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PubMed1993

HIV prevalence and risk behaviour among prostitutes and clients in Amsterdam: migrants at increased risk for HIV infection.

OBJECTIVES: To study groups of prostitutes and clients of prostitutes in order (i) to determine HIV prevalence and sexual risk behaviour, (ii) to determine differences between samples recruited within and outside a clinic for sexually transmitted diseases (STD) and (iii) to determine correlates of inconsistent condom use (ICU) among both groups. DESIGN: Participants were interviewed and anonymously tested for HIV-antibody; approximately half were recruited at a clinic for sexually transmitted diseases (STD) and half at prostitute working places. SETTING: An STD clinic and prostitute working places in Amsterdam in 1991. SUBJECTS: 201 female prostitutes without a history of injecting drugs and 213 male clients of female prostitutes. MAIN OUTCOME MEASURES: antibodies to HIV, consistency of condom use in commercial vaginal contacts in the preceding 6 months. RESULTS: HIV prevalence was low: three prostitutes (1.5%; 95% CI 0.5-4.6%) and one client (0.5%; 95% CI 0.1-3.3%) were infected. All three HIV positive prostitutes originated from AIDS-endemic countries, came to the Netherlands only recently and were recruited outside the STD clinic. Large differences between subgroups resulted from the two recruitment methods: while clients of prostitutes with relatively high risk behaviour were strongly represented among the STD clinic sample, high risk prostitutes were underrepresented in this sample. Consistent condom use (with 100% of contacts) was reported by 66% of prostitutes and 56% of clients of prostitutes. Inconsistent condom use was found to be high among prostitutes who had migrated from Latin America and among migrant clients of prostitutes. CONCLUSIONS: When monitoring HIV infection one must take into account imported cases. HIV prevention efforts should be particularly focused at prostitutes from Latin America and at clients of prostitutes who migrated to the Netherlands.

AIDS Serodiagnosis↗
PubMed1992

Varied potential risks of HIV infection among prostitutes.

To date, most HIV prevention programs targeting North American prostitutes have focused on individual behaviour change, and in particular, the consistent use of condoms between prostitutes and their clients. The organizational and societal level issues which may influence high risk practices within the working and private spheres have received relatively little attention. In addition, most prevention efforts have been limited to targeting the sub-population of street prostitutes. We outline here three different types of prostitutes (street prostitutes, escorts, and prostitutes who work part time in the service sector, i.e. barmaids and erotic massage therapists) known to work in many North American centres. In doing so, we suggest that potential risks of infection vary according to the type of prostitution, and that prevention programs must recognize the diversity in potential risk practices. Differences in the organization of work and working conditions of varied types of prostitutes may, in particular, influence risk practices while working. Some of the individual, organizational and societal level issues which influence risk practices among different types of prostitutes are presented. Much of the research involving HIV and prostitutes has accessed prostitutes at sites where street prostitutes are over-represented. Other studies are based on potentially baised samples as they have recruited prostitutes from medical clinics. Methodologic problems that influence attempts to obtain a representative sample of the prostitute population are discussed.

HIV Infections↗
PubMed1997

[HIV infection and risk behaviour among prostitutes in the Amsterdam streetwalkers' district; indications of raised prevalence of HIV among transvestites / transsexuals].

OBJECTIVE: To determine the prevalence of HIV infection and risk behaviour among various groups of streetwalkers in Amsterdam and the extent of overlap between different prostitution networks. SETTING: The family room project in the streetwalkers' district in Amsterdam, the Netherlands. METHODS: In November 1996, saliva was taken from 32 female and 25 transsexual/transvestite prostitutes and tested for antibodies against HIV. Besides, prostitutes were interviewed on risk behaviour, history of sexually transmitted diseases and mobility. RESULTS: Only one of the participants (a female prostitute) had ever injected drugs. None of the female prostitutes, but 6 of the 25 transsexuals/transvestite prostitutes (24%; 95% confidence interval: 7-41) proved seropositive. None of the HIV infected participants was aware of his serostatus. The transsexual/transvestite prostitutes frequently had receptive anal intercourse with their clients. Condom use was high, but most did not use condoms made for anal intercourse. Female prostitutes also reported a high rate of condom use with their clients. Both groups of prostitutes reported few private partners and a low rate of condom use with these partners. According to the transsexual/transvestite prostitutes many of their clients had sexual contacts with women in their private lives. Many prostitutes thought that they shared the same clients in the district. CONCLUSION: HIV infections occur quite often among transsexual/transvestite prostitutes in the streetwalkers' district in Amsterdam. The risk of further spread HIV infection to their clients (and through them to other heterosexual populations) is present. AIDS education targeted at this group is important. The use of (special) condoms when having anal intercourse in private as well as in prostitution contacts should be emphatically advised.

Female↗
PubMed1989

Drug use by prostitutes in Sydney.

