Table 2

Sexual behavior and reproductive tract infections among female sex workers in 2000 and 2005, and a comparison between those in 2005 who had or had not received peer-mediated interventions

2000 survey

2005 survey

OR*(95%CI)

Non peers

Peers

AOR** (95%CI)


UNPROTECTED SEX


Total years in sex work, mean (sd)

9.2 (7.8)

5.6 (7.0)

-

5.5 (4.7)

6.1 (5.1)

-

≥ 4 sexual partners in past week

29.2% (147/503)

48.0% (243/506)

2.2 (1.7–2.9)

50.7% (183/361)

41.4% (60/145)

0.8 (0.5–1.1)

≥ 4 casual one-time clients in past week§

7.0% (33/472)

33.2% (148/446)

6.6 (4.4–10.2)

35.9% (115/320)

26.2% (33/126)

0.7 (0.5–1.2)

Used a condom with last client

47.3% (238/503)

85.8% (434/506)

6.7 (4.9–9.2)

82.6% (298/361)

93.8% (136/145)

3.5 (1.6–7.4)

Always used a condom with clients

28.8% (145/503)

70.4% (356/506)

5.9 (4.4–7.8)

64.0% (231/361)

86.2% (125/145)

3.6 (2.1–6.1)

Always used a condom with boyfriend/husband

20.3% (66/325)

20.1% (60/298)

1.0 (0.7–1.5)

17.6% (37/210)

26.7% (24/90)

1.7 (0.9–3.1)


SEX WORKER EMPOWERMENT


Own idea to use the condom at last sex

89.9% (214/238)

90.3% (392/434)

1.0 (0.6–1.8)

88.3% (263/298)

94.9% (129/136)

2.3 (1.0–5.5)

Provided the condom at last sex herself

72.7% (173/238)

71.2% (309/434)

0.9 (0.6–1.3)

68.5% (204/298)

77.2% (105/136)

1.6 (1.0–2.6)

HIV-related knowledge and attitudes

Thinks a client might be HIV-infected

22.1% (111/502)

30.6% (154/504)

1.5 (1.2–2.1)

30.0% (108/360)

31.3% (45/144)

1.2 (0.8–1.8)

Knows people with HIV can look healthy

95.6% (481/503)

94.2% (474/503)

0.7 (0.4–1.4)

92.8% (334/360)

97.2% (141/145)

3.0 (1.0–9.1)

Mentions advantage to knowing HIV status

78.3% (393/503)

94.4% (475/503)

4.7 (3.0–7.6)

93.0% (334/359)

97.9% (142/145)

3.2 (0.9–11.3)

Knows ≥ 2 symptoms of STI in women

81.9% (412/503)

66.4% (336/506)

0.4 (0.3–0.6)

61.2% (221/361)

79.3% (115/145)

2.7 (1.6–4.3)

Cited ≥ 2 ways to prevent STI

43.9% (221/503)

30.4% (154/506)

0.6 (0.4–0.7)

23.8% (86/361)

46.9% (68/145)

2.8 (1.9–4.3)

Ever refused client unwilling to use condoms

41.4% (208/503)

77.7% (393/506)

4.9 (3.7–6.6)

75.4% (272/361)

83.5% (121/145)

1.7 (1.0–2.8)


TRANSMISSION EFFICIENCY


Awareness of own HIV status

5.2% (26/503)

40.2% (203/505)

12.3 (7.9–19.8)

38.2% (138/361)

44.8% (65/145)

1.4 (0.9–2.1)

Self reported history of RTI in past year

Excessive or foul smelling vaginal discharge

20.9% (105/503)

47.2% (239/506)

3.4 (2.5–4.5)

48.8% (176/360)

43.5% (63/145)

0.8 (0.5–1.2)

Genital ulcer

11.1% (56/503)

19.6% (99/505)

1.9 (1.3–2.8)

21.1% (76/361)

16.6% (24/145)

0.8 (0.5–1.3)

RTI prevalence

Syphilis infection

2.0% (10/500)

2.0% (10/498)

1.0 (0.4–2.4)

2.5% (9/235)

0.7% (1/142)

0.3 (0.04–2.3)

Chlamydial infection

4.2% (21/502)

-

-

-

-

-

Gonorrhoeal infection

1.8% (9/502)

1.0% (5/484)

0.6 (0.1–1.9)

1.2% (4/432)

0.7% (1/142)

0.6 (0.7–5.9)

Trichomonas vaginalis infection

-

20.4% (100/490)

-

21.8% (76/348)

16.9% (24/142)

0.7 (0.5–1.2)

Bacterial vaginosis infection

-

46.5% (205/441)

-

47.8% (149/312)

43.4% (56/129)

0.9 (0.6–1.3)

Candida infection

-

22.4% (110/491)

-

21.0% (73/348)

25.9% (37/143)

1.5 (0.9–2.3)


Notes to Table 2:

RTI reproductive-tract infection. Cells contain %, n/N unless indicated.

§Among those women having had a one-time client in the past week

Among those women who reported having a boyfriend/husband

*H0:odds ratio = 1

**AOR, odds ratio adjusted for age, marital status, education and place of work. Logistic regression was used to calculate AOR.

Luchters et al. BMC Public Health 2008 8:143   doi:10.1186/1471-2458-8-143

Open Data