ArticleIndian dermatology online journal2014
High prevalence of syphilis among street-based female sex workers in Nanchang, China.
Article in Indian dermatology online journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- Prevalence and associated factors of syphilis among female sex workers in East Africa: a systematic review and meta-analysis.Frontiers in public health · 2025Pooled it
- Health status of street children and reasons for being forced to live on the streets in Harar, Eastern Ethiopia. Using mixed methods.PloS one · 2022Article
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- Low prevalence of syphilis infection among key populations in Togo in 2017: a national cross-sectional survey.Archives of public health = Archives belges de sante publique · 2019Article
- Syphilis among Female Sex Workers: Results of Point-of-Care Screening during a Cross-Sectional Behavioral Survey in Burkina Faso, West Africa.International journal of microbiology · 2018Article
- Demographic and behavioral correlates of HIV/STI among Vietnamese female sex workers in southwest China.AIDS care · 2016Article
- Loss to follow-up and HIV incidence in female sex workers in Kaiyuan, Yunnan Province China: a nine year longitudinal study.BMC infectious diseases · 2016Article
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7 authors at 1 institution in 1 country.
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Abstract
backgroundFemale sex workers (FSWs) play a critical role in the heterosexual transmission of human immunodeficiency virus (HIV)/sexually transmitted infections (STIs) in China. Several studies reported that street-based FSWs have higher risk behaviors than establishment-based FSWs. Therefore, street-based FSWs should be specifically targeted for HIV and STIs intervention programs.
objectivesThis study aims to investigate the prevalence rates and risk factors of HIV and syphilis among FSWs in Nanchang, China. MATERIALS AND
methodsUsing convenience sampling methods, 361 street-based FSWs were recruited from August 2011 to February 2012. All participants completed an anonymous questionnaire on socioeconomic and sex behavioral information and were tested for HIV and syphilis. Risk for HIV and syphilis infection was assessed using univariate and multivariate logistic regression analyses.
resultsNo HIV infections were found. The prevalence rate of syphilis was 43.5%. Nearly 46.1% of street-based FSWs reported having education for no more than 6 years. Having reproductive tract infections at current visit, duration of sex work more than 5 years, indulgence in unprotected sex trade in the last time, unprotected sex trade in the last month, and unprotected sex with boyfriend or spouse in the last month were reported by 35.2%, 43.5%, 33.8%, 60.4%, and 93.1% street-based FSWs, respectively. In multivariate logistic regression analysis, having reproductive tract infections at current visit [odds ratio (OR), 12.10; 95% confidence interval (CI), 6.01-24.37], duration of sex work more than five years (OR, 4.26; 95% CI, 2.40-7.54), and unprotected sex trade in the last month (OR, 1.85; 95% CI, 1.06-3.22) were independently associated with syphilis infection.
conclusionThe prevalence rate of syphilis among street-based FSWs is very high. Most street-based FSWs in our survey had low education, long experience of commercial sex, and high rate of inconsistent condom use. Comprehensive interventions targeting this high-risk group, especially scaling up screening and ensuring consistent use of condoms during sex are needed.
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