We report a comparative study of drug consumption by 277 female prostitutes and 95 women who had never worked as prostitutes, attending the Sydney STD Centre in 1985 and 1987. Marijuana was the drug most often used by prostitutes and non-prostitutes, followed by sleeping pills, amphetamines, cocaine and heroin. About 12% in both groups used intravenous drugs but prostitutes were significantly more likely to share needles and syringes. Prostitutes were also more likely to smoke cigarettes than non-prostitutes, and young prostitutes smoked significantly more heavily than other women in the study. Although fewer prostitutes than non-prostitutes drank alcohol, those who did drink were more likely to do so at a harmful level. We conclude that where differences in drug consumption exist between prostitutes and non-prostitutes, they are mainly work related.

Adult↗
PubMed1995

Migratory Prostitution with Emphasis on Europe.

In many European countries, foreigners constitute the majority of certain groups of prostitutes, e.g., approximately 90% of the window prostitutes in the red light district of Amsterdam are not native to the Netherlands. The same is true for prostitutes working in bars in Vienna. In cities where registered prostitution is legal, unregistered prostitutes, most of whom are foreigners, often outnumber the registered ones. Central European countries often receive "sex workers" from eastern Europe, e.g., from Bulgaria, the Czech Republic, Slovakia, Hungary, and Romania, whereas the majority of migratory prostitutes in Great Britain and continental western Europe come from Africa, the Caribbean, and South America. In northern Europe, women from Russia, the Czech Republic, Slovakia, Poland, and the Baltic states are prostituting themselves in increasing numbers. Scandinavia has so far been affected relatively less by this mobility. In Spain, France, and Italy, women from Arabic and subSaharan countries are common among prostitutes. Foreign prostitutes move into Turkey along two main routes: women from the Balkan countries come to the western part of the country, whereas those from the former Soviet Union cross the border from Georgia, where they usually operate at resorts along the eastern Black Sea coast. Prostitutes are also mobile within the former communist bloc. For instance, women from Russia prostitute themselves in Lithuania, the Czech Republic, Slovakia, and Hungary. the customers are locals, particularly those with "hard currency", such as businessmen and "sex tourists" from the West. Following the outbreak of civil war in the former Yugoslavia, women from that country are now more frequently seen among the population of migratory prostitutes in Europe.

Journal Article↗
PubMed2000

Child prostitution: magnitude and related problems.

In Ethiopia, very little is known about prostitution in general and about child prostitution in particular. The objective of this study was to determine the magnitude of child prostitution and to identify problems associated with it. A cross-sectional study design was utilized. Data were collected using structured questionnaire. A total of 650 commercial sex workers were interviewed. Eighty eight (13.5%) were below the age of 18 years at the time of data collection. At the time of joining prostitution 268 (41.2%) were under 18 years of age. Poverty, disagreement with family, and peer influence were the major reasons leading to prostitution. Child prostitutes were likely to be victim of physical violence [OR = (95% C.I.) = 1.93(1.18,3.15)] and sexual violence [OR = (95% C.I.) = 2.20(1.36,3.35)] compared to adult prostitutes. Child prostitutes were about five times more likely to desire rejoining their family than the adult prostitutes [OR = (95% C.I) = 5.47(3.01;9.93)]. Strategies need to be developed to rescue child prostitutes from on-job violence, and to establish a rehabilitation program for those interested to discontinue prostitution along with efforts to minimize entry into prostitution.

Adolescent↗
PubMedDate not supplied

Prostitution, HIV, and cervical neoplasia: a survey in Spain and Colombia.

The prevalence of cervical intraepithelial neoplasia (CIN) and the association of CIN with prostitution was examined in Oviedo, a region in Spain with low incidence of cervical cancer, and in Cali, Colombia, where the incidence of cervical cancer is 6-10 times higher. In Oviedo, the study included 758 prostitutes attending a sexually transmitted diseases clinic and 1203 nonprostitutes attending a family-planning clinic. In Cali, 775 prostitutes and 1795 nonprostitutes attending health centers were included. Seropositivity to common sexually transmitted agents was investigated in Spanish prostitutes. No significant difference was found in the prevalence of CIN between Oviedo and Cali in both prostitutes (2.5 versus 1.8%) and nonprostitutes (1.2 versus 1.1%). Prostitutes had a 2-fold increased risk of CIN as compared to nonprostitutes; in Spain, the prevalence odds ratio (POR) was 2.3 and the 95% confidence interval (CI) was 1.1-4.5, and, in Colombia, POR was 1.8 and the 95% CI was 0.9-3.5. Among prostitutes in Oviedo, human immunodeficiency virus (HIV) prevalence was 4.9% and HIV-positive prostitutes showed a high risk of CIN as compared to HIV-negative prostitutes (POR, 12.7; 95% CI, 3.9-40.9); 76% of HIV-positive prostitutes were i.v. drug users and showed an increased seroprevalence of other sexually transmitted diseases. HIV-negative prostitutes did not show any increased risk of CIN (POR, 1.2; 95% CI, 0.5-2.8). These results show that among nonprostitutes the prevalence of CIN was not statistically different between the two cities in Spain and Colombia; prostitutes were at moderate increased risk compared to nonprostitutes in both cities.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