alexa STI Prevalence and Risk Behaviors among Establishment-b
ISSN 2155-6113

Journal of AIDS & Clinical Research
Open Access

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Research Article

STI Prevalence and Risk Behaviors among Establishment-based and Street-based Sex Workers in Jamaica

Jacqueline Duncan*, Sharon Weir, Lovette Byfield, Carol Jones Cooper, Sharlene Jarrett and J Peter Figueroa

Kingston and St. Andrew Health Department, Kingston, Jamaica

*Corresponding Author:
Jacqueline Duncan
Kingston and St. Andrew
Health Department
Kingston, Jamaica
Tel: 8764705633
E-mail: [email protected]

Received Date: April 28, 2014; Accepted Date: June 23, 2014; Published Date: July 02, 2014

Citation: Duncan J, Weir S, Byfield L, Cooper CJ, Jarrett S, et al. (2014) STI Prevalence and Risk Behaviors among Establishment-based and Street-based Sex Workers in Jamaica. J AIDS Clin Res 5:320. doi:10.4172/2155-6113.1000320

Copyright: © 2014 Duncan J, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Background: Prevalence of sexually transmitted infections (STI) and risk behaviours among street and establishment-based sex workers (SW) were compared.

Method: Between August and November 2008, face to face interviews and testing for sexually transmitted infections (STI) were conducted among Jamaican SW recruited by convenience and snowball sampling.

Results: Forty-five street-based SW (SBSW) and 231 establishment-based SW (EBSW) were recruited. STI Prevalence was: HIV 4.9%, syphilis 6.2%, gonorrhea 12.7%, Chlamydia trachomatis 23.6%, and Trichomonas vaginalis 35.5%. 56.1% SW had at least one STI and STI prevalence was similar for both groups. Condom use with paying partners was >90% but lower with non-paying partners (33.3% SBSW and 20.8% EBSW, p = 0.166). Streetbased SW had more partners, initiated sex at an earlier age, operated in fewer parishes, and were more likely to have been exposed to prevention interventions. Daily alcohol, marijuana, and ecstasy use were higher among EBSW compared to SBSW (54.6 vs. 24.4%, p<0.001; 63.2% vs. 46.7%, p=0.029; 34.6% vs. 6.7%, p<0.001, respectively).

Conclusion: Prevention programmes targeting key populations such as SW must address the different risk profiles of sub-populations. Inclusion of strategies to address substance use is critical for effective STI prevention among Jamaican SW.

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