European Journal of Epidemiology

, Volume 6, Issue 3, pp 248–252 | Cite as

Seroprevalence and risk factors for HIV transmission among female prostitutes: A community survey

  • J. Casabona
  • E. SÁnchez
  • R. Salinas
  • C. Lacasa
  • P. Verani
Article

Abstract

To estimate the prevalence of HIV-1, HIV-2 and HTLV-I among female prostitutes, and to identify possible risk factors for HIV transmission in this collective, sera and epidemiological information from 71 prostitutes were obtained. Using the local network of a well-defined area in southern Catalonia, all prostitution bars were identified and their working women interviewed using a previously validated questionnaire. Eight sera were found positive for HIV-1 antibodies. Of those, 7 sera were also positive in the HIV-2 assay, probably as a result of cross-reactivity between the two viruses. All sera were negative for HTLV-I antibodies. In our area, where intravenous drug users (IVDUs) account for the majority of AIDS cases, the use of drugs by the prostitutes or by their steady sexual partners seems to be the most important risk factor for HIV infection in that group.

Key words

HIV infection Prostitution Community survey Risk factors 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    BelecL., GeorgesA.J., SteenmanG. and MartinP.M. (1989): Antibodies to human immunodeficiency virus in vaginal secretions of heterosexual women - J. Infect. Dis. 160: 385–391.Google Scholar
  2. 2.
    ButtòS., IreraniP., TittiF., RezzaG., SernicolaL. and RossiG.B. (1988): Simultaneous seropositivity to HIV-1 and HIV-2 in Italian drug abusers - AIDS 2:139–140.Google Scholar
  3. 3.
    CasabonaJ. (1988): Aspectos epidemiológicos de la transmissión del VIH - Rev. Clin. Esp. 183:313–317.Google Scholar
  4. 4.
    CasabonaJ., SalasT. and SeguraA. (1989): Evolución de la epidemia de SIDA en Cataluña: análisis descriptivo del registro de casos - Med. Clin. (Barc.) 92: 441–446.Google Scholar
  5. 5.
    CDC (1987): Antibody to human immunodeficiency virus in female prostitutes - MMWR 36: 157–160.Google Scholar
  6. 6.
    Day S., Ward H. and Harris J.R.W. (1988): HIV and London prostitutes. IV International Conference on AIDS. Stockholm, June - abstract 4052.Google Scholar
  7. 7.
    DonderoT.J., PappaioanouM. and CurranJ. W. (1988): Monitoring the levels and trends of HIV infection: the Public Health Service's HIV Surveillance Program -Public Health Rep. 103: 213–219.Google Scholar
  8. 8.
    European Study Group (1989): Risk factors from male to female transmission of HIV - Br. Med. J. 298: 411–415.Google Scholar
  9. 9.
    GradiloneA., ZaniM., BarillariG. et al. (1986): HTLV-1 and HIV infection in drug addicts in Italy -Lancet ii: 753–754.Google Scholar
  10. 10.
    GreenblattR.M., LukehartS.L., PlummerF.A. et al. (1988): Genital ulceration as a risk factor for human immunodeficiency virus infection - AIDS 2: 47–50.Google Scholar
  11. 11.
    Khabbaz R.F., Darrow W.W., Lairmore M. et al. (1988): Prevalence of antibody to HTLV-I among 1415 female prostitutes in the United States. IV International Conference on AIDS. Stockholm, June -abstract 4042.Google Scholar
  12. 12.
    KhabbazR.F., DarrowW.W., HartleyT.M. et al. (1990): Seroprevalence and risk factors for HTLV-I/11 infection among female prostitutes in the United States - JAMA 263: 60–64.Google Scholar
  13. 13.
    KleinbaumD.G. and KupperL.L. (1985): Applied regression analysis and other multivariable methods -Boston: Duxbury Press.Google Scholar
  14. 14.
    KreissJ.K., CoombsR., PlummerF. et al. (1989): Isolation of human immunodeficiency virus from genital ulcers in Nairobi prostitutes - J. Infect. Dis. 160: 380–384.Google Scholar
  15. 15.
