Correlates of STI symptoms among female sex workers with truck driver clients in two Mexican border towns
Identifieur interne : 003434 ( Main/Exploration ); précédent : 003433; suivant : 003435Correlates of STI symptoms among female sex workers with truck driver clients in two Mexican border towns
Auteurs : Nadine E. Chen [États-Unis] ; Steffanie A. Strathdee [États-Unis] ; Felipe J. Uribe-Salas [Mexique] ; Thomas L. Patterson [États-Unis] ; Maria Gudelia Rangel [Mexique] ; Perth Rosen [États-Unis] ; Kimberly C. Brouwer [États-Unis]Source :
- BMC Public Health [ 1471-2458 ] ; 2012.
Abstract
Female sex workers (FSW) are at increased risk for HIV and other STI due to occupation-related risks and exposures. Long-distance truck drivers have been implicated in the spread of HIV, but less is known about HIV/STI risks of FSW servicing truck drivers, especially in North America. As part of an international collaborative pilot study, we interviewed FSWs servicing truck driver clients along two major transportation corridors to explore factors associated with recent STI symptoms.
A cross-sectional study of 200 FSW was conducted in Mexico: 100 from Nuevo Laredo (U.S. border); 100 from Ciudad Hidalgo (Guatemalan border). Eligibility criteria included age ≥18 years, speaking English or Spanish, and having ≥1 truck driver client in the past month. The main outcome was reporting any recent STI symptoms, defined as experiencing genital/anal warts, genital ulcers/sores, genital itching, or abnormal vaginal discharge in the past 6 months. Logistic regression was used to identify correlates of recent STI symptoms.
Median age of FSW was 29 years, 74% were single, 87% had <9th grade education, and median income was 4000 pesos/month ($300 USD). Sex work occurred at a bar/cantina for 70%. One-quarter had never been tested for HIV, 53% reported lifetime drug use, 22% reported drinking alcohol before/during transactional sex and 17% reported recent STI symptoms. After controlling for age and study site, factors associated with STI symptoms were lifetime drug use (AOR 2.9, 95% CI 1.2-6.9), drug use before/during sex (AOR 2.8, 95% CI 1.1-7.1), alcohol use before/during sex (AOR 5.2, 95% CI 2.2, 12.6), forced sex ever (AOR 2.6, 95% CI 1.1-6.1), lifetime history of arrest (AOR 2.3, 95% CI 1.0-5.0), and being surveyed in Nuevo Laredo rather than Ciudad Hidalgo (AOR 4.8, 95% CI 2.0-10.0).
The associations we observed between recent STI symptoms and drug and alcohol use suggest that interventions are needed that promote consistent and effective safer sex practices, especially while under the influence of alcohol or other substances.
Url:
DOI: 10.1186/1471-2458-12-1000
PubMed: 23164289
PubMed Central: 3528625
Affiliations:
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Chen</name><affiliation wicri:level="2"><nlm:aff id="I1">Department of Medicine, University of California San Diego, San Diego, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Medicine, University of California San Diego, San Diego, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="I3">Division of Global Public Health, University of California, San Diego; 9500 Gilman Dr, San Diego, CA, 92093-0507, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Global Public Health, University of California, San Diego; 9500 Gilman Dr, San Diego, CA, 92093-0507</wicri:regionArea><wicri:noRegion>92093-0507</wicri:noRegion></affiliation></author><author><name sortKey="Strathdee, Steffanie A" sort="Strathdee, Steffanie A" uniqKey="Strathdee S" first="Steffanie A" last="Strathdee">Steffanie A. Strathdee</name><affiliation wicri:level="2"><nlm:aff id="I1">Department of Medicine, University of California San Diego, San Diego, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Medicine, University of California San Diego, San Diego, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Uribe Salas, Felipe J" sort="Uribe Salas, Felipe J" uniqKey="Uribe Salas F" first="Felipe J" last="Uribe-Salas">Felipe J. Uribe-Salas</name><affiliation wicri:level="1"><nlm:aff id="I2">El Colegio de la Frontera Norte, Tijuana, Baja California, México</nlm:aff><country xml:lang="fr" wicri:curation="lc">Mexique</country><wicri:regionArea>El Colegio de la Frontera Norte, Tijuana, Baja California</wicri:regionArea><wicri:noRegion>Baja California</wicri:noRegion></affiliation></author><author><name sortKey="Patterson, Thomas L" sort="Patterson, Thomas L" uniqKey="Patterson T" first="Thomas L" last="Patterson">Thomas L. Patterson</name><affiliation wicri:level="2"><nlm:aff id="I1">Department of Medicine, University of California San Diego, San Diego, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Medicine, University of California San Diego, San Diego, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Rangel, Maria Gudelia" sort="Rangel, Maria Gudelia" uniqKey="Rangel M" first="Maria Gudelia" last="Rangel">Maria Gudelia Rangel</name><affiliation wicri:level="1"><nlm:aff id="I2">El Colegio de la Frontera Norte, Tijuana, Baja California, México</nlm:aff><country xml:lang="fr" wicri:curation="lc">Mexique</country><wicri:regionArea>El Colegio de la Frontera Norte, Tijuana, Baja California</wicri:regionArea><wicri:noRegion>Baja