Prevalence, incidence, and persistence of syphilis infection in female sex workers in a Chinese province
2010; Cambridge University Press; Volume: 139; Issue: 9 Linguagem: Inglês
10.1017/s0950268810002578
ISSN1469-4409
AutoresH. B. Wang, M. Kumi Smith, Katherine Brown, G. -X. Wang, Dongfang Chang, Junjie Xu, Guiling Ding, Xia Jin, Kathleen H. Reilly, N. WANG,
Tópico(s)HIV, Drug Use, Sexual Risk
ResumoSUMMARY The study's objectives were to investigate the prevalence, incidence, persistence, and associated risk factors of syphilis in female sex workers (FSWs) in Kaiyuan City, Yunnan, China. Three serial cross-sectional surveys were conducted and biological specimens were collected and tested for HIV, sexually transmitted infections, and drug use. The logistic Generalized Estimating Equation regression model was used to identify risk factors for prevalent syphilis. The prevalence of syphilis was 7·5%, 8·4% and 8·8%, respectively, in the three survey periods. Estimated syphilis incidence was 1·07 cases/100 person-years, and the persistence of syphilis per person at 6 months was 90·4%. In multivariate analysis, the factors associated with syphilis were age, lower education level, number of clients in a week, inconsistent condom use with clients, herpes simplex virus type 2 (HSV-2), and Chlamydia trachomatis . Persistent syphilis in this population of FSWs is a serious public health concern.
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