title: Female sex street workers and sexually transmitted infections: their knowledge and behaviour in Italy.
abstract: OBJECTIVE
  This study assessed knowledge and sexual behaviour regarding sexually transmitted infections (STIs) among female sex street workers in the area of Milan, Italy.
  
  
  METHODS
  A questionnaire was administered covering socio-demographic characteristics; knowledge about STIs; sexual behaviour.
  
  
  RESULTS
  A total of 241 female sex street workers were interviewed. A vast majority knew AIDS and syphilis, whereas the knowledge about other STIs was unsatisfactory. Only 11.7% knew that STIs are transmitted by sexual intercourse with HIV seropositive partners, by unprotected sexual intercourse, and that kissing was not a mode of transmission. This knowledge was significantly higher in female sex street workers with a higher number of years in sex work and among those who received information from physicians and associations about STIs. The mean score of fear for contracting STIs was 7.5 and being younger, practicing prostitution for shorter period of time, and requiring more information about STIs were significantly associated with this fear. 'Ever condom use' was 100% during anal intercourse with clients; whereas only one woman reported vaginal and oral intercourse without condom. Only 15.2, 16.7, and 30% of those engaged in vaginal, oral, and anal intercourse with a non-paying sexual partner used condoms all the times. Overall, 83.5% of female sex street workers used a condom every time with clients or non-paying partners and those with fewer clients and partners routinely were more likely to use it.
  
  
  CONCLUSIONS
  Interventions for preventing STIs and for improving the level of knowledge of STIs among female sex street workers are strongly needed.
authors.affiliation: Chair of Hygiene, Medical School, University of Catanzaro Magna Graecia, Via Tommaso Campanella, 88100 Catanzaro, Italy.
authors.forename: Francesca
authors.initials: F
authors.lastname: Trani
authors.forename: Carlo
authors.initials: C
authors.lastname: Altomare
authors.forename: Carmelo G A
authors.initials: CG
authors.lastname: Nobile
authors.forename: Italo F
authors.initials: IF
authors.lastname: Angelillo
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D017280:Condoms / Q000706:statistics & numerical data; D003268:Contraception Behavior; D003430:Cross-Sectional Studies; D003710:Demography; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007558:Italy; D016014:Linear Models; D016015:Logistic Models; D008875:Middle Aged; D011477:Sex Work; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000517:prevention & control* / Q000523:psychology / Q000635:transmission*; D011795:Surveys and Questionnaires; D013997:Time Factors