California</wicri:noRegion></affiliation></author><author><name sortKey="Rosen, Perth" sort="Rosen, Perth" uniqKey="Rosen P" first="Perth" last="Rosen">Perth Rosen</name><affiliation wicri:level="2"><nlm:aff id="I1">Department of Medicine, University of California San Diego, San Diego, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Medicine, University of California San Diego, San Diego, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Brouwer, Kimberly C" sort="Brouwer, Kimberly C" uniqKey="Brouwer K" first="Kimberly C" last="Brouwer">Kimberly C. Brouwer</name><affiliation wicri:level="2"><nlm:aff id="I1">Department of Medicine, University of California San Diego, San Diego, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Medicine, University of California San Diego, San Diego, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Female sex workers (FSW) are at increased risk for HIV and other STI due to occupation-related risks and exposures. Long-distance truck drivers have been implicated in the spread of HIV, but less is known about HIV/STI risks of FSW servicing truck drivers, especially in North America. As part of an international collaborative pilot study, we interviewed FSWs servicing truck driver clients along two major transportation corridors to explore factors associated with recent STI symptoms.</p></sec><sec><title>Methods</title><p>A cross-sectional study of 200 FSW was conducted in Mexico: 100 from Nuevo Laredo (U.S. border); 100 from Ciudad Hidalgo (Guatemalan border). Eligibility criteria included age ≥18 years, speaking English or Spanish, and having ≥1 truck driver client in the past month. The main outcome was reporting any recent STI symptoms, defined as experiencing genital/anal warts, genital ulcers/sores, genital itching, or abnormal vaginal discharge in the past 6 months. Logistic regression was used to identify correlates of recent STI symptoms.</p></sec><sec><title>Results</title><p>Median age of FSW was 29 years, 74% were single, 87% had <9<sup>th</sup> grade education, and median income was 4000 pesos/month ($300 USD). Sex work occurred at a bar/cantina for 70%. One-quarter had never been tested for HIV, 53% reported lifetime drug use, 22% reported drinking alcohol before/during transactional sex and 17% reported recent STI symptoms. After controlling for age and study site, factors associated with STI symptoms were lifetime drug use (AOR 2.9, 95% CI 1.2-6.9), drug use before/during sex (AOR 2.8, 95% CI 1.1-7.1), alcohol use before/during sex (AOR 5.2, 95% CI 2.2, 12.6), forced sex ever (AOR 2.6, 95% CI 1.1-6.1), lifetime history of arrest (AOR 2.3, 95% CI 1.0-5.0), and being surveyed in Nuevo Laredo rather than Ciudad Hidalgo (AOR 4.8, 95% CI 2.0-10.0).</p></sec><sec><title>Conclusions</title><p>The associations we observed between recent STI symptoms and drug and alcohol use suggest that interventions are needed that promote consistent and effective safer sex practices, especially while under the influence of alcohol or other substances.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Strathdee, Sa" uniqKey="Strathdee S">SA Strathdee</name></author><author><name sortKey="Lozada, R" uniqKey="Lozada R">R Lozada</name></author><author><name 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uniqKey="Morisky D">DE Morisky</name></author><author><name sortKey="Pena, M" uniqKey="Pena M">M Pena</name></author><author><name sortKey="Tiglao, Tv" uniqKey="Tiglao T">TV Tiglao</name></author><author><name sortKey="Liu, Ky" uniqKey="Liu K">KY Liu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Meyer, Jp" uniqKey="Meyer J">JP Meyer</name></author><author><name sortKey="Springer, Sa" uniqKey="Springer S">SA Springer</name></author><author><name sortKey="Altice, Fl" uniqKey="Altice F">FL Altice</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Mexique</li><li>États-Unis</li></country><region><li>Californie</li></region></list><tree><country name="États-Unis"><region name="Californie"><name sortKey="Chen, Nadine E" sort="Chen, Nadine E" uniqKey="Chen N" first="Nadine E" last="Chen">Nadine E. Chen</name></region><name sortKey="Brouwer, Kimberly C" sort="Brouwer, Kimberly C" uniqKey="Brouwer K" first="Kimberly C" last="Brouwer">Kimberly C. Brouwer</name><name sortKey="Chen, Nadine E" sort="Chen, Nadine E" uniqKey="Chen N" first="Nadine E" last="Chen">Nadine E. Chen</name><name sortKey="Patterson, Thomas L" sort="Patterson, Thomas L" uniqKey="Patterson T" first="Thomas L" last="Patterson">Thomas L. Patterson</name><name sortKey="Rosen, Perth" sort="Rosen, Perth" uniqKey="Rosen P" first="Perth" last="Rosen">Perth Rosen</name><name sortKey="Strathdee, Steffanie A" sort="Strathdee, Steffanie A" uniqKey="Strathdee S" first="Steffanie A" last="Strathdee">Steffanie A. Strathdee</name></country><country name="Mexique"><noRegion><name sortKey="Uribe Salas, Felipe J" sort="Uribe Salas, Felipe J" uniqKey="Uribe Salas F" first="Felipe J" last="Uribe-Salas">Felipe J. Uribe-Salas</name></noRegion><name sortKey="Rangel, Maria Gudelia" sort="Rangel, Maria Gudelia" uniqKey="Rangel M" first="Maria Gudelia" last="Rangel">Maria Gudelia Rangel</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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