Document 0270
 DOCN  M9460270
 TI    Human T cell lymphotropic virus type I infection among female sex
       workers in Peru.
 DT    9404
 AU    Gotuzzo E; Sanchez J; Escamilla J; Carrillo C; Phillips IA; Moreyra L;
       Stamm W; Ashley R; Roggen EL; Kreiss J; et al; Instituto de Medicina
       Tropical, Alexander von Humboldt,; Universidad Cayetano Heredia,
       US-Naval Medical Research Institute; Detachment, Lima, Peru.
 SO    J Infect Dis. 1994 Apr;169(4):754-9. Unique Identifier : AIDSLINE
       MED/94179883
 AB    Four hundred female sex workers attending a sexually transmitted disease
       clinic in Lima, Peru, were interviewed for demographic information and
       medical, contraceptive, and sexual practice histories. Cervical cultures
       were done for Neisseria gonorrhoeae and Chlamydia trachomatis, and serum
       was tested for antibodies to human immunodeficiency virus, human T cell
       lymphotropic virus type I (HTLV-I), Treponema pallidum, C. trachomatis,
       herpes simplex virus type 2 (HSV-2), and Haemophilus ducreyi. The
       prevalence of HTLV-I increased with duration of prostitution from 3.6%
       (< 3 years) to 9.3% (3-6 years) to 15.9% (> 6 years; P < .01). After
       adjustment for duration of prostitution, reduced risk of HTLV-I was
       significantly correlated with condom use for more than half of all
       sexual exposures for > 3 years (odds ratio [OR], 0.34; 95% confidence
       interval [CI], 0.13-0.89). Further adjusting for condom use, HTLV-I
       seropositivity was associated with C. trachomatis (OR, 3.7; 95% CI,
       1.4-13.2) and with antibody to HSV-2 (OR, 3.7; 95% CI, 0.5-29.6). Thus,
       duration of prostitution, lack of consistent condom use, and past
       infection with C. trachomatis were significantly associated with HTLV-I
       seropositivity.
 DE    Adult  Age Factors  Analysis of Variance  Condoms/UTILIZATION
       Cross-Sectional Studies  Educational Status  Female  Human  HTLV-I
       Antibodies/BLOOD  HTLV-I Infections/COMPLICATIONS/*EPIDEMIOLOGY  Middle
       Age  Peru/EPIDEMIOLOGY  Prevalence  *Prostitution  Regression Analysis
       Risk Factors  Sex Behavior  Sexually Transmitted
       Diseases/COMPLICATIONS/EPIDEMIOLOGY  Support, Non-U.S. Gov't  Support,
       U.S. Gov't, Non-P.H.S.  Support, U.S. Gov't, P.H.S.  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).