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Infectious Diseases in Obstetrics and Gynecology
Volume 2012, Article ID 739624, 9 pages
Research Article

Genital Tract Infections, Bacterial Vaginosis, HIV, and Reproductive Health Issues among Lima-Based Clandestine Female Sex Workers

1Department of Epidemiology, School of Public Health, University of Washington, Box 357236, Seattle, WA 98195, USA
2Center for AIDS and STD, School of Public Health, University of Washington, Harborview Medical Center, 325 9th Avenue, Box 359931, Seattle, WA 98104-2499, USA
3Facultad de Medicina de la Universidad San Martín de Porres, Avenida Alameda del Corregidor 1531, Urb. Los Sirius, Las Viñas, La Molina, Lima 12, Peru
4Department of Global Health, School of Public Health, University of Washington, Harborview Medical Center, 325 9th Avenue, Box 359931, Seattle, WA 98104, USA
5Department of Medicine, School of Medicine, University of Washington, Box 356420, Seattle, WA 98195, USA
6Dirección General de Epidemiología, Ministerio de Salud del Perú, Avenda Salaverry 801, Jesús María, Lima, Peru
7Asociación Civil Impacta Salud y Educación, Avenida Almirante Miguel Grau No. 1010, Lima, Peru

Received 9 February 2012; Revised 13 April 2012; Accepted 16 April 2012

Academic Editor: Gregory T. Spear

Copyright © 2012 M. E. Perla et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Sociodemographic and behavioral characteristics of 212 Peruvian female sex workers (FSWs) were analyzed. The association between genital tract infections (GTIs) and risk factors by multivariate analysis was evaluated. Eighty-eight percent of FSWs were diagnosed with at least one GTI (HSV-2 80.1%, BV 44.8%, candidiasis 9.9%, syphilis seropositivity 9.4%, Trichomonas vaginalis 2.4%, HIV seropositivity 2.4%). Reported condom use with clients was nearly universal (98.3%), but infrequent with husband/regular partners (7.3%). In multivariate analysis BV was negatively associated with more consistent condom use ( , 95% CI, 0.42–0.96). Many had not visited a Sexually Transmitted Infection (STI) clinic or been tested for HIV in the past year (40.6%, 47.1%, resp.). Nonclient contraceptive use was low (57%) and induced abortion was common (68%). High GTI burden and abortions suggest that a services-access gap persists among marginalized FSWs. Continued health outreach programs and integrating family planning and reproductive health services into existing STI clinic services are recommended.