Risk behaviours for HIV infection and sexually transmitted diseases among female sex workers from Copenhagen

Int J STD AIDS. Sep-Oct 1994;5(5):365-7. doi: 10.1177/095646249400500516.

Abstract

In 1990-91, 237 female sex workers from Copenhagen were enrolled in a larger study performed in 9 European countries. None of 206 women accepting serological testing was HIV-infected despite the fact that 36 (17.5%) were injecting drug users (IDU). Whereas 95% of the women always used condoms with clients over the last 6 months, this proportion was 25% and 9% respectively for casual and regular non-paying partners (P < 0.0001 for both comparisons). Those reporting at least one STD over the last year had more non-paying sexual partners than the others (P < 0.01) and the frequency of STD was lower in women who always used condoms with non-paying partners (7% vs 31%, P = 0.01). Women working on the street were more often IDU than others (78% vs 7%, P < 0.001). Independently of drug use, street prostitutes also tended to have more clients (P = 0.007) and more STD (P = 0.05). The striking differences in condom use with clients as compared to non-paying partners and the association between STD and sexual behaviours with such partners but not with clients show that specific interventions should be designed to promote safer sex with non-paying partners.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Condoms / statistics & numerical data
  • Denmark / epidemiology
  • Female
  • HIV Infections / blood
  • HIV Infections / complications
  • HIV Infections / epidemiology*
  • HIV Infections / prevention & control
  • HIV Infections / transmission
  • HIV Seroprevalence*
  • Humans
  • Incidence
  • Population Surveillance*
  • Risk-Taking*
  • Sex Work / psychology*
  • Sexual Partners
  • Sexually Transmitted Diseases / complications
  • Sexually Transmitted Diseases / epidemiology*
  • Sexually Transmitted Diseases / prevention & control
  • Sexually Transmitted Diseases / transmission
  • Substance Abuse, Intravenous / complications
  • Substance Abuse, Intravenous / epidemiology
  • Urban Population