Prevalence and Factors Associated With HIV and Sexually Transmitted Infections Among Female Sex Workers in Bamako, Mali

被引:12
作者
Tounkara, Fatoumata Korika [1 ,2 ]
Teguete, Ibrahima [3 ]
Guedou, Fernand A. [2 ,4 ]
Keita, Bintou [5 ]
Alary, Michel [1 ,2 ,6 ]
机构
[1] Univ Laval, CHU Quebec, Dept Med Sociale & Prevent, Quebec City, PQ, Canada
[2] Univ Laval, CHU Quebec, Axe Sante Populat & Prat Optimales Sante, Ctr Rech, Quebec City, PQ, Canada
[3] Ctr Hosp Univ Gabriel Toure, BP 267, Bamako, Mali
[4] Ctr Sante Cotonou 1, Dispensaire Infect Sexuellement Transmissibles DI, Cotonou, Benin
[5] Assoc Rech Commun & Accompagnement Domicile Perso, Bamako, Mali
[6] Inst Natl sante publ Quebec, Quebec City, PQ, Canada
基金
加拿大健康研究院;
关键词
PEER EDUCATION; COUNTRIES; EPIDEMIOLOGY; TRANSMISSION; ACQUISITION; PREVENTION; DISEASES; AFRICA; CORE;
D O I
10.1097/OLQ.0000000000001231
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Background We aimed to (1) estimate the prevalence of HIV and other sexually transmitted infections (STIs) among female sex workers (FSWs) in Bamako, Mali, and (2) identify factors associated with STIs including HIV infection in this population. Methods We analyzed baseline data from a prospective observational cohort study on cervical cancer screening, human papillomavirus, and HIV infections among FSWs 18 years or older recruited in Bamako. Multivariable log-binomial regression was used to estimate the adjusted prevalence ratios (APRs) with 95% confidence interval (95% CI) for HIV infection and STIs versus associated factors. Results Among 353 women participating in the study, mean age was 26.8 (+/- 7.6) years. HIV prevalence was 20.4%, whereas 35.1% of the FSWs had at least one STI. Factors significantly associated with HIV were older age (P< 0.0001, test for trend), duration of sex work >= 6 years (APR, 1.92; 95% CI, 1.22-3.02), uneducated status (APR, 2.24; 95% CI, 1.16-4.34), less than 10 clients in the last 7 days (APR, 1.55; 95% CI, 1.02-2.34), and gonococcal (APR, 1.85; 95% CI, 1.21-2.82) and chlamydial (APR, 2.58; 95% CI, 1.44-4.62) infections. Younger age (P= 0.018, test for trend), having >= 10 clients in the last week (APR, 1.47; 95% CI, 1.11-1.94), and HIV infection (APR, 2.00; 95% CI, 1.49-2.69) were significantly associated with STIs. Conclusions HIV and curable STI prevalence are high among FSWs in Bamako. There is thus a need to enhance the efficiency of interventions toward FSWs in Mali to reduce the burden of HIV and STIs among them and prevent HIV spread to the general population.
引用
收藏
页码:679 / 685
页数:7
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