title: High prevalence of Mycoplasma genitalium among female sex workers in Honduras: implications for the spread of HIV and other sexually transmitted infections.
abstract: This study describes HIV, sexually transmitted infections (STI) and risk factors associated with Mycoplasma genitalium among female sex workers (FSWs) in four cities in Honduras. In 2006, 795 FSWs from Tegucigalpa, San Pedro Sula, La Ceiba and Comayagua were recruited using respondent-driven sampling (RDS) and tested for HIV prevalence and STI. HIV prevalence ranged from no infections in Comayagua to 5.4% in Tegucigalpa. With the exception of Comayagua, more than 20% of FSWs were infected with M. genitalium. M. genitalium in the aggregated cities was associated with HIV positivity, being aged ≤30 years old, drinking alcohol more than once weekly and always using condoms with regular clients in the past month. In comparison with a 2001 surveillance study we found lower rates of HIV infection. Interventions for HIV control and prevention among FSWs, including promotion of condom use, are needed in Honduras.
authors.affiliation: Tulane University School of Public Health and Tropical Medicine, Department of International Health and Development, Center for Global Health Equity, New Orleans, LA, USA.
authors.forename: L G
authors.initials: LG
authors.lastname: Johnston
authors.forename: G
authors.initials: G
authors.lastname: Paz-Bailey
authors.forename: S
authors.initials: S
authors.lastname: Morales-Miranda
authors.forename: M
authors.initials: M
authors.lastname: Morgan
authors.forename: B
authors.initials: B
authors.lastname: Alvarez
authors.forename: L
authors.initials: L
authors.lastname: Hickman
authors.forename: E
authors.initials: E
authors.lastname: Monterroso
mesh_terms: D000328:Adult; D000367:Age Factors; D000428:Alcohol Drinking; D017280:Condoms; D016001:Confidence Intervals; D005260:Female; D006679:HIV Seropositivity / Q000453:epidemiology*; D006721:Honduras / Q000453:epidemiology; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D009175:Mycoplasma Infections / Q000453:epidemiology* / Q000382:microbiology; D045704:Mycoplasma genitalium; D016017:Odds Ratio; D015995:Prevalence; D012307:Risk Factors; D011477:Sex Work / Q000706:statistics & numerical data*; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000453:epidemiology* / Q000382:microbiology; D055815:Young Adult