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PubMedDate not supplied

[Prostitution and AIDS in the city of Mexico].

Since 1987 The National AIDS Council in Mexico (CONASIDA), has conducted research projects among female commercial sex workers (CSW), who are seen at the AIDS Information Centers. Through these studies, we have been able to find out how different issues influence commercial sex work in Mexico City. Since the beginning of our own studies in 1989, HIV prevalence in this particular group has remained low (0.04%-0.2%). Factors found to be associated with condom use were: educational level, not having children, more experience in sex work and younger age. Condom use was reported by 88% of the women; however, qualitative information and high STD prevalence rates suggest a much lower condom use. Mandatory HIV testing is not useful as a preventive measure among sex workers. Persuasive and structural interventions must be implemented in accordance with local and legal situations.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

[Characteristics related to STD/HIV in men working in Mexico City bars where female prostitution takes place].

OBJECTIVE: This research work intended to describe the characteristics and the seroprevalence of some sexually transmitted diseases (STD), in men working in bars where female commercial sex takes place. MATERIAL AND METHODS: The study included an evaluation of 171 males during 1993, who were employed in bars and who were potentially at risk of contact with female commercial sex workers (FCSW). A structured survey was conducted in order to collect information about social, demographic and sexual behavior characteristics. Blood samples were also obtained to test for antibodies against Treponema pallidum (RPR/FTA-ABS), human immunodeficiency virus (VIH) (ELISA, Western blot), Herpes simplex virus type-2 (HSV-2) (Western blot) and the core antigen of hepatitis B virus (HBV) (ELISA). RESULTS: Test results showed low infection rates of HIV, T: pallidum and HBV: 0%, 2.4% and 1.8%, respectively. However, their HSV-2 infection proportion (32.4%) was considered intermediate in comparison to the prevalence of FCSW from bars (55.5%), to that found in heterosexual men (14.6%), and to proportions found in women general population (29.3% and 17.9%). CONCLUSIONS: The men's age and a history of sexual intercourse with FCSW were strong predictors of HSV-2 infection. These findings evidence a relationship between men working in bars and FCSW in terms of STD transmission and show the need for preventive care directed to this group.

Adolescent↗
PubMed1997

[Dynamics of female condom acceptability among prostitutes and young women in Abidjan, Ivory Coast].

OBJECTIVE: To assess the acceptability of the female condom among 2 groups of women in Côte d'Ivoire. DESIGN: Trial of use. SETTING: Abidjan, non-medical structures. PARTICIPANTS: 114 women accepted initial interview: 52 commercial sex workers (CSWs), 62 young women. 103 women volunteered for the trial of use. INTERVENTIONS: 20 female condoms given to the CSWs, 10 given to the young women; adapted instructions for use, counselling on AIDS, STDs and genital anatomy provided before and all along the trial. MAIN OUTCOME MEASURES: Qualitative assessment with some quantitative measures. RESULTS: The female condom aroused a general interest from all participants. 90% accepted to use it; 75% of 103 volunteers completed the trial. Approximately 1,200 utilizations were recorded. Prevalence of misuses was low (approx. 2% of the total); prevalence of discomforts was much higher. All the users except two wanted to use it in the future. CONCLUSION: Safe protection and dual protection (against HIV/STDs, pregnancies) were the two main sources of interest; CSWs quickly appropriated this new tool. Considering these data, the HIV infection rate among young women in Côte d'Ivoire, and evidence of changing attitudes towards birth spacing, a low-price distribution programme of female condoms for all women is recommended, with an educational component and the community participation.

Adult↗