    Latorre X., Gatell J.M., Pumarola T. et al. (1986): Prevalencia de anticuerpos frente al HTLV-III/LAV en subpoblaciones con riesgo de padecer un síndrome de inmunodeficiencia adquirida - Med. Clin. (Barc.) 86: 113–114.Google Scholar
  16. 16.
    MelbyeM., IngerslevJ., BiggarR.J. et al. (1985): Anal intercourse as a possible factor in heterosexual transmission of HTLV-III to spouses of hemophiliacs -N. Engl. J. Med. 312: 857.Google Scholar
  17. 17.
    MerinoF., EsparzaB. and AizpiriJ. (1989): Ausencia de infection por HTLV-1 en drogadictos de Vizcaya -Med. Clin. (Barc.) 92: 79.Google Scholar
  18. 18.
    MugaR., TorJ., SorianoV. et al. (1988): Antigeno y anticuerpos del virus de la immunodeficiencia humana en adictos a drogas por vía parenteral: correlación con el estadio clinico - Med. Clin. (Barc.) 91: 286–288.Google Scholar
  19. 19.
    MurphyE.L., FigueroaJ.P., GibbsW.N. et al. (1989): Sexual transmission of human T-lymphotropic virus type I (HTLV-1) - Ann. Intern. Med. 111: 555–560.Google Scholar
  20. 20.
    Nolla SalasJ., TornéJ., ChanovasM.R. and DrobnicL. (1987): La prostitución como grupo de riesgo de síndrome de immunodeficiencia adquirida - Med. Clin. (Barc.) 88: 81.Google Scholar
  21. 21.
    PadianN., MarquisL., FrancisD.P. et al. (1987): Male-to-female transmission of human immunodeficiency virus - JAMA 258: 788–790.Google Scholar
  22. 22.
    PadianN.S. (1988): Prostitute women and AIDS: epidemiology - AIDS 2: 413–419.Google Scholar
  23. 23.
    Pineda J.A., Lea M., Garcia de Pasquera F. et al. Prevalencia de anti LAV/HTLV-III en prostitutas de Sevilla - Med. Clin. (Barc.) 86: 498–500.Google Scholar
  24. 24.
    Plummer EA., Cameron W., Simonsen N. et al. (1988): Cofactors in male-female transmission of HIV. IV International Conference on AIDS. Stockholm, June -abstract 4554.Google Scholar
  25. 25.
    RemingtonR.D. and SchorkM.H. (1985): Statistics with applications to the biological and health sciences - Englewooddiffs: Prentice-Hall Inc.Google Scholar
  26. 26.
    Robert-GuroffM., WeissS.H., GironJ.A. et al. (1986): Prevalence of antibodies to HTLV-I, -11, and -III in intravenous drug abusers from an AIDS endemic region - JAMA 255: 3133–3137.Google Scholar
  27. 27.
    RosenbergM.J. and WeinerJ.M. (1988): Prostitutes and AIDS: a health department priority? - Am. J. Public Health 78: 418–423.Google Scholar
  28. 28.
    SorianoV., TorJ., RiberaA. et al. (1989): HIV-1, HIV-2 and HTLV-1 infection in high-risk groups in Spain -AIDS 3: 615–616.Google Scholar
  29. 29.
    SorianoV, TorJ., MugaJ.L. et al. (1989): Infección por el virus de la inmunodeficiencia humana tipo 2 en africanos occidentales residentes en Catalunya -Med. Clin. (Barc.) 92: 161–163.Google Scholar
  30. 30.
    SorianoV., TorJ., RiberaA. et al. (1990): Evidencia de infectión por el HTLV-I en diferentes colectivos de riesgo de Barcelona - Med. Clin. (Barc.) 94: 5–8.Google Scholar
  31. 31.
    TittiF., RezzaG., VeraniP. et al. (1988): HIV, HTLV-I and HBV infections in a cohort of Italian intravenous drug users: analysis of risk factors - J. AIDS 1: 405–411.Google Scholar
  32. 32.
    TorJ., MugaR., ArgelaguésE. et al. (1986): HTLV-III antibody in intravenous drug abusers of the Barcelona Metropolitan area - Arch. Intern. Med. 146: 805.Google Scholar

Copyright information

© Kluwer Academic Publishers 1990

Authors and Affiliations

  • J. Casabona
    • 1
  • E. SÁnchez
    • 1
  • R. Salinas
    • 2
  • C. Lacasa
    • 1
  • P. Verani
    • 3
  1. 1.Epidemiology Section. AIDS ProgramGeneralitat de CatalunyaBarcelonaSpain
  2. 2.Hematology Unit. HospitalTortosaSpain
  3. 3.Department of VirologyIstituto Superiore di SanitaRomaItaly

Personalised recommendations