High prevalence of HIV and sexually transmitted infections among indirect sex workers in Cambodia.
OBJECTIVE
The goal of this study was to assess the baseline prevalence of and risk factors for HIV and other sexually transmitted infections (STIs) among beer girls enrolled in a behavioral intervention in Battambang, Cambodia.


METHODS
Ninety-two of 114 women participated in baseline interviewing, HIV/STI testing, and STI treatment. Blood specimens were tested for syphilis and HIV infection. Self-administered vaginal swabs were tested for trichomonas, bacterial vaginosis (BV), gonorrhea, and chlamydia infections.


RESULTS
HIV prevalence was 26%. STI prevalences were: 14% chlamydia, 12% trichomonas, 3% gonorrhea, and 0% syphilis. The prevalence of BV was 43%. A history of sex work was reported by 82%. Consistent condom use with clients was reported by 39%. Increased number of partners and symptoms of STI were significantly associated with HIV infection.


CONCLUSIONS
These data suggest high sexual risk among beer girls in Cambodia. Targeted and frequent HIV and STI interventions are urgently needed in this population.
Kim
Andrea A
AA
Department of Medicine, Center for AIDS Prevention Studies, University of California San Francisco, 50 Beale St., Suite 1200, CA 94105, USA.
Sun
Ly Penh
LP
Chhorvann
Chhea
C
Lindan
Christina
C
Van Griensven
Frits
F
Kilmarx
Peter H
PH
Sirivongrangson
Pachara
P
Louie
Janice K
JK
Leng
Hor Bun
HB
Page-Shafer
Kimberly
K
D000293:Adolescent; D000328:Adult; D002160:Cambodia / Q000453:epidemiology; D005260:Female; D015658:HIV Infections / Q000453:epidemiology* / Q000517:prevention & control; D006801:Humans; D015995:Prevalence; D012309:Risk-Taking; D011477:Sex Work; D012725:Sexual Behavior; D015231:Sexually Transmitted Diseases, Bacterial / Q000453:epidemiology* / Q000517:prevention & control; D014245:Trichomonas Infections / Q000453:epidemiology* / Q000517:prevention & control