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Sex Transm Infect. Aug 2002; 78(4): 271–273.
PMCID: PMC1744494

Part time female sex workers in a suburban community in Kenya: a vulnerable hidden population

Abstract

Background: In sub-Saharan Africa, female sex workers (FSWs) are a vulnerable high risk group for the acquisition and transmission of sexually transmitted infections (STI) and HIV.

Objectives: To study parameters of sexual behaviour and knowledge of STI and HIV, to describe health seeking behaviour related to STI, and to measure the prevalence of gonorrhoea, chlamydia, syphilis, and HIV-1, to provide baseline data for targeted STI and HIV prevention interventions.

Methods: In a cross sectional survey with snowballing recruitment, between February and March 2000, 503 self identified FSWs in a suburb in Mombasa, Kenya, were interviewed with a structured questionnaire and screened for gonorrhoea, chlamydia, syphilis, and HIV-1.

Results: The mean number of sexual partners in the previous week was 2.8 (SD 1.6). The mean number of non-regular clients and regular clients in the previous week was 1.5 (1.0) and 1.0 (0.9) respectively. The median weekly income from sex work was $US15. A total of 337 (67%) women had an alternative income in the informal sector. 146 (29%) and 145 (45%) never used a condom with a client and non-paying partner respectively. The prevalence of gonorrhoea, chlamydia, and syphilis was 1.8%, 4.2%, and 2.0% respectively. The overall HIV-1 seroprevalence was 30.6%.

Conclusions: There is a large need for intensive STI and HIV prevention interventions in part time FSW.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Plummer FA, Nagelkerke NJ, Moses S, Ndinya-Achola JO, Bwayo J, Ngugi E. The importance of core groups in the epidemiology and control of HIV-1 infection. AIDS. 1991;5 (Suppl 1):S169–S176. [PubMed]
  • Simonsen JN, Plummer FA, Ngugi EN, Black C, Kreiss JK, Gakinya MN, Waiyaki P, D'Costa LJ, Ndinya-Achola JO, Piot P, et al. HIV infection among lower socioeconomic strata prostitutes in Nairobi. AIDS. 1990 Feb;4(2):139–144. [PubMed]
  • Jackson DJ, Martin HL, Jr, Bwayo JJ, Nyange PM, Rakwar JP, Kashonga F, Mandaliya K, Ndinya-Achola JO, Kreiss JK. Acceptability of HIV vaccine trials in high-risk heterosexual cohorts in Mombasa, Kenya. AIDS. 1995 Nov;9(11):1279–1283. [PubMed]
  • Lavreys L, Thompson ML, Martin HL, Jr, Mandaliya K, Ndinya-Achola JO, Bwayo JJ, Kreiss J. Primary human immunodeficiency virus type 1 infection: clinical manifestations among women in Mombasa, Kenya. Clin Infect Dis. 2000 Mar;30(3):486–490. [PubMed]
  • Laga M, Alary M, Nzila N, Manoka AT, Tuliza M, Behets F, Goeman J, St Louis M, Piot P. Condom promotion, sexually transmitted diseases treatment, and declining incidence of HIV-1 infection in female Zairian sex workers. Lancet. 1994 Jul 23;344(8917):246–248. [PubMed]
  • Ghys PD, Diallo MO, Ettiègne-Traoré V, Satten GA, Anoma CK, Maurice C, Kadjo JC, Coulibaly IM, Wiktor SZ, Greenberg AE, et al. Effect of interventions to control sexually transmitted disease on the incidence of HIV infection in female sex workers. AIDS. 2001 Jul 27;15(11):1421–1431. [PubMed]
  • Pickering H, Todd J, Dunn D, Pepin J, Wilkins A. Prostitutes and their clients: a Gambian survey. Soc Sci Med. 1992 Jan;34(1):75–88. [PubMed]

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