Correlation Between HIV and Sexual Behavior, Drug Use, Trichomoniasis and Candidiasis Among Female Sex Workers in a Mekong Delta Province of Vietnam
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To determine the prevalence of HIV and correlates of HIV infection among female sex workers (FSWs) in Soc Trang province, Vietnam, a survey of 406 FSWs in Soc Trang province was conducted between May and August, 2003. The participants were interviewed, using a standardized interview, to obtain information about socio-demographic and behavioral characteristics, and gynecologic and sexually transmitted infection (STI) history. The prevalence of HIV was 3.3%. An increased risk for HIV was associated with ever using illicit drugs, direct sex work, early sexual debut, age of FSWs, and infection with candidiasis and trichomoniasis. Reduced likelihood of HIV was only associated with withdrawal as a contraceptive method. A strong association of HIV with drug use and candidiasis and trichomoniasis infection among FSWs was found. Needle/syringe exchange, STI treatment, and methadone programs targeting FSWs should be implemented, and should include 100% condom use promotion.
KeywordsFemale sex workers (FSWs) Drug use Sexually transmitted infections (STIs) HIV Vietnam
- CDC, USA and WHO. (2001). EPI-INFO version 6.04d. http://www.cdc.gov/epiinfo/Epi6/EI6dnjp.htm. Accessed 15 June 2008.
- De Vincenzi, I., & European Study Group on Heterosexual Transmission of HIV. (1994). A longitudinal study of human immunodeficiency virus transmission by heterosexual partners. European study group on heterosexual transmission of HIV. The New England Journal of Medicine, 331(6), 341–346. doi:10.1056/NEJM199408113310601.PubMedCrossRefGoogle Scholar
- Guenthner, P. C., Secor, W. E., & Dezzutti, C. S. (2005). Trichomonas vaginalis-induced epithelial monolayer disruption and human immunodeficiency virus type 1 (HIV-1) replication: Implications for the sexual transmission of HIV-1. Infection and Immunity, 73(7), 4155–4160. doi:10.1128/IAI.73.7.4155-4160.2005.PubMedCrossRefGoogle Scholar
- McClelland, R. S., Lavreys, L., Katingima, C., Overbaugh, J., Chohan, V., Mandaliya, K., et al. (2005). Contribution of HIV-1 infection to acquisition of sexually transmitted diseases: A 10-year prospective study. The Journal of Infectious Diseases, 191, 333–338. doi:10.1086/427262.PubMedCrossRefGoogle Scholar
- National Committee for Prevention and Control of AIDS, Drugs, and Sex Work. (2007). Workshop on HIV/AIDS prevention and control in Vietnam in 2006, planning for 2007 (in Vietnamese), Hanoi.Google Scholar
- Nguyen, T. A., Nguyen, H. T., Pham, K. C., Le, T. G., Bui, D. T., Hoang, T. L., et al. (2004). Intravenous drug use among street-based sex workers: A high-risk behavior for HIV transmission. Sexually Transmitted Diseases, 31(1), 15–19. doi:10.1097/01.OLQ.0000105002.34902.B5.PubMedCrossRefGoogle Scholar
- Nguyen, T. V., Khuu, N. V., Le, T. T. T., Nguyen, A. P., Cao, V., Tham, D. C., et al. (2008). Sexually transmitted infections and risk factors for gonorrhea and chlamydia in female sex workers in Soc Trang, Vietnam. Sexually Transmitted Diseases, 35(11), 935–940. doi:10.1097/OLQ.0b013e3181812d03.PubMedCrossRefGoogle Scholar
- Pasteur Institute. Ho Chi Minh City. (2008). Workshop on HIV/AIDS prevention and control in southern Vietnam in 2007, planning for 2008, Ho Chi Minh City, Vietnam.Google Scholar
- Shahmanesh, M., Cowan, F. M., Wayal, S. S., Copas, A., Patel, V., & Mabey, D. (2008). The burden and determinants of HIV and sexually transmitted infections in a population based sample of female sex workers in Goa, India. Sexually Transmitted Infections [Epub ahead of print] (published online 6 Aug 2008, doi:10.1136/sti.2008.030767).
- Sopheab, H., Gorbach, P.M., Gloyd, S., & Leng, H.B. (2003). Rural sex work in Cambodia: Work characteristics, risk behaviours, HIV, and syphilis. Sexually Transmitted Infections, 79, e2.http://www.stijournal.com/cgi/content/full/79/4/e2. Accessed June 2008. doi:10.1136/sti.79.4.e2.
- Thuy, N. T. T., Lindan, C. P., Phong, T. H., Dat, T. V., Nhung, V. T., Barclay, J., et al. (1999). Predictors of visits to commercial sex workers by male attendees at sexually transmitted disease clinics in southern Vietnam. AIDS (London, England), 13, 719–725. doi:10.1097/00002030-199904160-00013.Google Scholar
- van de Wijgert, J. H., Morrison, C. S., Cornelisse, P. G., Munjoma, M., Moncada, J., Awio, P., et al. (2008). Bacterial vaginosis and vaginal yeast, but not vaginal cleansing, increase HIV-1 acquisition in African women. Journal of Acquired Immune Deficiency Syndrome, 48, 203–210. doi:10.1097/QAI.0b013e3181743936.CrossRefGoogle Scholar
- Vandepitte, J. M., Malele, F., Kevuvu, D. M., Edidi, S., Muwonga, J., Lepira, F., et al. (2007). HIV and other sexually transmitted infections among female sex workers in Kinshasa, Democratic Republic of Congo in 2002. Sexually Transmitted Diseases, 34(4), 203–208. doi:10.1097/01.olq.0000233743.57334.6a.PubMedCrossRefGoogle Scholar
- World Health Organization. (2003). Guidelines for the management of sexually transmitted infections. Available at: http://whqlibdoc.who.int/publications/2003/9241546263.pdf. Accessed June 2008
- World Health Organization. (2005). Toolkit for targeted HIV/AIDS prevention and care in sex work settings. ISBN 9241592966 (NLM classification: WC 503.71). Accessed June 2008.Google Scholar