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GHENT UNIVERSITY Karoline FONCK - International Centre for ...

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After logistic regression, only trichomoniasis (P=0.02) remains significantly associated with<br />

HIV infection. The trend <strong>for</strong> association between SIL and HIV remains in the regression<br />

analysis (P=0.07).<br />

Discussion<br />

Table 4 : Characteristics of the 272 women working at home or in bars according to place of work.<br />

Home n=216<br />

% or mean<br />

Bar n=56<br />

% or mean<br />

OR (95% CI) P<br />

Age 33 29 0.001<br />

Single 40 50 1.4 (0.9-1.0) 0.1<br />

Duration prostitution 6.8 6.0 0.3<br />

Partners/day 3.7 3.7 0.9<br />

Partners/week 14 27 0.04<br />

Charge per act<br />

Condom use :<br />

110 120 0.6<br />

Never<br />

40<br />

27 1.2 (0.8-1.7)*<br />

0.5*<br />

1-49%<br />

19<br />

36<br />

50-75%<br />

22<br />

20<br />

Always<br />

19<br />

18<br />

Douching 69 77 1.5 (0.7-2.9) 0.2<br />

Lubricants 22 27 1.3 (0.7-2.6) 0.3<br />

Sex during menses 20 31 1.6 (1.0-2.6) 0.06<br />

Anal intercourse 15 13 0.8 (0.4-1.7) 0.4<br />

Alcohol use 43 66 2.2 (1.3-3.6) 0.001<br />

HIV infection 25 29 1.0 (0.9-1.2) 0.3<br />

*P value <strong>for</strong> categories «always» and «never». OR= odds ratios; CI= confidence intervals.<br />

This paper describes the baseline data of the 318 sex workers screened during the first 7<br />

months of the enrolment phase of a randomized placebo controlled trial with azithromycin to<br />

reduce STI incidence. This cohort of female sex workers was set up in a slum area in<br />

Nairobi.<br />

The women in our study were initially mainly recruited through an existing network of peer<br />

leaders. As it became clear that some FSWs were not reached by these peer-leaders, other<br />

ways of recruiting them were identified. As a result, women working in bars and clubs were<br />

also enrolled later on in the study although at a slower pace. The women we enrolled <strong>for</strong>m a<br />

non-coherent group of sex workers with striking differences in relation to demography as well<br />

as to risk behavior according to the place where they were working. Women carrying out<br />

their activities at home were older, more often divorced or widowed and had been in<br />

prostitution <strong>for</strong> a longer time.<br />

PREVENTION OF SEXUALLY TRANSMITTED INFECTIONS INCLUDING HIV 87

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