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Patterns of sexually transmitted diseases in female sex workers in Surabaya, Indonesia.
Int J STD AIDS. 1997 Sep; 8(9):576-80.IJ

Abstract

Sex workers and their clients as core groups of high frequency transmitters play a dominant role in the transmission of HIV and other sexually transmitted diseases (STDs). In Surabaya, Indonesia, little is known about the prevalence of STDs in various sex establishments. We conducted an STD prevalence survey of 1873 female sex workers in Surabaya, Indonesia. We did not find any sex workers with HIV infection. Prevalence rates of other STDs (chlamydia, gonorrhoea, serological test for syphilis positive, and/or trichomoniasis) in female sex workers were 48% in brothels (n = 696), 42% on the streets (n = 192), 16% in massage parlours (n = 344), 25% in barber shops (n = 150), 17% at call-girl houses (n = 73), and 10% in nightclubs (n = 418). Sex workers from the brothels had the highest prevalence rates of gonorrhoea (24%) and trichomoniasis (8%), while sex workers from the streets and the barber shop had the highest rates of serological test for syphilis (STS) positive (30%) and chlamydia (18%). STD rates decreased with an increase in age (except for STS positive), an increase in education, a decrease in the number of sex partners, and condom use in the previous week. Condom use in the previous week was universally low among sex workers, especially among sex workers from the brothels (14%). Sex workers from the brothels had STD rates about 4 times higher than sex workers from the nightclubs (adjusted odds ratio of 4.4). Although the HIV seroprevalence rate is currently low, widespread prostitution and high rates of STDs in sex workers warrant programmes to avert a potential explosion of HIV transmission. Because sex workers from the brothels in Surabaya have high rates of STDs and low use of condoms but good cooperation with local authorities, STD preventive measures should focus on this group.

Authors+Show Affiliations

Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

9292347

Citation

Joesoef, M R., et al. "Patterns of Sexually Transmitted Diseases in Female Sex Workers in Surabaya, Indonesia." International Journal of STD & AIDS, vol. 8, no. 9, 1997, pp. 576-80.
Joesoef MR, Linnan M, Barakbah Y, et al. Patterns of sexually transmitted diseases in female sex workers in Surabaya, Indonesia. Int J STD AIDS. 1997;8(9):576-80.
Joesoef, M. R., Linnan, M., Barakbah, Y., Idajadi, A., Kambodji, A., & Schulz, K. (1997). Patterns of sexually transmitted diseases in female sex workers in Surabaya, Indonesia. International Journal of STD & AIDS, 8(9), 576-80.
Joesoef MR, et al. Patterns of Sexually Transmitted Diseases in Female Sex Workers in Surabaya, Indonesia. Int J STD AIDS. 1997;8(9):576-80. PubMed PMID: 9292347.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Patterns of sexually transmitted diseases in female sex workers in Surabaya, Indonesia. AU - Joesoef,M R, AU - Linnan,M, AU - Barakbah,Y, AU - Idajadi,A, AU - Kambodji,A, AU - Schulz,K, PY - 1997/9/18/pubmed PY - 1997/9/18/medline PY - 1997/9/18/entrez KW - Acquired Immunodeficiency Syndrome KW - Asia KW - Behavior KW - Biology KW - Cross Sectional Analysis KW - Developing Countries KW - Diseases KW - Hiv Infections KW - Indonesia KW - Infections KW - Measurement KW - Prevalence KW - Prostitutes--women KW - Reproductive Tract Infections KW - Research Methodology KW - Research Report KW - Risk Factors KW - Sex Behavior KW - Sexually Transmitted Diseases KW - Southeastern Asia KW - Viral Diseases SP - 576 EP - 80 JF - International journal of STD & AIDS JO - Int J STD AIDS VL - 8 IS - 9 N2 - Sex workers and their clients as core groups of high frequency transmitters play a dominant role in the transmission of HIV and other sexually transmitted diseases (STDs). In Surabaya, Indonesia, little is known about the prevalence of STDs in various sex establishments. We conducted an STD prevalence survey of 1873 female sex workers in Surabaya, Indonesia. We did not find any sex workers with HIV infection. Prevalence rates of other STDs (chlamydia, gonorrhoea, serological test for syphilis positive, and/or trichomoniasis) in female sex workers were 48% in brothels (n = 696), 42% on the streets (n = 192), 16% in massage parlours (n = 344), 25% in barber shops (n = 150), 17% at call-girl houses (n = 73), and 10% in nightclubs (n = 418). Sex workers from the brothels had the highest prevalence rates of gonorrhoea (24%) and trichomoniasis (8%), while sex workers from the streets and the barber shop had the highest rates of serological test for syphilis (STS) positive (30%) and chlamydia (18%). STD rates decreased with an increase in age (except for STS positive), an increase in education, a decrease in the number of sex partners, and condom use in the previous week. Condom use in the previous week was universally low among sex workers, especially among sex workers from the brothels (14%). Sex workers from the brothels had STD rates about 4 times higher than sex workers from the nightclubs (adjusted odds ratio of 4.4). Although the HIV seroprevalence rate is currently low, widespread prostitution and high rates of STDs in sex workers warrant programmes to avert a potential explosion of HIV transmission. Because sex workers from the brothels in Surabaya have high rates of STDs and low use of condoms but good cooperation with local authorities, STD preventive measures should focus on this group. SN - 0956-4624 UR - https://www.unboundmedicine.com/medline/citation/9292347/Patterns_of_sexually_transmitted_diseases_in_female_sex_workers_in_Surabaya_Indonesia_ L2 - https://journals.sagepub.com/doi/10.1258/0956462971920811?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -