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It has as its aim to respond to the challenges currently posed by everything associated with infectious diseases, from a clinical, microbiological and public health perspective. The Journal follows a rigorous selection process of the manuscripts published through the review by the best experts in each area of knowledge of the specialty. The quality of the material published is the main aim of the Editors, as well as to provide readers with the latest and most relevant information in the world of infectious diseases. The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two preceding years. SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. Socioeconomic, structural factors and other factors associated with the workplace influence exposure to these infections. The objectives of this study were to describe and compare the social characteristics, risk behaviours and HIV, chlamydia and gonorrhoeae prevalence according to sex work site street or highway, clubs and flats.. Cross-sectional study on WSW in Catalonia. Socio-demographic, sex work and behavioral characteristics were collected through personal interview. Oral fluid and urine samples were collected to determine STI prevalence.. WSW that exercised in the street or highway presented more precarious conditions and a greater vulnerability related to socioeconomic factors: older population, with a lower education level and with less economic remuneration for their service. Other factors associated with lifestyle or behaviour was also observed: greater injecting drug use, longer sex work or vulnerabilities associated with structural or social determinants: less access to health services, higher proportion of forced relations and stay in prison. The overall HIV, chlamydia and gonorrhoeae prevalence was 3. The information generated in this study will be useful for the design specific preventive interventions aimed at this group.. Traditionally, due to the degree of exposure and the vulnerability factors associated with them, female sex workers FSWs have been considered one of the key populations in the monitoring and evaluation of HIV and other sexually transmitted infections STIs , as well as a priority target population for prevention and control programmes of these infections 1. Spain also presents low values, which range between 0. Traditionally, commercial sex workers have been viewed as a bridging population for the transmission of HIV 6. However, in our country, they have been of little relevance with regard to this transmission to the general population, also due to the low prevalence values. However, various national studies have shown higher prevalences for other STIs 7 , ranging from 4. Vulnerability in FSWs is fundamentally related to socioeconomic factors, factors associated with lifestyle alcohol and drug use , as well as structural determinants: limited access to health services, criminalisation, stigma, or sexual and physical violence 12— On the other hand, and also increasing vulnerability to these infections, there are determinants related to their activity, such as a high number of sexual partners, sex without a condom and other factors associated with their place of work that influence exposure to risks What would mean, a priori, a greater financial gain and autonomy for those who work on the street or in a flat, compared to those working in clubs, is a loss of security. In turn, the entry into force in of the Citizen Security Law has caused a demand for services in more isolated places. Consequently, women change the better known and closer areas where they feel safer for areas in which they increase their vulnerability and the possibility of suffering attacks, and in turn they are forced to negotiate the 'conditions' of the service quickly and clandestinely, which implies a loss of control in negotiating the use of a condom, and the price or type of service. Other authors also show an unequal exposure to HIV depending on the place where sex work is carried out 16— In order to generate key information to help design specific preventive interventions aimed at this population, the objectives of this study were to describe and compare the social characteristics, risk behaviours and prevalence of HIV, CT, and NG in FSWs according to the place where the sex work is carried out. The participants received financial compensation at the end of the interview. The questionnaire was structured and adapted from the one used by Doctors of the World in and its adequacy and operation in real conditions was analysed in a pilot study The questionnaire included questions on sociodemographic characteristics, drug cannabis, heroin, cocaine, ecstasy and alcohol use, characteristics of the sex work, sexual practices with clients and with a stable partner, sexual and reproductive health, and access to social and health services. For continuous data, the mean and standard deviation were calculated. After signing an informed consent form, participants answered the questionnaire and the biological sample was collected. Anonymity of the data was ensured by not including personal identifiers in the database. As they did not undergo a diagnostic test for HIV, but rather a valid test for epidemiological studies, participants were provided with information on where to take the HIV test if they wanted to do one, or confirmation in the event of a positive result. For