Sexually transmitted infection screening uptake and knowledge of sexually transmitted infection symptoms among female sex workers participating in a community randomised trial in Peru.

Publication Type:

Journal Article

Source:

International journal of STD & AIDS (2015)

Abstract:

This study aims to evaluate condom use, sexually transmitted infection screening, and knowledge of sexually transmitted infection symptoms among female sex workers in Peru associated with sex work venue and a community randomised trial of sexually transmitted infection control. One component of the Peru PREVEN intervention conducted mobile-team outreach to female sex workers to reduce sexually transmitted infections and increase condom use and access to government clinics for sexually transmitted infection screening and evaluation. Prevalence ratios were calculated using multivariate Poisson regression models with robust standard errors, clustering by city. As-treated analyses were conducted to assess outcomes associated with reported exposure to the intervention. Care-seeking was more frequent in intervention communities, but differences were not statistically significant. Female sex workers reporting exposure to the intervention had significantly higher likelihood of condom use, sexually transmitted infection screening at public health clinics, and symptom recognition compared to those not exposed. Compared with street or bar-based female sex workers, brothel-based female sex workers reported significantly higher rates of condom use with last client, recent screening exams for sexually transmitted infections, and HIV testing. Brothel-based female sex workers also more often reported knowledge of sexually transmitted infections and recognition of sexually transmitted infection symptoms in women and in men. Interventions to promote sexually transmitted infection-detection and prevention among female sex workers in Peru should consider structural or regulatory factors related to sex work venue.