High prevalence of HIV and sexually transmitted infections among male sex workers in Abidjan, C

Published: February 11, 2012

ABSTRACT
Objectives To assess condom use and prevalence of
sexually transmitted infections (STI) and HIV among male
sex workers (MSW) in Abidjan, Coˆte d’Ivoire.

Methods A cross-sectional survey was conducted
between October 2007 and January 2008 among MSW
attending a sex worker clinic in Abidjan. A short
questionnaire was administered in a face-to-face
interview, and the participants were asked to provide
a urine sample for STI testing and to self-collect
transudate of the gingival mucosa for anonymous HIV
testing, using a rapid test. A rectal swab for STI testing
was taken by a physician. Molecular ampli?cation assays
were performed for the detection of Chlamydia
trachomatis, Neisseria gonorrhoeae and Trichomonas
vaginalis.

Results 96 MSW participated in the survey, their
median age was 27 years and the median duration of
sex work was 5 years. Consistent condom use with
clients during the last working day was 86.0%, and
consistent condom use with the regular partner during
the last week was 81.6%. HIV infection was detected in
50.0% of the participants. The prevalence of N
gonorrhoeae was 12.8%, chlamydia infection was
present in 3.2% and T vaginalis in 2.1% of the study
participants.

Conclusions HIV and STI rates found in this study
con?rm the high risk and vulnerability status of MSW in
Coˆte d’Ivoire. There is a de?nite need for studies
exploring risk and risk perceptions among MSW in more
depth and for services tailored to their needs, including
developing and validating simple algorithms for the
diagnosis of STI in MSW and men who have sex with
men.

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