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Perpetrators as victims: understanding violence by female street-walking prostitutes.

Little is known about the perpetration of violence by women who engage in street prostitution. While some researchers have examined the incidence of abuse among this population, the association between receipt of abuse and violence and later perpetration of violence is unclear. This study presents data from a recent evaluation of a case management program for street-walking prostitutes. A description of the program clients is provided, and factors that are associated with assaultive behavior against clients are examined. Bivariate analyses revealed statistically significant differences between assaultive and nonassaultive women with regard to history of psychiatric hospitalization, history of sexual abuse, history of physical abuse, history of emotional abuse, and whether they had been assaulted on the streets. However, logistic regression on variables related to abuse and violence indicates that controlling for other variables, the only statistically significant predictor of assaultive behavior was history of physical abuse. These results indicate the need for further research on this population as well as access to treatment for these women to address their own abuse and victimization.

Adult↗

[Female juvenile prostitution and AIDS prevention programs in Brazil].

OBJECTIVE: To investigate perception of AIDS and to obtain information for developing AIDS prevention programs targeting female juvenile prostitution. METHODS: Thirteen young women aged 18 to 21 years working as prostitutes in the city of Ribeirão Preto, Brazil, were interviewed using semi-structured interviews. The questionnaire focused on sociodemographic aspects, HIV-related knowledge, sexual behavior, relations with clients and other sexual partners, and suggestions for sexually transmitted diseases (STD) and AIDS prevention programs. RESULTS: Though all subjects demonstrated knowledge of safe sex and HIV transmission, this contrasted with their belief that destiny determines who gets infected and their search for affection in their relationships with partners and clients. These contradictions act as possible factors preventing safe sex behavior. CONCLUSIONS: The strategies of HIV/AIDS prevention should incorporate the need of allowing room for discussion in order to clarify this group's social imaginary beliefs and concepts about AIDS. In addition, discussions about the belief in the safety of affective relationships should take place since this encourages unsafe sexual practices. Another key issue is how to approach this group and strategies sensitive to their individualities should be applied.

Acquired Immunodeficiency Syndrome↗

[Candidal vulvovaginitis: an epidemiological survey among immigrant prostitutes].

OBJECTIVES: Candidal vulvovaginitis is a frequent infectious process in adult women that assumes particular clinical, epidemiological and social importance in prostitutes due to its possible sexual transmission. The aim of the study was to evaluate the frequency of symptomatic or non-symptomatic vulvovaginitis caused by Candida spp and its possible relationship to behavioural risk factors, by a prospective study carried on 153 immigrant prostitutes from various African countries. PATIENTS AND METHODS: All subjects (average age 27 yrs; range 18-50 yrs) coming from sub-Saharan areas (Nigeria, Ghana, Benin, Senegal) and resident in the coastal area northwest of Naples (southern Italy) underwent a microbiological investigation to detect the possible presence of Candida in vaginal, rectal and pharyngeal swabs. Agar Sabouraud with the addition of chloramphenicol was used for cultures and the mycotube system for identification; in vitro sensitivity tests with amphotericin, nystatin, 5-fluorocytosine, econazole, and fluconazole were also performed according to the Kirby Bauer technique. RESULTS: The rate of Candida detection from vaginal swabs was 45% (69/153) with the following distribution by specie: C. albicans 75.4%, C. glabrata 7.2%, C. krusei 2.9%, C. tropicalis 1.4%, Candida spp 13%. The incidence of Candida from pharyngeal and rectal swabs was 18.3% and 26.1%, respectively. The overall resistance of Candida was comprised between 6% for fluconazole and 27% for econazole. No strain was resistant to 5-fluorocytosine, nystatin and amphotericin. CONCLUSIONS: The incidence of Candida in this particular population of immigrates was very high and correlated to many well-identified risk factors.

Adult↗

[Sexually transmitted diseases, AIDS and prostitution: a case study in Guinea-Conakry].

