Evidence map›Paper›PMID 23002191›Full record

ArticleSexually transmitted infections2013

Prevalence of HIV and other sexually transmitted infections and factors associated with syphilis among female sex workers in Panama.

Shilpa Hakre, Griselda Arteaga, Aurelio E Núñez, Christian T Bautista, Aimee Bolen, Maria Villarroel, Sheila A Peel, Gabriela Paz-Bailey, Paul T Scott, Juan M Pascale and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Sexually transmitted infections, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 4 pooled it
9.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 4 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Sex Worker Health Outcomes in High-Income Countries of Varied Regulatory Environments: A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
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  11. Prevalence of HIV, syphilis, and other sexually transmitted infections among MSM from three cities in Panama.Journal of urban health : bulletin of the New York Academy of Medicine · 2014
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 3 countries.

Shilpa HakreDepartment of Epidemiology and Threat Assessment, United States Military HIV Research Program, Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Maryland 20817, USA. shakre@hivresearch.org
Griselda Arteaga
Aurelio E Núñez
Christian T Bautista
Aimee Bolen
Maria Villarroel
Sheila A Peel
Gabriela Paz-Bailey
Paul T Scott
Juan M Pascale
Panama HIV EPI Group
Henry M. Jackson Foundation · USWalter Reed Army Institute of Research · USInstituto Conmemorativo Gorgas de Estudios de la Salud · PAUniversidad del Valle de Guatemala · GT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesBiological and behavioural surveillance of HIV and sexually transmitted infections (STIs) among populations at highest risk have been used to monitor trends in prevalence and in risk behaviours. Sex work in Panama is regulated through registration with the Social Hygiene Programme, Ministry of Health. We estimated prevalence of HIV and STIs, and factors associated with active syphilis among female sex workers (FSWs).

methodsA cross-sectional study using venue-based, time-space sampling was conducted among FSWs in Panama from 2009 to 2010. FSWs were interviewed about sociodemographic characteristics, sexual risk behaviour, health history and drug use using an anonymous structured questionnaire. Blood was collected for serological testing of HIV and other STIs. Factors associated with active syphilis were studied using logistic regression analysis.

resultsThe overall HIV-1 prevalence of 0.7% varied by FSW category; 1.6% in 379 unregistered, and 0.2% in 620 registered FSWs. Overall prevalence (and 95% CI) of STIs were: syphilis antibody, 3.8% (2.7% to 5.2%); herpes simplex virus type 2 antibody (anti-HSV-2), 74.2% (71.4% to 76.9%); hepatitis B surface antigen, 0.6% (0.2% to 1.3%); hepatitis B core antibody, 8.7% (7.0% to 10.6%); and hepatitis C antibody, 0.2% (0.0% to 0.7%). In multivariate analysis, registration (adjusted OR (AOR)=0.35; 95% CI 0.16 to 0.74), having a history of STI (AOR=2.37; 95% CI 1.01 to 5.58), forced sex (AOR=2.47; 95% CI 1.11 to 5.48), and anti-HSV-2 (AOR=10.05; 95% CI 1.36 to 74.38) were associated with active syphilis.

conclusionsAlthough HIV prevalence is low among FSWs in Panama, unregistered FSWs bear a higher burden of HIV and STIs than registered FSWs. Programmes aimed at overcoming obstacles to registration, and HIV, STI and harm reduction among unregistered FSWs is warranted to prevent HIV transmission, and to improve their sexual and reproductive health.

Indexed as

Sex WorkersAdolescentAdultCross-Sectional StudiesFemaleHumansInterviews as TopicMiddle AgedPanamaRisk FactorsSeroepidemiologic StudiesSexually Transmitted DiseasesYoung Adult

Identifiers

PMID23002191
PMCPMC3595153
OpenAlexW2136943170

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.