Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.
PLoS One. 2012;7(3):e32627. doi: 10.1371/journal.pone.0032627. Epub 2012 Mar 5.
To assess condom use and prevalence of STIs and HIV among female sex workers (FSWs), as part of a comprehensive monitoring and evaluation plan of a nationwide sex worker prevention project in Côte d'Ivoire.
Cross sectional surveys were conducted among FSWs attending five project clinics in Abidjan and San Pedro (2007), and in Yamoussoukro and Gagnoa (2009). A standardized questionnaire was administered in a face-to-face interview, which included questions on socio-demographic characteristics, sexual behaviour and condom use. After the interview, the participants were asked to provide samples for STI and HIV testing.
A total of 1110 FSWs participated in the surveys. There were large differences in socio-demographic and behavioural characteristics between FSW coming for the first time as compared to FSW coming on a routine visit. The prevalence of N. gonorrhoeae or C.trachomatis was 9.1%, 11.8% among first vs. 6.9% routine attendees (p = 0.004). The overall HIV prevalence was 26.6%, it was lower among first time attendees (17.5% as compared to 33.9% for routine attendees, p<0.001). The HIV prevalence among first attendees was also lower than the proportion of HIV positive tests from routine testing and counselling services in the same clinics.
The results show a relatively high STI and HIV prevalence among FSWs in different cities in Côte d'Ivoire. In the light of these results, prevention efforts should continue to focus on FSWs in the country.
评估科特迪瓦全国性工作者预防项目监测评估计划中，女性性工作者（FSWs）的 condom 使用情况以及性传播感染（STIs）和艾滋病毒（HIV）的流行率。
在阿比让和圣佩德罗（2007 年）的五个项目诊所以及亚穆苏克罗和加尼奥阿（2009 年）进行了横断面调查。采用面对面访谈方式进行标准化问卷调查，内容包括社会人口统计学特征、性行为和 condom 使用情况。访谈后，要求参与者提供 STI 和 HIV 检测样本。
共有 1110 名 FSW 参加了调查。首次就诊和常规就诊的 FSW 在社会人口学和行为特征方面存在很大差异。淋病奈瑟菌或沙眼衣原体的流行率分别为 9.1%和 11.8%，首次就诊为 6.9%（p=0.004）。总体 HIV 流行率为 26.6%，首次就诊者较低（17.5%，而常规就诊者为 33.9%，p<0.001）。首次就诊者的 HIV 流行率也低于同一诊所常规检测和咨询服务的 HIV 阳性检测比例。
结果显示，科特迪瓦不同城市的 FSW 中存在较高的 STI 和 HIV 流行率。鉴于这些结果，预防工作应继续集中在该国的 FSW 上。
