Condom use prevents genital ulcers in women working as prostitutes. Influence of human immunodeficiency virus infection.
Sex Transm Dis
; 18(3): 188-91, 1991.
Article
em En
| MEDLINE
| ID: mdl-1948518
ABSTRACT
PIP: Counselors at a Nairobi City Commission Maternal/Child Health Clinic interviewed prostitutes in a certain residential area every 6 months between 1986-1988 about sexual practices and condom use. In addition, every 6 months, health workers examined the women on a demand basis free of charge, promoted condom use, provided condoms, informed then about sexually transmitted diseases (STDs) and HIV infection, and took samples to test for STD and HIV status. Prostitutes were 3 times more likely to use condoms in 1987-1988 than 1986-1987, but the prevalence of genital ulcers remained basically the same (34% in 1986-1987 and 32% in 1987-1988). Hemophilus ducreyi was responsible for at least 80% of the genital ulcers. In 1987-1988, 35% of HIV-1 seropositive women had genital ulcers while only 14% of HIV-1 seronegative women did (p.01). In fact, genital ulcer prevalence increased significantly in HIV-1 seropositive women as the disease stage of HIV-1 advanced (27% of asymptomatic healthy women, 35% of women with generalized lymphadenopathy, and 46% of women with clinical HIV related disease; p.05). Thus this study suggested that the immunosuppressive traits of preexisting HIV infection negate any protective effect that condoms normally have against genital ulcers. Indeed the researchers proposed that a complex bidirectional epidemiologic and biologic interaction of HIV and H. ducreyi infection to be the basis of the HIV-1 epidemic in these women. In conclusion, strategies to curtail the transmission of HIV among heterosexuals should consists of programs which understand and change sexual behavior resulting in a decline in the contribution of prostitutes or other core groups to the HIV epidemic, condom use to prevent STD and HIV transmission, and control of genital ulcers in high frequency transmitters including prostitutes and clients.
Palavras-chave
Africa; Africa South Of The Sahara; Barrier Methods; Behavior; Biology; Condom; Contraception; Contraceptive Methods; Contraceptive Usage; Developing Countries; Diseases; Eastern Africa; English Speaking Africa; Examinations And Diagnoses; Family Planning; Health; Health Surveys; Hiv Infections; Immunity; Immunological Effects; Infections; Kenya; Methodological Studies; Physical Examinations And Diagnoses; Physiology; Prostitutes; Repeated Rounds Of Survey; Reproductive Tract Infections; Research Methodology; Sampling Studies; Sex Behavior; Sexually Transmitted Diseases--prevention and control; Studies; Survey Methodology; Surveys; Viral Diseases
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Trabalho Sexual
/
Cancroide
/
Dispositivos Anticoncepcionais Masculinos
/
Doenças dos Genitais Femininos
Tipo de estudo:
Prevalence_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
País/Região como assunto:
Africa
Idioma:
En
Revista:
Sex Transm Dis
Ano de publicação:
1991
Tipo de documento:
Article
País de afiliação:
Quênia