Assessment of human immunodeficiency virus type 1 and risk practices among female commercial sex workers in Isla Margarita, Venezuela.
Sexual transmission represents the principal mode of transmission for human immunodeficiency virus type 1 (HIV-1) worldwide. We examined the HIV-1 seroprevalence and risk factors for infection among 613 female commercial sex workers (FCSW) in Isla Margarita, Venezuela. Recruitment was conducted in street venues and working locations. None of the FCSW tested positive for HIV; this correlated with the low self-reported rates of sexually transmitted infections (6%), drug use (<20%), and alcohol abuse (12%). Condom use and safe-sex practices were found to be practiced regularly (>80% of time) with clients; however, such practices were found to be very uncommon in nonclient relations (<20% of the time). Understanding the sexual risk behaviors, beliefs, and drug use patterns of FCSW is important for future development of effective public prevention policies and educational campaigns aimed at decreasing the risk of infection with HIV-1 and other sexually transmitted infections among FCSW.
Munoz
Beau
B
Instituto Nacional de Higiene "Rafael Rangel," Ministry of Health and Social Development, Caracas, Venezuela.
Pacheco
Maria E
ME
Aponte
Carlos
C
Michini
Ana
A
Taibo
Maria E
ME
Pinto
Belkis
B
Montano
Silvia M
SM
Chauca
Gloria
G
Negrete
Monica
M
Russell
Kevin L
KL
Sanchez
Jose L
JL
D000293:Adolescent; D000328:Adult; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology; D015497:HIV-1 / Q000302:isolation & purification*; D006801:Humans; D008875:Middle Aged; D012309:Risk-Taking; D011477:Sex Work; D011795:Surveys and Questionnaires; D014687:Venezuela / Q000453:epidemiology