Document 0930
 DOCN  M94A0930
 TI    STDs prevalences among FCSW from Mexico City. A population based study.
 DT    9412
 AU    Uribe F; Hernandez-Avila M; Conde C; Juarez L; Uribe P; Del Rio C; De
       Zalduondo B; INST, Mexico.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(2):248 (abstract no. PC0353). Unique
       Identifier : AIDSLINE ICA10/94371645
 AB    OBJECTIVE: To estimate the seroprevalence of markers for T. pallidum,
       Herpes simplex virus-2 (HSV-2), Hepatitis B virus (HBV), and the human
       immunodeficiency virus (HIV), as well as the prevalence by culture of N.
       gonorrhoeae and C. trachomatis in a representative sample of FCSW from
       Mexico City. METHODS: A sampling frame was built during 1993, that
       allowed the identification of commercial sex activity sites: bars,
       massage parlors, and street points. Previous informed consent, the
       participating women provided both a venous blood sample for the serum
       antibody analysis and an endocervical exudate swab for the culture
       analysis. Techniques employed were standard ones: ELISA (HBV, HIV),
       Western blot (HIV, HSV-2), RPR/FTA-ABS (T. pallidum), and Thayer-Martin
       medium, oxidase, coagglutination (N. gonorrhoeae), plus the McCoy cell
       line and immunofluorescent staining (C. trachomatis). RESULTS: The
       distribution of places in a specific precint of the City was 106 bars,
       20 street points and 13 massage parlors. Enrolled women from places
       selected at random were 662, with approximately half from bars and
       massage parlors and the other half from street points. STDs prevalences
       detected in massage parlors, bars and street points were: 1.5%, 4.5% and
       12% for syphilis; 44.7%, 53.9% and 78% for HSV-2; 0%, 1.2% and 7.1% for
       the anti HBV core antigen (there were no positive cases for the HBV
       surface antigen); 0%, 0.3% and 1.4% for HIV. Culture results showed 0%,
       0% and 5.9% for gonococcus; and 11.7%, 14.8% and 10.8% for chlamydia,
       respectively. DISCUSSION AND CONCLUSIONS: Clear differences were found
       regarding the geographic concentration, distribution and STDs
       prevalences among FCSW in relation to their working place. Street points
       rendered significatively higher STDs prevalences, except for chlamydia,
       therefore such women group being at an increased risk of infection
       should receive preventive and intervention measures in a short term.
 DE    Female  Gonorrhea/EPIDEMIOLOGY  Hepatitis B/EPIDEMIOLOGY  Herpes
       Genitalis/EPIDEMIOLOGY  Human  HIV Infections/EPIDEMIOLOGY
       Lymphogranuloma Venereum/EPIDEMIOLOGY  Mexico/EPIDEMIOLOGY
       *Prostitution  Seroepidemiologic Methods  Sexually Transmitted
       Diseases/*EPIDEMIOLOGY  Syphilis/EPIDEMIOLOGY  MEETING ABSTRACT

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