Genital ulcers associated with human immunodeficiency virus-related immunosuppression in female sex workers in Abidjan, Ivory Coast.
A cross-sectional study among female sex workers in Abidjan was conducted to study the association between sexually transmitted diseases and human immunodeficiency virus (HIV) infection and HIV-related immunosuppression. Among 1209 women tested for HIV, 962 (80%) were seropositive. HIV infection was independently associated with a longer duration of sex work, a lower price for intercourse, being an immigrant, and having a positive Treponema pallidum hemagglutination test (P < .05). Genital ulcers (25% vs. 5%), genital warts (14% vs. 4%), Neisseria gonorrhoeae (32% vs. 16%), Trichomonas vaginalis (27% vs. 17%), and syphilis (27% vs. 17%) were more frequent (P < .05) in HIV-infected than -uninfected women. Among HIV-infected women, the proportions with a genital ulcer were 17%, 25%, and 36% for those with > 28%, 14%-28%, and < 14% CD4 cells, respectively (P < .001). This study suggests that genital ulcers are an opportunistic disease in female sex workers in Abidjan.
Ghys
P D
PD
Project RETRO-CI, Bureau Central de Coordination du Comité National de Lutte Contre le SIDA, Abidjan, Ivory Coast.
Diallo
M O
MO
Ettiègne-Traoré
V
V
Yeboué
K M
KM
Gnaoré
E
E
Lorougnon
F
F
Kalé
K
K
Van Dyck
E
E
Brettegaard
K
K
Hoyi
Y M
YM
D017088:AIDS-Related Opportunistic Infections / Q000453:epidemiology / Q000276:immunology*; D000328:Adult; D000818:Animals; D003218:Condylomata Acuminata / Q000453:epidemiology / Q000276:immunology; D016001:Confidence Intervals; D007560:Cote d'Ivoire / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D005831:Genital Diseases, Female / Q000453:epidemiology / Q000276:immunology; D006069:Gonorrhea / Q000453:epidemiology / Q000276:immunology; D015658:HIV Infections / Q000150:complications / Q000453:epidemiology / Q000276:immunology*; D018023:HIV Seronegativity; D006679:HIV Seropositivity / Q000150:complications / Q000276:immunology*; D006801:Humans; D007108:Immune Tolerance; D008297:Male; D016017:Odds Ratio; D011477:Sex Work; D012725:Sexual Behavior; D012959:Socioeconomic Factors; D013587:Syphilis / Q000453:epidemiology / Q000276:immunology; D013997:Time Factors; D014245:Trichomonas Infections / Q000453:epidemiology / Q000276:immunology; D014246:Trichomonas vaginalis