title: Sexually transmitted infections and sexual behaviour among youth clients of hotel-based female sex workers in Dhaka, Bangladesh.
abstract: A cross-sectional study was conducted among youth clients of hotel-based female sex workers (YCHBFSWs) in nine randomly selected hotels in Bangladesh to examine sexual-risk behaviour, condom use and determinants of condom use in last sex, knowledge of HIV, sexually transmitted infection (STI) prevalence and STI care-seeking behaviour. A prestructured questionnaire was used to collect sociodemographic, behavioural, clinical information; urine specimens (before sex) and blood were collected for diagnosis of Neisseria gonorrhoeae, Chlamydia trachomatis, Trichomonas vaginalis, syphilis and herpes simplex virus 2 (HSV2) infection. One thousand and thirteen participants were enroled in the study. Approximately half of them reported visiting female sex workers (FSWs) at least once a month and 25% visited FSWs at least once a week. Only 12% of participants reported regular condom use. The prevalence of N. gonorrhoeae, C. trachomatis, T. vaginalis, syphilis and HSV2 was 2.2%, 3.9%, 7.2%, 2.6% and 12.9%, respectively. Only 15.3% of the YCHBFSW sought STI care in the past year. Negotiation of condom use with FSWs was the main determinant (odds ratio = 17.95) for condom use at last sex. Male clients of FSWs, including YCHBFSW, are an important bridge population for HIV transmission in Bangladesh and HIV interventions should be designed and implemented for them.
authors.affiliation: International Centre for Diarrhoeal Disease Research, Bangladesh GPO Box 128, Dhaka 1000,  Bangladesh.
authors.forename: F
authors.initials: F
authors.lastname: Haseen
authors.forename: F A H
authors.initials: FA
authors.lastname: Chawdhury
authors.forename: M E
authors.initials: ME
authors.lastname: Hossain
authors.forename: M
authors.initials: M
authors.lastname: Huq
authors.forename: M U
authors.initials: MU
authors.lastname: Bhuiyan
authors.forename: H
authors.initials: H
authors.lastname: Imam
authors.forename: D M M
authors.initials: DM
authors.lastname: Rahman
authors.forename: R
authors.initials: R
authors.lastname: Gazi
authors.forename: S I
authors.initials: SI
authors.lastname: Khan
authors.forename: R
authors.initials: R
authors.lastname: Kelly
authors.forename: J
authors.initials: J
authors.lastname: Ahmed
authors.forename: M
authors.initials: M
authors.lastname: Rahman
mesh_terms: D000293:Adolescent; D001459:Bangladesh / Q000453:epidemiology; D002690:Chlamydia Infections / Q000453:epidemiology; D002692:Chlamydia trachomatis; D017280:Condoms / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D006069:Gonorrhea / Q000453:epidemiology; D007722:Health Knowledge, Attitudes, Practice; D006558:Herpes Genitalis / Q000453:epidemiology; D018258:Herpesvirus 2, Human; D006801:Humans; D008297:Male; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D015995:Prevalence; D060386:Sex Workers / Q000706:statistics & numerical data*; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases / Q000453:epidemiology*; D011795:Surveys and Questionnaires; D013587:Syphilis / Q000453:epidemiology; D014247:Trichomonas Vaginitis / Q000453:epidemiology; D014246:Trichomonas vaginalis; D047568:Unsafe Sex / Q000706:statistics & numerical data; D055815:Young Adult