Catherine O’Connor|Geoffrey Berry|Richard Rohrsheim|Basil Donovan
Sexual health and use of condoms among local and international sex workers in Sydney.
University of Sydney|University of Sydney|University of Sydney|University of Sydney
compare indicators sexual health predictors condom use commercial sex among local international female sex workers first attending std clinica public std clinic sydney australiaall sex workers first attending june 1991 may 1993crosssectional analysis demographic behavioural morbidity data proforma medical records91 local sex workers 123 international sex workers predominantly thailand malaysia china first presented study period significantly higher prevalences chlamydia 0 v 15 p 00002 gonorrhoea 0 v 14 p 00006 syphilis 0 v 10 p 0006 clinical genital herpes 0 v 5 p 004 among international sex workers case hiv infection international sex worker inconsistent condom use commercial sex significantly common among international sex workers rr 45 95 ci 3165 multivariate analysis inconsistent condom use international sex workers associated recent history prostitution outside australia p 004 inconsistent condom usage among local sex workers associated increasing age p 0003these data illustrate efficacy condoms success targeted education programmes local sex workers sydney contrast international sex workers continued high risk stds international sex industry sydney requires enhanced culturespecific interventions immigration laws affect sex workers also reviewedthis study analyzes data female sex workers attended sydney sexual health center first visit sexually transmitted disease std screening june 1 1991 may 31 1993 international sex workers identified women speak english home born outside australia diseases confirmed clinically specimen culture antibody serological tests results apply 91 local 123 international prostitutes 47 international prostitutes 34 local prostitutes aged 2125 years international sex workers spoke thai chinese dialect 10 local prostitutes born asia 90 international prostitutes born thailand malaysia china local prostitutes better educated 7 local prostitutes none international sex workers history injectable drug use local prostitutes tended use condoms birth control international prostitutes tended use oral contraceptives one international prostitute tested hiv positive 1 7 international prostitutes gonorrhea proportion chlamydia viral stds chronic hepatitis b hiv infection genital warts prevalent uncommon among international prostitutes international prostitutes multiple stds 79 international sex workers 9 local sex workers std 47 international sex workers 10 local sex workers worked overseas prostitute preceding 12 months half local sex workers 8 international sex workers consistently used condoms failure use condoms associated international sex worker inconsistent use condoms among local prostitutes related increased age