In Africa, many public health interventions related to the fight against HIV/AIDS are aimed at women commercial sex workers. The practices of sexual labour and prostitution are not universal, and considering them within their specific cultural context is vital to understanding these women's needs and the prevention of HIV/AIDS. An exploratory qualitative study inspired by well-rooted theory was conducted with 14 women working within formally renowned prostitution sites in Guinea-Conakry. It aimed at identifying the context and general preoccupations of these women, within which are embedded sanitary concerns. The study showed that their sexual behaviours are mostly influenced by collective, relational and economic aspects which are in turn evaluated by the women within the framework of their continuous and changing life cycle.

Acquired Immunodeficiency Syndrome↗

Sexually transmitted infections among prostitutes in Bratislava, Slovakia.

Sera from 18 prostitutes from Bratislava were examined for the presence of antibodies to several sexually transmitted pathogens, namely Herpes simplex virus 2 (HSV-2), Human immunodeficiency viruses 1 and 2 (HIV-1 and HIV-2), Hepatitis B and C viruses (HBV and HCV), Chlamydia trachomatis, and Treponema pallidum. Results of this screening indicated that 11 prostitutes (61%) carried 1 or more sexually transmitted infections. The most prevalent antibodies were directed against HSV-2 (9 cases, i.e. 50%), which represents the most common sexually transmitted infection agent.

Antibodies, Bacterial↗

Reports call for end to harms caused by Criminal Code prohibitions surrounding prostitution.

The sale of sexual services between consenting adults is legal under Canadian law, yet the Criminal Code prohibits many activities related to prostitution and the sex trade. As a result, many people who work in the sex trade come into conflict with the law. In recent reports, two Canadian organizations have called for the repeal of the current Criminal Code prohibitions on activities related to the sex trade. Pivot Legal Society's report, "Voices for Dignity: A Call to End the Harms Caused by Canada's Sex Trade Laws," was released in March 2004. The Conseil permanent de la jeunesse, a 15-member advisory panel to the Québec government, released "Prostitution de rue: avis" in April 2004.

Canada↗

United States: challenges filed to anti-prostitution pledge requirement.

Two separate lawsuits were filed recently in US federal courts challenging a provision of US law requiring that non-governmental organizations have a policy "explicitly opposing prostitution" as a condition of receiving funding under the United States Leadership against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (US Global AIDS Act). US-based plaintiffs in both cases argue that the anti-prostitution pledge requirement in the Act violates US Constitutional guarantees of free speech and due process, and undermines proven, effective efforts to fight HIV/AIDS among sex workers.

HIV Infections↗

[Serological investigation of HIV infections, HBsAg and syphilis in prostitutes in Elaziğ].

It is well known that the infections of AIDS, serum hepatitis and syphilis were transmitted by sexual contact. The sera of 66 prostitutes were investigated for determination of anti-HIV by ELISA, HBsAg by IHA and antibodies to syphilis by TPH methods in area of Elaziğ. The anti-HIV antibodies could not be detected in prostitutes, but HBsAg was positive in 13 (19.7%) and antibodies to syphilis was positive in 6 (9.1%) of total.

Acquired Immunodeficiency Syndrome↗

[Prevalence of the antibody of hepatitis C virus in HBsAg negative patients with chronic liver diseases: children, prostitutes, and homosexuals].

We present the results of the determination of hepatitis C virus antibody, recently discovered on a group of 34 patients with chronic liver disease, divided in: a) 23 patients with cirrhosis. b) 8 with protracted hepatitis. c) 2 with steatosis of unknown origin++. d) One patients with hepatocellular carcinoma. Another group examined was integrated by persons of promiscuous sexual activity (15 prostitutes and 14 homosexuals). Finally we included 20 children chronically infected with VB. In the 23 patients with cirrhosis, the VB markers (HBsAg and anti-core were negative in 18 and 5 were only anti-core positive; anti-HCV was positive in 3 of the 18 VB negative (16.6%) and in one of the 5 with anti-core positive (20%), that represents a total of 4 cases anti-HCV positive (17.3%). 5 of the 8 patients with protracted hepatitis were virus B and A negative and 4 of them were anti-HCV positive (80%), 3 of which had parenteral infection. The 15 prostitutes and the 14 homosexuals were negative for the anti-HCV, as well as the 20 children chronically VB infected. Our result of the determination of anti-HCV in cryptogenetic cirrhosis (17.3%) is similar that reported in USA (> 20%) and very much lower than of the Italian group (80%). Meanwhile we found a high incidence in protracted hepatitis (80%) with parenteral infection.

