PREVALENCE OF SEXUALLY TRANSMITTED INFECTIONS AND SEXUAL RISK BEHAVIOR AMONG FEMALE SEX WORKERS IN NINE PROVINCES IN INDONESIA, 2005

The objective of this study was to assess the sexually transmitted infection (STI) prevalence and sexual risk behavior among female sex workers (FSWs) in Indonesia. This cross-sectional 2005 study involved 2500 FSWs in nine provinces in Indonesia. Informed consent was obtained; behavioral and clinic...

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Published in:Southeast Asian journal of tropical medicine and public health Vol. 41; no. 2; pp. 463 - 473
Main Authors: TANUDYAYA, Flora K, RAHARDJO, Eko, KEMMY AMPERA PURNAMAWATI, SEDYANINGSIH MAMAHIT, Endang R, BOLLEN, Liesbeth Jm, MADJID, Nurholis, FAHMI DAILI, Sjaiful, PRIOHUTOMO, Sigit, MORINEAU, Guy, NURJANNAH, ROSELINDA, ANARTATI, Atiek S
Format: Journal Article
Language:English
Published: Bangkok SEAMO, Regional Tropical Medicine and Public Health Network 01.03.2010
Central Coordinating Board, SEAMEO-TROPMED Project
Subjects:
Adolescent
Adult
Biological and medical sciences
Condoms - utilization
Cross-Sectional Studies
Epidemiology. Vaccinations
Female
General aspects
Humans
Indonesia - epidemiology
Infectious diseases
Medical sciences
Middle Aged
Prevalence
Risk factors
Risk taking
Sex Work
Sexual Behavior
Sexually transmitted diseases
Sexually Transmitted Diseases - epidemiology
STD
Syphilis
Vaginal Douching - utilization
Asia
Indonesia
Infection
Prostitution
Sexually transmitted disease
Prevalence
Sexual behavior
Female
Tropical medicine
Epidemiology
ISSN:0125-1562
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Summary:The objective of this study was to assess the sexually transmitted infection (STI) prevalence and sexual risk behavior among female sex workers (FSWs) in Indonesia. This cross-sectional 2005 study involved 2500 FSWs in nine provinces in Indonesia. Informed consent was obtained; behavioral and clinical data were collected. Specimens were collected for STI testing, endocervical swabs were tested for Chlamydia trachomatis and Neisseria gonorrhoeae (PCR), vaginal smears were cultured to detect Trichomonas vaginalis and sera were tested for syphilis (RPR and TPHA). The prevalence of chlamydial infection was 43.5%, gonorrhea 28.6%, trichomoniasis 15.1%, and syphilis 8.7%; the prevalence of any STI was 64.0%. Inconsistent condom use, younger age, and higher number of clients were independent risk factors for the presence of gonorrhea/chlamydia. Inconsistent condom use was common (73.2%); starting sex work at younger age, and higher number of clients were independent risk factors. Vaginal douching was reported by 89.6% of FSWs; no association with gonorrhea/chlamydial infection was found. This study identified a high STI prevalence and low consistent condom use among FSWs in Indonesia. This will need to be addressed to prevent further spread of infections, including HIV.
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ISSN:0125-1562