Sexually Transmitted Diseases

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Sexually Transmitted Diseases:

High Prevalence of HIV and Sexually Transmitted Infections Among Indirect Sex Workers in Cambodia

Kim, Andrea A. PhD, MPH*; Sun, Ly Penh MD, MSc†; Chhorvann, Chhea MD, MPH†; Lindan, Christina MD, MSc*; Van Griensven, Frits PhD, MPH*‡; Kilmarx, Peter H. MD‡; SirivongrangsoN, Pachara MD§; Louie, Janice K. MD, MPH*; Leng, Hor Bun MD, MPH†; Page-Shafer, Kimberly PhD, MPH*

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Objectives: The goal of this study was to assess the baseline prevalence of and risk factors for HIV and other sexually transmitted infections (STIs) among beer girls enrolled in a behavioral intervention in Battambang, Cambodia.

Methods: Ninety-two of 114 women participated in baseline interviewing, HIV/STI testing, and STI treatment. Blood specimens were tested for syphilis and HIV infection. Self-administered vaginal swabs were tested for trichomonas, bacterial vaginosis (BV), gonorrhea, and chlamydia infections.

Results: HIV prevalence was 26%. STI prevalences were: 14% chlamydia, 12% trichomonas, 3% gonorrhea, and 0% syphilis. The prevalence of BV was 43%. A history of sex work was reported by 82%. Consistent condom use with clients was reported by 39%. Increased number of partners and symptoms of STI were significantly associated with HIV infection.

Discussion: These data suggest high sexual risk among beer girls in Cambodia. Targeted and frequent HIV and STI interventions are urgently needed in this population.

© Copyright 2005 American Sexually Transmitted Diseases Association


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