[AIDS and STD knowledge and risk behaviors among commercial sex workers in Myitkyina, Myanmar].

This study investigated AIDS and STD (Sexually Transmitted Diseases) knowledge, risk behaviors, and condom use among two different groups of female commercial sex workers (CSWs) in Myitkyina, Myanmar. Individual in-depth interviews were conducted with 65 direct and 65 indirect CSWs. These CSW groups differ in the prices they charge, their places and modes of employment, levels of knowledge concerning HIV and STD transmission and prevention, number of clients served, levels of condom use and STD symptoms. Indirect CSWs have higher levels of knowledge, fewer partners, and more frequent condom use; but still have high levels of STD symptoms and frequently engage in unprotected sex with clients. Many CSWs and their clients were originally from other regions; these people could well be agents in the rapid spread of the HIV virus throughout Myanmar. Interventions targeted to specific groups of CSWs and clients should be undertaken as soon as possible, including educational activities concerning AIDS and STD transmission and prevention, condom promotion and distribution, and activities to improve the health sector's capabilities to help both CSWs and their clients.