Document 0934
 DOCN  M94A0934
 TI    STDs and HIV infection in CSWs of Pune, India.
 DT    9412
 AU    Mehendale S; Rodrigues JJ; Gangakhedkar R; Divekar A; Mawar N; Paranjape
       R; Quinn T; Bollinger R; National AIDS Research Institute, Pune, India.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(2):247 (abstract no. PC0351). Unique
       Identifier : AIDSLINE ICA10/94371641
 AB    OBJECTIVE: To assess the prevalance of HIV infection in the context of
       sexually transmitted diseases (STDs) in CSWs in Pune. METHODS: As a part
       of an ongoing logitudinal study, the Preparation of AIDS Vaccine
       Efficacy (PAVE) in India, the clinical & laboratory assessment for STDS
       and HIV was done among 278 CSWs attending a STD Clinic. RESULTS: The
       seroprevalence of HIV infection among the CSWs was 42.9%. Among the
       infected, 85.8% had HIV-1 and 12.4% had dual infection. Only 2/113
       (1.8%) infected women showed evidence of HIV-2 infection. Age specific
       seroprevalence rates were 37% (20 years), 50% (21-30 Years) and 29.5%
       (31-40 Years). HIV serostatus was found to be dependent on age (x2 =
       9.18, D.F. = 2, P 0.01). Condom usage was found not to be correlated
       with age. The prevalance of HIV infection was 51.2% among CSWs with
       acute history of STD as against 27.9% without it. CSWs presenting with
       chancroid, pelvic, inflammatory desease, & trichomonal and candidial
       vaginitis had higher prevalance of HIV infection. CONCLUSIONS: Pune city
       is witnessing a recent and explosive HIV epidemic. High incidence of
       STDs in the CSWs, although expected, is likely to make them more
       vulnerable to complications in the presence of HIV infection. There is a
       need for emphasis on condom promotion and more effective STD control
       among CSWs.
 DE    Adult  Female  Human  HIV Infections/COMPLICATIONS/*EPIDEMIOLOGY  HIV
       Seroprevalence  India/EPIDEMIOLOGY  Longitudinal Studies  *Prostitution
       Sexually Transmitted Diseases/COMPLICATIONS/*EPIDEMIOLOGY  MEETING
       ABSTRACT

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