Online citations, reference lists, and bibliographies.
← Back to Search

Socio-demographic And Behavioural Factors Associated With High Incidence Of Sexually Transmitted Infections In Female Sex Workers In Madagascar Following Presumptive Therapy.

F. Behets, K. Van Damme, A. Rasamindrakotroka, M. Hobbs, K. McClamroch, J. R. Rasolofomanana, L. Raharimalala, G. Dallabetta, J. Andriamiadana
Published 2005 · Medicine

Save to my Library
Download PDF
Analyze on Scholarcy Visualize in Litmaps
Share
Reduce the time it takes to create your bibliography by a factor of 10 by using the world’s favourite reference manager
Time to take this seriously.
Get Citationsy
BACKGROUND Too little is known about the many women who generate income in Madagascar by trading sex. METHODS Clinical and laboratory exams were offered to 493 non-care seeking female sex workers (SWs) in Antananarivo and 493 in Tamatave. SWs were recruited by peers in their community; they were interviewed, counselled and treated for sexually transmitted infections (STIs) at recruitment and re-evaluated 2 months later. RESULTS One hundred and eighty six (38%) of the SWs in Antananarivo and 113 (23%) in Tamatave did not complete primary school (P < 0.0001). The incidence rates per person per month in Antananarivo and Tamatave, respectively, were 0.09 and 0.08 for gonorrhoea; 0.05 and 0.03 for chlamydia; 0.24 and 0.15 for trichomoniasis; 0.07 and 0.05 for syphilis. At follow-up, consistent condom use with clients was reported by 56 (12%) SWs in Antananarivo and 137 (29%) in Tamatave (P < 0.0001); 320 (70%) SWs in Antananarivo and 11 (2%) in Tamatave reported sex with a non-paying partner in the past month (P < 0.0001). In Antananarivo, 422 (92%) of the SWs thought they were at no or low risk of having an STI compared to 100 (21%) in Tamatave (P = 0.02). At follow-up, 277 (61%) SWs reported no birth control for their last sex act in Antananarivo, compared to 26 (5%) in Tamatave (P < 0.0001). Socio-demographic and behavioural risk factors for incident gonorrhoea, chlamydia and trichomoniasis varied by city. CONCLUSIONS Strategies to address the needs of women who trade sex should include educational and economic opportunities; should tackle male partners of SWs; promote dual protection against unintended pregnancy and STIs, while taking into account local socio-demographic and behavioural characteristics.
This paper references
10.1016/0277-9536(90)90097-C
A pilot study for an HIV prevention programme among commercial sex workers in Bulawayo, Zimbabwe.
D. Wilson (1990)
10.5860/choice.33-5399
The Sociology of HIV Transmission
M. Bloor (1995)
10.1016/0895-4356(96)00025-X
Inappropriate use of bivariable analysis to screen risk factors for use in multivariable analysis.
G. Sun (1996)
10.1258/0956462981921323
Sexual histories, partnerships and networks associated with the transmission of gonorrhoea
S. Day (1998)
10.1093/HER/14.4.545
Measuring the impact of a behaviour change intervention for commercial sex workers and their potential clients in Malawi.
V. Walden (1999)
10.1086/315005
Chancroid, primary syphilis, genital herpes, and lymphogranuloma venereum in Antananarivo, Madagascar.
F. Behets (1999)
10.1080/136910501750153049
Adapting the Thai 100% condom programme: Developing a culturally appropriate model for the Dominican Republic
D. Kerrigan (2001)
10.1097/00007435-200208000-00003
Clients of Female Sex Workers in Nyanza Province, Kenya: A Core Group in STD/HIV Transmission
H. Voeten (2002)
10.1097/00007435-200201000-00008
Prevalence of HIV Among Truck Drivers Visiting Sex Workers in KwaZulu-Natal, South Africa
G. Ramjee (2002)
10.1046/j.1365-3156.2003.01017.x
Evidence‐based treatment guidelines for sexually transmitted infections developed with and for female sex workers
F. Behets (2003)
10.1136/sti.79.2.163
Social and behavioural factors associated with condom use among direct sex workers in Siem Reap, Cambodia
M. Wong (2003)
10.1097/01.OLQ.0000079523.04451.82
Participatory Mapping of Sex Trade and Enumeration of Sex Workers Using Capture–Recapture Methodology in Diego-Suarez, Madagascar
Natalie Kruse (2003)
10.1097/00002030-200302140-00016
Environmental-structural factors significantly associated with consistent condom use among female sex workers in the Dominican Republic
D. Kerrigan (2003)
10.1097/00126334-200401010-00010
Mobility, Sexual Behavior, and HIV Infection in an Urban Population in Cameroon
N. Lydié (2004)