Adolescent↗

[Prevalence of viral hepatitis B in a group of prostitutes living in Chimbote (Peru)].

We have studied HBV markers in 56 sera from 56 prostitutes who were registered to the Health Ministry Zonal Hospital of Chimbote on October, 1987. We used micro-Elisa solid phase technics to study the HBs Ag, HBs Ab, HBc Ab (Total IgG) and HBe Ag markers. From them, 89.3% were positive to any marker: 5.4% were asypmtomatic carriers and 83.9% had markers related to past HBV (immunity). In conclusion, this data shows clearly, that the prostitutes represent an important risk group for the transmission of the Hepatitis Type B virus to people who maintains sexual relations with them. The HBc Ab was the best marker to detect HBV antibodies, that did it in 95.7%.

Adolescent↗

Seroprevalence and risk factors for HTLV-I/II infection among female prostitutes in the United States.

We tested 1305 female prostitutes from eight areas of the United States for antibodies to human T-cell lymphotropic virus type I/II. Overall, 6.7% were human T-cell lymphotropic virus type I/II seropositive (with antibodies to both gag and env gene products). The seroprevalence rates ranged from 0% in southern Nevada to 25.4% in Newark, NJ. Human T-cell lymphotropic virus type I/II seropositivity was independently associated with race (odds ratio, 4.68), intravenous drug use (odds ratio, 2.94), hepatitis B seropositivity (odds ratio, 2.87), recruitment in Newark (odds ratio, 2.34), and more years of sexual activity (odds ratio, 1.08 per year of sexual activity). Groups with high rates included blacks, Hispanics, and American Indians, and the rates in these groups were significantly higher than among whites and Asian Americans for women both with and without a history of intravenous drug use. Among intravenous drug users, the only other independent associations were more years of sexual activity and recruitment in Newark; and in non-intravenous drug users, hepatitis B seropositivity. These data show that human T-cell lymphotropic virus type I/II infection is present among female prostitutes in some areas of the United States. Further studies are needed to evaluate patterns of transmission and long-term health effects.

Acquired Immunodeficiency Syndrome↗

[Usefulness of the gonozyme (Abbott) test in the diagnosis of gonorrhea in prostitutes].

A group of 326 prostitutes were examined for gonorrhoea and the result was positive in 45 cases (14%). Smears were stained with methylene blue and by Gram's method, cultures were conducted on suitable media and the immunoenzymatic method EIA-Gonozyme (Abbott) was used. Smear evaluation was insufficiently sensitive and specific, but it made possible a rapid diagnosis of 17 cases. Most positive result were obtained with the Gonozyme test (41 cases), including 15 women (37%) in whom a positive result was obtained only in urethral secretion, despite a negative result of the examination of cervical secretion. Gonococci were cultured in 29 cases (9%), including 5 (17%) with bacterial growth obtained only from the urethral secretion in 13 (45%) only in cervical secretion. In 27 of these patients the Gonozyme test was positive. Gonozyme was highly useful in the examinations of prostitutes in view of its sensitivity and the fact that the gonococcal antigen can be detected also when the result of culture was negative due to antibiotic taking. Always secretion from the urethra and cervix should be examined, since in 17% of the infected women the diagnosis was established by culture and the Gonozyme test demonstrated infection only in urethral secretion in 37% of the infected women.

Antigens, Bacterial↗

A study of morbidity pattern among prostitutes attending a municipal clinic in Pune.

The findings of the present study revealed that out of 200 prostitutes attending a clinic for various ailments, 81.50% were suffering from sexually transmitted diseases (STD) thus posing a potential risk of transmitting these diseases to their clients. Syphilis was found to be the commonest STD afflicting 36.80% of the respondents, the next common being the chancroid (31.28%); 5.52% of the respondents were found to be suffering from concomitant venereal infections. The other important communicable diseases with which some respondents were found to be afflicted, included--tinea infection (3 cases), scabies (2 cases), leprosy (2 cases), pulmonary tuberculosis (4 cases) and upper respiratory tract infection [3 cases). Thus, the prostitutes remain an undisputed potential source of infection not only of STDs but also several other communicable diseases. Therefore, their continuous surveillance, early diagnosis, appropriate treatment and subsequent follow-up should be meticulously carried out. On the other hand the public, particularly the sexually promiscuous individuals must be imparted vigorous health education to avoid exposure to this source.

