[Study on the association between vaginal douching and sexually transmitted diseases among female sex workers in a county of Yunnan province].
OBJECTIVE
To explore the epidemic characteristics of vaginal douching, human immunodeficiency virus (HIV) and other sexually transmitted diseases(STD) among female sex workers (FSWs) in Yunnan province.


METHODS
FSWs were recruited to be investigated on their demographic data, drug abuse and sexual behavior, HIV/AIDS knowledge and procreation health status. Venous blood were collected to test for HIV, herpes simplex virus 2 (HSV-2) and syphilis while urine specimen was for morphine, cervical secretion for Gonorrhoea and Chlamydia trachomatis, and vaginal secretion for Trichomonas.


RESULTS
A total number of 833 blood specimen were collected, in which 84 specimen were confirmed to be HIV positive with a prevalence rate of 10.1%. The prevalence rates of syphilis and HSV-2 were 8.2% and 68.4% respectively. 832 vaginal and cervical secretion specimen were collected with the prevalence rates of Gonorrhoea, Chlamydia trachomatis and Trichomonas were 11.5%, 28.2% and 11.9% respectively. In multivariate logistic analysis, the factors associated with vaginal douching were: being Han nationality, locations of sex work at middle/high level, ever heard of HIV/AIDS, emerged hypogastric pain last year, the number of sex work location > or =4.


CONCLUSIONS
Vaginal douching was shown a risk factor for HIV and some STD.
Wang
Hai-bo
HB
National Center for STD/AIDS Prevention and Control, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Wang
Ning
N
Ma
Jian-guo
JG
Wang
Gui-xiang
GX
Chang
Dong-fang
DF
Ding
Guo-wei
GW
Xu
Jun-jie
JJ
Zhang
Guo-lei
GL
Dong
Rui-ling
RL
Zhang
Lan
L
Wu
Zheng-lai
ZL
Zheng
Xi-wen
XW
D000293:Adolescent; D000328:Adult; D002681:China / Q000453:epidemiology; D002690:Chlamydia Infections / Q000453:epidemiology; D005260:Female; D006069:Gonorrhea / Q000453:epidemiology; D015658:HIV Infections / Q000453:epidemiology; D006558:Herpes Genitalis / Q000453:epidemiology; D006801:Humans; D008875:Middle Aged; D011477:Sex Work / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases / Q000453:epidemiology*; D013587:Syphilis / Q000453:epidemiology; D044364:Vaginal Douching / Q000009:adverse effects*; D055815:Young Adult