999; syphilis from 8.9 to 1.5%; gonorrhoea from 43.2 to 20.5%; and chlamydia from 9.4 to 5.1%. However, the mean age of FSW decreased from 31.0 to 28.4 years between 1993 and 1998-1999. Moreover, the country of origin of these women changed dramatically over time: the proportion of Ghanaian women decreased from 66.3% in 1993 to 21.6% in 1998-1999 when the predominant group became Nigerian (38.0%). When controlling for age and country of origin, HIV prevalence was stable over time (P = 0.71), whereas the downward trend remained significant for syphilis and gonorrhoea (both P < 0.001), and was present but not significant for chlamydia (P = 0.13). These data suggest that the time trends in HIV and STD prevalences are partly due to the changing sex work milieu, but that the intervention also had an impact. Prevention programmes aimed at FSW should be highly prioritized.
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            Devising a female sex work typology using data from Karnataka, India.

            We examine the extent to which an existing sex work typology captures human immunodeficiency virus (HIV) risk in Karnataka and propose a systematic approach for devising evidence-based typologies. The proposed approach has four stages: (i) identifying main places of solicitation and places of sex; (ii) constructing possible typologies based on either or both of these criteria; (iii) analysing variations in indicators of risk, such as HIV/sexually transmitted infection (STI) prevalence and client volume, across the categories of the typologies; and (iv) identifying the simplest typology that captures the risk variation experienced by female sex workers (FSWs) across different settings. Analysis is based on data from 2312 participants in integrated biological and behavioural assessments of FSWs conducted in Karnataka, India. Logistic regression was used to predict HIV/STI status (high-titre syphilis, gonorrhea or chlamydia) and linear regression to predict client volume. Our analysis suggests that the most appropriate typology in Karnataka consists of the following categories: brothel to brothel (i.e. solicit and have sex in brothels) (11% of sampled FSWs); home to home (32%), street to home (11%), street to rented room (9%), street to lodge (22%), street to street (9%) and other FSWs (8%). Street to lodge FSWs had high HIV (30%) and STI prevalence (27%), followed by brothel to brothel FSWs (34 and 13%, respectively). The proposed typology identifies street to lodge FSWs as being at particularly high risk, which was obscured by the existing typology that distinguishes between FSWs based on place of solicitation alone.
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              Comercializando fantasias: a representação social da prostituição, dilemas da profissão e a construção da cidadania

              O presente artigo discute fatos, percepções e representações sociais do cotidiano das mulheres profissionais do sexo (MPS). Foram avaliados oito projetos de intervenção educativa sobre DST/Aids dirigidos a MPS, em cidades das regiões Sul, Nordeste e Sudeste. Foram realizadas entrevistas em profundidade e grupos focais. Os resultados revelaram que a representação da mulher que vende o corpo vem sendo re-significada para a realização de fantasias eróticas. As perspectivas de maior autonomia da profissão contrastam com a discriminação e a pressão psicológica. Foi mencionada a violência, praticada por clientes e policiais. Foram evidentes a importância do preservativo na negociação dos programas e o não-uso do mesmo em relações com envolvimento afetivo ou devido à concorrência. Conclui-se, sob a ótica da autonomia, que classe social, escolaridade, situação de crise econômica e estigma ocasionam discriminação, violência e risco de contágio de DST e HIV.
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                Author and article information

                Journal
                rlae
                Revista Latino-Americana de Enfermagem
                Rev. Latino-Am. Enfermagem
                Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo (, SP, Brazil )
                0104-1169
                1518-8345
                June 2011
                : 19
                : 3
                : 493-499
                Affiliations
                [01] SP orgnameUniversidade Estadual Paulista "Júlio de Mesquita Filho" orgdiv1Faculdade de Medicina de Botucatu Brazil mairabaldin@ 123456yahoo.com.br
                Article
                S0104-11692011000300007 S0104-1169(11)01900300007
                0a8237c5-49e2-427e-8b34-314328c17736

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 22 February 2010
                : 10 March 2011
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 25, Pages: 7
                Product

                SciELO Revista de Enfermagem

                Categories
                Original Articles

                Infección,Salud de la Mujer,Prevalencia,Enfermería,Infection,Women’s Health,Prevalence,Nursing,Infecção,Saúde da Mulher,Prevalência,Enfermagem

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