This paper is referenced by
Health Seeking Behaviour for Key Sexually Transmitted Infections among the Female Sex Workers in Eldoret Municipality, Uasin-Gishu County, Kenya
Miriam Wanjiru Ngure (2018)
10.1177/0956462418758224
Genital Chlamydia trachomatis and Neisseria gonorrhoeae infections among women in sub-Saharan Africa: A structured review
J. Dubbink (2018)
FACTEURS ASSOCIES A L’UTILISATION SYSTEMATIQUE DU PRESERVATIF PAR LES PROFESSIONNELLES DU SEXE AU CONGO-BRAZZAVILLE
I. Seck (2016)
10.7448/IAS.16.1.17980
Priority interventions to reduce HIV transmission in sex work settings in sub-Saharan Africa and delivery of these services
M. Chersich (2013)
10.4314/ahs.v13i4.24
Knowledge, attitudes & barriers to condom use among female sex workers and truck drivers in Uganda: a mixed-methods study.
J. Matovu (2013)
10.1136/sextrans-2012-050472
High rates of reinfection and incidence of bacterial sexually transmitted infections in a cohort of female sex workers from two Indian cities: need for different STI control strategies?
Anjana Das (2012)
Preventing HIV in sex work settings in sub-Saharan Africa
F. Scorgie (2011)
10.1007/s10461-011-9985-z
Socio-Demographic Characteristics and Behavioral Risk Factors of Female Sex Workers in Sub-Saharan Africa: A Systematic Review
F. Scorgie (2011)
Preventing HIV among sex workers in sub-Saharan Africa : A literature review November 2011
M. Sabin (2011)
HIV prevention while bulldozers roll : developing evidence based HIV prevention intervention for female sex workers following the demolition of Goa's redlight area
M. Shahmanesh (2010)
10.1111/j.1365-3156.2009.02235.x
Effect of consistent condom use on 6‐month prevalence of bacterial vaginosis varies by baseline BV status
M. Yotebieng (2009)
10.1177/1010539508322485
Factors Associated With Inconsistent Condom Use Among Female Sex Workers in Nha Trang, Vietnam:
T. Mai (2008)
10.1111/j.1365-3156.2008.02040.x
Effectiveness of interventions for the prevention of HIV and other sexually transmitted infections in female sex workers in resource poor setting: a systematic review
M. Shahmanesh (2008)
10.1097/OLQ.0b013e31815abaa2
Evidence-Based Planning of a Randomized Controlled Trial on Diaphragm Use for Prevention of Sexually Transmitted Infections
F. Behets (2008)
10.1177/1010539508322485
Factors Associated With Inconsistent Condom Use Among Female Sex Workers in Nha Trang, Vietnam
Tran Thi Tuyet Mai (2008)
10.1080/17290376.2008.9724899
Sexual behaviour and condom use among university students in Madagascar
O. H. Rahamefy (2008)
10.1007/978-1-4020-8412-6_16
Immunity Against Chlamydia trachomatis
E. Marks (2008)
10.1097/01.olq.0000251239.85295.81
Increased Risk of Chlamydial and Gonococcal Infection in Adolescent Sex Workers in Madagascar
A. Pettifor (2007)
Examining the association between self-reported condom use and sexually transmitted infections
J. Wesson (2007)
Semantic Scholar Logo Some data provided by SemanticScholar