ArticleBMC infectious diseases2008
Sustained high prevalence of sexually transmitted infections among female sex workers in Cambodia: high turnover seriously challenges the 100% Condom Use Programme.
Article in BMC infectious diseases, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The prevalence of sexually transmitted infections in Papua New Guinea: a systematic review and meta-analysis.PloS one · 2010Pooled it
- Neisseria gonorrhoeae infection in female sex workers in an STI clinic in Nairobi, Kenya.PloS one · 2022Article
- Joint effects of alcohol and stimulant use disorders on self-reported sexually transmitted infections in a prospective study of Cambodian female entertainment and sex workers.International journal of STD & AIDS · 2021Article
- Female Entertainment Workers and Condom Use Negotiation in Post-100% Condom Use Era Cambodia.Archives of sexual behavior · 2020Article
- Trends in unprotected intercourse among heterosexual men before and after brothel ban in Siem Reap, Cambodia: a serial cross-sectional study (2003-2012).BMC public health · 2018Article
- Gonorrhea, Chlamydia and HIV incidence among female sex workers in Cotonou, Benin: A longitudinal study.PloS one · 2018Article
- The frequency of gonorrheal and chlamydial infections in Zanjanian women in 2013-2014.International journal of reproductive biomedicine · 2017Article
- Characteristics, risk behaviors and factors associated with abortion among female entertainment workers in Cambodia.Reproductive health · 2015Article
- Drug Use and High-Risk Sexual Behaviors of Women at a Drop-In Center in Mazandaran Province, Iran, 2014.Iranian journal of psychiatry and behavioral sciences · 2015Article
- Sex work and HIV in Cambodia: trajectories of risk and disease in two cohorts of high-risk young women in Phnom Penh, Cambodia.BMJ open · 2013Article
- Biomarker validation of recent unprotected sexual intercourse in a prospective study of young women engaged in sex work in Phnom Penh, Cambodia.Sexually transmitted diseases · 2013Article
- HIV/STI risk among venue-based female sex workers across the globe: a look back and the way forward.Current HIV/AIDS reports · 2013Review
- Condom negotiation and use among female sex workers in Phnom Penh, Cambodia.AIDS and behavior · 2013Article
- Condom negotiation across different relationship types by young women engaged in sex work in Phnom Penh, Cambodia.Global public health · 2013Article
- Outreach syphilis testing services by different health providers to female sex workers in southern China.PloS one · 2013Article
- Testing for amphetamine-type stimulant (ATS) use to ascertain validity of self-reported ATS use among young female sex workers in Cambodia.Addiction science & clinical practice · 2012Article
- Condom use among female sex workers and their non-commercial partners: effects of a sexual risk intervention in two Mexican cities.International journal of STD & AIDS · 2012Article
- HIV and other sexually transmitted infections in women with illegal social behavior in Isfahan, Iran.Advanced biomedical research · 2012Article
- Targeted interventions of the Avahan program and their association with intermediate outcomes among female sex workers in Maharashtra, India.BMC public health · 2011Article
- Street-based adolescents at high risk of HIV in Ukraine.Journal of epidemiology and community health · 2011Article
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5 authors.
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Abstract
backgroundCambodia's 100% Condom-Use Programme (CUP), implemented nationally in 2001, requires brothel-based female sex workers (FSWs) to use condoms with all clients. In 2005, we conducted a sexually transmitted infection (STI) survey among FSWs. This paper presents the STI prevalence and related risk factors, and discusses prevalence trends in the context of the 100% CUP in Cambodia.
methodsFrom March-May, 1079 FSWs from eight provinces consented to participate, provided specimens for syphilis, chlamydia, and gonorrhoea testing, and were interviewed. Univariate and multivariate logistic regression analysis was used to determine factors associated with STIs. STI prevalence was compared with data from the 1996 and 2001 STI surveys.
resultsMost FSWs were young (55% aged 15-24) and new to sex work (60% had worked 12 <or= months). Consistent condom use with clients was reported by 80% of FSWs, but only 38% of FSWs always used condoms with sweethearts or casual partners. Being new to sex work was the only factor significantly associated with "any STI" (OR = 2.1). Prevalence of syphiliwas 2.3%; chlamydia, 14.4%; gonorrhoea, 13.0%; and any STI, 24.4%. Prevalence of each STI in 2005 was significantly lower than in 1996, but essentially the same as prevalence observed in 2001.
conclusionNew FSWs were found to have substantially higher prevalence than those with longer experience. The percent of FSWs who used condoms consistently was high with clients but remained low with non-paying sex partners. Because of the high turnover of FSWs, the prevention needs of new FSWs should be ascertained and addressed. Despite 100% CUP implementation, the prevalence of STIs among FSWs was the same in 2005 as it was in 2001. Limited coverage and weak implementation capacity of the programme along with questionable quality of the STI services are likely to have contributed to the sustained high prevalence. The programme should be carefully reviewed in terms of intensity, quality and coverage.
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