STIs, they could receive the result by means of a numerical code and, if it was positive, receive medical attention and standard treatment. Of the women recruited, the sample was distributed according to region or area of origin, with 45 Spanish, Latin American, Eastern European and 94 African. In total, The mean age was Sociodemographic, behavioural characteristics and access to social and health services according to the place of work. STI: sexually transmitted infection; SW: sex work. Rapid and intensive consumption of more than four drinks of alcohol reaching 0. The average number of years engaged in sex work was 8. Similarly, a greater proportion of these had been in prison at some time in their lives 9. Nearly half Consumption before having sexual relations with clients was Binge drinking - intensive alcohol consumption - was reported by The use of health services in the last six months was The majority of women The overall prevalence of HIV was 3. Prevalence of HIV, chlamydia and gonorrhoea according to origin. Prevalence of HIV, chlamydia and gonorrhoea according to place of work. Other factors associated with lifestyle or behaviour are also observed: injection drug use, more time in sex work or vulnerabilities associated with a series of structural or social determinants, less access to health services, sexual violence with forced sexual relations and stay in prison. If it was traditionally linked above all to the consumption of injected drugs, exercised by Spanish women and located in central urban areas, today it is exercised in a greater proportion by women from sub-Saharan Africa and has been moving away from urban centres after the entry into force of new citizen security laws, which has increased their vulnerability. On the one hand, and related to this increase in vulnerability, we find HIV. These low prevalences are consistent with the widespread use of condoms in the work setting, and also coincide with European data 21, As is the case in other European countries 23 and in previous studies carried out in our country, a decrease in the global prevalence of CT is observed from 5. This decrease is due, on the one hand, to the widespread use of condoms with clients, and on the other, to the fact that the majority of FSWs go annually to sexual and reproductive health services, which in Catalonia perform CT screening on all women under 25 years of age and older women with risk criteria, with FSWs forming part of this group. Physical and sexual violence in the place of work, whether by clients, managers or other people in their environment, is often related to drug use 29 , becoming in turn a determining factor in the acquisition of HIV, given the risk of transmission related to lack of protection in sexual practices, in part due to clients refusing to use a condom or it breaking when they do Thus, violent events, drug use and lack of protection in sexual practices seem to be related. Women sex workers who inject drugs and work on the street have suffered more episodes of aggression than those who work in other sectors, whose drug use is occasional or instrumental Amongst the limitations of the study, it should be noted that the sample was not representative of the FSW population in Catalonia, which makes it difficult to generalise and extrapolate the results to the total FSW population. However, through prior mapping, information was collected to diversify the sample, including women from different countries in different contexts where sex work is carried out in Catalonia. The second limitation is related to the validity of the data, since the prevalence of some behaviours may be underestimated. In this sense, an attempt was made to establish anonymity so as to encourage FSWs to do interviews, using understandable language, in addition to the fact that the interviewers, professionals who work directly with this population, facilitated participation. It therefore provides key information to adapt the specific health promotion and prevention interventions carried out in our context. These comprehensive health interventions must be approached holistically and taking into account unmet needs, considering social, health and inequality determinants, including access to services and the experience of violence and migration, without forgetting FSWs' non-commercial sexual partner as a key element. In addition, it is necessary to raise awareness amongst FSWs about the risks of these infections, and the need to carry out periodic tests. The authors declare that they have no conflicts of interest. Jaume de Calella.. Enferm Infecc Microbiol Clin. ISSN: X. Previous article Next article. Issue 4. Pages April More article options. Original article. DOI: HIV, Chlamydia and gonorrhoea vulnerability depending to sex work site. Download PDF. Evelin Lopez-Corbeto a , b ,. Corresponding author. This item has received. Article information. Table 1. Sociodemographic, behavioural characteristics and access to social and health services according to the place of work.. The objectives of this study were to describe and compare the social characteristics, risk behaviours and HIV, chlamydia and gonorrhoeae prevalence according to sex work site street or highway, clubs and flats. Oral fluid and urine samples were collected to determine STI prevalence. Results WSW that exercised in the street or highway presented more precarious conditions and a greater vulnerability related to