Adult↗

Education in preventing HIV infection in Greek registered prostitutes.

From March 1984 to November 1985, 350 Greek registered prostitutes were screened for anti-HIV. Twelve of them (3.4%) were found to be positive. To monitor and control the further spread of HIV infection, an intensive educational campaign was established and screening every 3 months was implemented. Until October 1986, two new seroconversions were detected out of 270 examined (seroconversion rate of 0.74% per year). Further HIV infections have not been detected among the 282 prostitutes followed to 1988. This should be attributed to avoidance of clients from Central Africa and mainly to almost universal use of condoms as a result of the intensive educational campaign.

Acquired Immunodeficiency Syndrome↗

[Cyto-microbiologic study of cervico-vaginal specimens, associated with a serologic study to detect sexually transmissible diseases in Madagascan prostitutes].

A microbiological survey of cervical and vaginal smears associated with a serological survey of sexual diseases was carried out on 298 prostitutes at the four principal Malagasy sea ports. This survey leads us to these conclusions: The great frequency of specific inflammations (72.1%) with Trichomonas vaginalis in the first place (39.2%). The serological tests proved a high rate of positive treponemical serologies (25.2%), whose the half of the cases are evolutive forms. Nevertheless prevalence of HBs-antigene among this population does not exceed the rate recorded in the other African countries, while the rate of anti HIV antibodies' carriers is lower than the rates recorded in those African countries. A comparative survey with tests carried out at IPM on Malagasy women showed clearly higher figures of inflammations, cervical and vaginal infections and positive treponemical serologies among prostitutes.

Female↗

Jungian feminine psychology and adolescent prostitutes.

This paper explores Jungian feminine psychology and its application in the treatment of adolescent prostitutes. Wolff's (1956) work on feminine functions and Leonard's (1982) work with father-daughter wounds are discussed, and techniques for applying these concepts with adolescent prostitutes are explored.

Adolescent↗

Three-year incidence study of retroviral and viral hepatitis transmission in a Peruvian prostitute population.

A Peruvian female prostitute population was evaluated over a 3-year period to determine the incidence and risk factors of retroviral and viral hepatitis transmission. At three survey periods, a questionnaire was administered and serum samples were obtained. A total of 966 subjects were studied, with 34% followed for 38 months, 22% followed for 18 months, and 44% evaluated just once. On initial evaluation, 3 (0.3%) had HIV-1 antibody, 170 (17.6%) had HTLV-I antibody, 578 (59.8%) had anti-HBc, and 7 (0.7%) had antibody to hepatitis C virus. The mean annual incidence of HTLV-I and hepatitis B infection was 1.6% and 4.7%, respectively. Univariate and logistic regression analysis of prevalence data indicated an association between sexual activity and HTLV-I and hepatitis B infection, but no independent risk factors were identified in cohort analysis. Parenteral risk factors were not associated with transmission, except for a small percentage of subjects who may have acquired hepatitis B infection from blood transfusions. These findings suggest that there is a high incidence of HTLV-I and hepatitis B infection from heterosexual contact in this female prostitute population.

Adult↗

[Influx of prostitution into Germany].

Movement of international prostitution as it has been known for a long time usually takes place in two different ways. One way is that men travel as customers to so-called low-cost tourist countries where they spend some time with prostitutes. In the other instance young women from developing countries and also from the former Eastern European countries are being lured into Germany. These women are trying to escape miserable conditions in their countries and often arrive with great expectations. There is no statistical information available about the numbers of these young women. Recently inquiries have been made from all public health advisory centres for venereal diseases to obtain such information. We report on the method of the Berlin public health advisory centres for venereal diseases to improve the state of health of these women who were dragged from their homelands.

Cross-Sectional Studies↗