High prevalence of HIV and sexually transmitted infections among indirect sex workers in Cambodia

Sex Transm Dis. 2005 Dec;32(12):745-51. doi: 10.1097/01.olq.0000175384.44106.be.

Abstract

Objectives: The goal of this study was to assess the baseline prevalence of and risk factors for HIV and other sexually transmitted infections (STIs) among beer girls enrolled in a behavioral intervention in Battambang, Cambodia.

Methods: Ninety-two of 114 women participated in baseline interviewing, HIV/STI testing, and STI treatment. Blood specimens were tested for syphilis and HIV infection. Self-administered vaginal swabs were tested for trichomonas, bacterial vaginosis (BV), gonorrhea, and chlamydia infections.

Results: HIV prevalence was 26%. STI prevalences were: 14% chlamydia, 12% trichomonas, 3% gonorrhea, and 0% syphilis. The prevalence of BV was 43%. A history of sex work was reported by 82%. Consistent condom use with clients was reported by 39%. Increased number of partners and symptoms of STI were significantly associated with HIV infection.

Discussion: These data suggest high sexual risk among beer girls in Cambodia. Targeted and frequent HIV and STI interventions are urgently needed in this population.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Cambodia / epidemiology
  • Female
  • HIV Infections / epidemiology*
  • HIV Infections / prevention & control
  • Humans
  • Prevalence
  • Risk-Taking
  • Sex Work*
  • Sexual Behavior
  • Sexually Transmitted Diseases, Bacterial / epidemiology*
  • Sexually Transmitted Diseases, Bacterial / prevention & control
  • Trichomonas Infections / epidemiology*
  • Trichomonas Infections / prevention & control