socioeconomic factors: older population, with a lower education level and with less economic remuneration for their service. Conclusion The information generated in this study will be useful for the design specific preventive interventions aimed at this group. Women sex workers. Palabras clave:. Mujeres trabajadoras sexuales. Full Text. Introduction Traditionally, due to the degree of exposure and the vulnerability factors associated with them, female sex workers FSWs have been considered one of the key populations in the monitoring and evaluation of HIV and other sexually transmitted infections STIs , as well as a priority target population for prevention and control programmes of these infections 1. Results Sociodemographic, behavioural characteristics and use of social health services according to the place of sex work Of the women recruited, the sample was distributed according to region or area of origin, with 45 Spanish, Latin American, Eastern European and 94 African. Last six months. Sometime in life. Jaume de Calella. Thematic report: Sex workers. Baral, C. Beyrer, K. Muessig, T. Poteat, A. Wirtz, M. Decker, et al. Burden of HIV among female sex workers in low-income and middle-income countries: a systematic review and meta-analysis. Lancet Infect Dis. Belza, P. Clavo, J. Ballesteros, B. Castilla, S. Sanz, et al. Gac Sanit. Vall-Mayans, M. Villa, M. Saravanya, E. Loureiro, M. Arellano, et al. Sexually transmitted Chlamydia trachomatis, Neisseria gonorrhoeae, and HIV-1 infections in two at-risk populations in Barcelona: female street prostitutes and STI clinic attendees. Int J Infect Dis. Folch, J. Casabona, C. Sanclemente, A. Esteve, V. Huang, W. Wang, M. Martin, E. Nehl, B. Smith, F. AIDS Care. Folch, C. Esteve, E. Molinos, J. Med Clin Barc. Folch, A. Esteve, C. Sanclemente, E. Lugo, S. Molinos, et al. Prevalence of human immunodeficiency virus, Chlamydia trachomatis, and Neisseria gonorrhoeae and risk factors for sexually transmitted infections among immigrant female sex workers in Catalonia, Spain. Sex Transm Dis. Annual epidemiological report for Informe anual Shannon, S. Strathdee, S. Goldenberg, P. Duff, P. Mwangi, M. Rusakova, et al. Global epidemiology of HIV among female sex workers: influence of structural determinants. Pyett, D. Vulnerability on the streets: female sex workers and HIV risk. Platt, E. Jolley, T. Rhodes, V. Hope, A. Latypov, L. Reynolds, et al. Factors mediating HIV risk among female sex workers in Europe: a systematic review and ecological analysis. BMJ Open. Fischer, R. Raudne, H. Kilgi, R. Krylov, M. Salminen, et al. Sex Transm Infect. Todd, M. Khakimov, G. Alibayeva, M. Abdullaeva, G. Giyasova, M. Saad, et al. Prevalence and correlates of human immunodeficiency virus infection among female sex workers in Tashkent, Uzbekistan. Rodrigo, P. Wolf, T. Driscoll, L. Degenhardt, M. Neira, J. HIV due to female sex work: regional and global estimates. PLoS One. De Graaf, I. Vanwesenbeeck, G. Straver, J. Condom use and sexual behaviour in heterosexual prostitution in The Netherlands. Spina, S. Mancuso, A. Sinicco, E. Vaccher, C. Traina, N. Human immunodeficiency virus seroprevalence and condom use among female sex workers in Italy. Verscheijden, P. Woestenberg, H. Koedijk, B. Sexually transmitted infections among female sex workers tested at STI clinics in the Netherlands, Emerg Themes Epidemiol. Vioque, I. Prospective cohort study of female sex workers and the risk of HIV infection in Alicante, Spain Rev Esp Drogodependencias. Larney, A. Peacock, J. Leung, S. Colledge, M. Hickman, P. Vickerman, et al. Global, regional, and country-level coverage of interventions to prevent and manage HIV and hepatitis C among people who inject drugs: a systematic review. Lancet Glob Health. Lugo, B. Rivaya, J. Casabona, L. Matas, et al. Pooling of urine samples for molecular detection of Chlamydia trachomatis, Neisseria gonorrhoeae and Mycoplasma genitalium as a screening strategy among young adults in Catalonia. Deering, T. Lyons, C. Feng, B. Nosyk, S. Strathdee, J. Montaner, et al. Client demands for unsafe sex: the socioeconomic risk environment for HIV among street and off-street sex workers. J Acquir Immune Defic Syndr. Shannon, T. Kerr, S. Allinott, J. Chettiar, J. Shoveller, M. Social and structural violence and power relations in mitigating HIV risk of drug-using women in survival sex work. Soc Sci Med. Subscribe to our newsletter. Recommended articles. Outreach HIV testing using oral fluid and online Study on the approach to HIV: health management and the Article options. Are you a health professional able to prescribe or dispense drugs? Outreach HIV testing using oral fluid and online consultation of the results: Pilot intervention in Catalonia. Area of origin. Latin America. Eastern Europe. Recruitment province. Mean age SD. Level of education. FB-BUP or higher. Work other than SW a. Has been in prison. Years doing SW mean. Frequency of SW. Clients per week. Use of condom in last sexual contact with regular client a,c. Use of condom in last sexual contact with non-regular client a,d. Use of condom in last sexual contact with stable partner a,e. Has experienced forced sexual relations b. Use of health services a. Annual gynaecological check-ups. Use of social services a. Alcohol consumption before having sexual contact with clients a. Binge drinking f. Drug use b. Injection drug use b.

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