Interactions of HIV and STDs in a group of female prostitutes

Arch AIDS Res. 1989;3(1-3):149-57.


PIP: Incidence of HIV and of several other sexually transmitted diseases (STDs) was determined in 171 female prostitutes from 3 sites in San Juan, Puerto Rico. The sites were selected by high incidence of penicillinase-producing N. gonorrhoeae in clients of prostitutes. These women came from about a dozen different countries, mostly Latin American. 14% reported they always used condoms. Specimens were taken of blood, endocervix, cervix, rectum and oropharynx, and tested for HIV, gonorrhea, syphilis, herpes, chlamydia, hepatitis B and cytomegalovirus. 18% harbored gonorrhea, of which 13% were penicillinase positive. Syphilis occurred in 8%. Chlamydia was the most prevalent infection, in 47% of subjects. Serological evidence of hepatitis B was apparent in 53%, and of cytomegalovirus in 99%. HIV status was tested after unlinking identifying information from 80 serum samples, and 16% were confirmed HIV positive. Women from the site frequented by more street walkers than bar girls had a higher incidence of hepatitis B, and were known to be more frequent users of IV drugs. These data confirm observations made elsewhere that HIV infection may coexist with other STDs.

MeSH terms

  • Americas
  • Anti-Bacterial Agents*
  • Behavior*
  • Caribbean Region
  • Chlamydia*
  • Clinical Laboratory Techniques*
  • Condoms*
  • Contraception*
  • Developed Countries
  • Developing Countries
  • Diagnosis*
  • Disease*
  • Family Planning Services*
  • Gonorrhea*
  • HIV Infections*
  • Incidence*
  • Infections*
  • Latin America
  • North America
  • Pelvic Inflammatory Disease*
  • Pharmaceutical Preparations
  • Puerto Rico
  • Research
  • Research Design
  • Sexual Behavior*
  • Sexually Transmitted Diseases*
  • Syphilis*
  • Therapeutics
  • Virus Diseases*


  • Anti-Bacterial Agents
  • Pharmaceutical Preparations