Trujillo L, Muñoz D, Gotuzzo E, Yi A, Watts D M
Institute of Tropical Medicine, Alexander von Humboldt Universidad Peruana Cayetano, Heredia, Lima, Peru.
Sex Transm Dis. 1999 Feb;26(2):115-8. doi: 10.1097/00007435-199902000-00010.
A survey was conducted to determine the sexual behavior practices and prevalence of HIV-1, HTLV-I/II, and T. pallidum infections among unlicensed female sex workers (FSWs) in Lima, Peru.
To assess the role of unlicensed FSWs as a potential source of retroviral and T. pallidum infection.
Female sex workers from 15 brothels were enrolled. Sera samples were obtained and tested for antibodies to HIV-1, HTLV-I, and Treponema pallidum.
Of 158 FSWs studied, all were negative for HIV-1, 6 were positive for HTLV-I, and 5 were positive for Treponema pallidum. Of their male clients, 75% used condoms, whereas only 3% reported condom use with their steady partners. When condoms were always used by clients, the history of a sexually transmitted disease was significantly reduced (p < 0.01), and the prevalence of HTLV-I (p < 0.05) and syphilis was lower among these workers.
Data suggested that the low rate of sexually transmitted diseases among FSWs reflected the high rate of condom use by their male clients.
开展一项调查，以确定秘鲁利马无证女性性工作者的性行为方式以及HIV-1、HTLV-I/II和梅毒螺旋体感染的流行情况。
评估无证女性性工作者作为逆转录病毒和梅毒螺旋体潜在感染源的作用。
招募了来自15家妓院的女性性工作者。采集血清样本并检测HIV-1、HTLV-I和梅毒螺旋体抗体。
在研究的158名女性性工作者中，所有HIV-1检测均为阴性，6人HTLV-I检测呈阳性，5人梅毒螺旋体检测呈阳性。在她们的男性客户中，75%使用安全套，而只有3%的人报告与固定伴侣使用安全套。当客户始终使用安全套时，性传播疾病史显著减少（p<0.01），这些工作者中HTLV-I（p<0.05）和梅毒的流行率较低。
数据表明，女性性工作者中性传播疾病发生率低反映出其男性客户使用安全套的比例高。
