Sustained high prevalence of sexually transmitted infections among female sex workers in Cambodia: high turnover seriously challenges the 100% condom use programme
2008

High STI Rates Among Female Sex Workers in Cambodia

Sample size: 1079 publication 10 minutes Evidence: moderate

Author Information

Author(s): Sopheab Heng, Morineau Guy, Neal Joyce J, Saphonn Vonthanak, Fylkesnes Knut

Primary Institution: National Center for HIV/AIDS, Dermatology and STDs, Cambodia

Hypothesis

What are the prevalence rates of sexually transmitted infections (STIs) among female sex workers (FSWs) in Cambodia and what factors are associated with these rates?

Conclusion

The prevalence of STIs among new female sex workers is significantly higher than among those with more experience, indicating a need for targeted prevention efforts.

Supporting Evidence

  • 80% of FSWs reported always using condoms with clients.
  • New FSWs had a 30% higher prevalence of STIs compared to those with more experience.
  • The prevalence of syphilis was 2.3%, chlamydia 14.4%, and gonorrhoea 13.0%.

Takeaway

New female sex workers in Cambodia are getting sick more often from infections that can be passed through sex, and we need to help them stay safe.

Methodology

The study involved a survey of 1079 female sex workers across eight provinces, testing for STIs and collecting demographic and behavioral data.

Potential Biases

Potential biases include social desirability bias in self-reported condom use and STI symptoms.

Limitations

The study may not fully capture the experiences of non-brothel-based sex workers and relies on self-reported data, which can be biased.

Participant Demographics

55% of participants were aged 15-24, and 60% had been in sex work for 12 months or less.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI: 1.21, 3.78

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2334-8-167

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