AJTMH Transactions of the Royal Society of Tropical Medicine and Hygiene
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Am. J. Trop. Med. Hyg., 68(6), 2003, pp. 716-720
Copyright © 2003 by The American Society of Tropical Medicine and Hygiene

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SEXUAL TRANSMISSION OF HEPATITIS B VIRUS, HEPATITIS C VIRUS, AND HUMAN IMMUNODEFICIENCY VIRUS TYPE 1 INFECTIONS AMONG MALE TRANSVESTITE COMERCIAL SEX WORKERS IN MONTEVIDEO, URUGUAY

JOSE C. RUSSI, MARGARITA SERRA, JOSE VIÑOLES, M. T. PÉREZ, D. RUCHANSKY, G. ALONSO, JOSE L. SANCHEZ, KEVIN L. RUSSELL, SILVIA M. MONTANO, MONICA NEGRETE, AND MERCEDES WEISSENBACHER
Department of Laboratories, and AIDS/HIV National Program, Ministry of Heath, Montevideo, Uruguay; Walter Reed Army Institute of Research, Silver Spring, Maryland; United States Naval Medical Research Center Detachment, Lima, Peru; AIDS National Reference Center, Buenos Aires, Argentina

Prostitution may constitute a risk behavior for infection with hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV). We conducted a seroepidemiologic study among 200 male transvestite commercial sex workers (CSWs) in Montevideo, Uruguay in 1999. Evidence of exposure to HBV, HCV, and HIV was found in 101 (50.5%), 13 (6.5%), and 43 (21.5%) individuals, respectively. Positivity for HIV was correlated with both HBV (odds ratio [OR] = 2.15, 95% confidence interval [CI] = 1.01–4.67) and HCV (OR = 3.47, 95% CI = 0.90–12.79) infection. Predictors of infection were older age (>= 26 years; P < 0.01) for all 3 viruses and time in CSW (>=5 years; P < 0.05) for HBV and HIV. Prior history of use of drugs (OR = 3.54, 95% CI = 1.09–11.52) and sexual contact with foreigners (OR = 9.2, 95% CI = 1.16–73.12) were found to be associated only with HCV infection. Sexual transmission of these viruses constitutes a significant problem among male transvestite CSWs.


Received October 30, 2002. Accepted for publication March 10, 2003.

Financial support: This work was supported by the U.S. Military HIV Research Program, Walter Reed Army Institute of Research (Rockville, MD), and by the U.S. Naval Medical Research and Development Command (Silver Spring, MD) Work Unit No. 62787 A 873 H B0002.

Disclaimer: The opinions and assertions made by the authors do not reflect the official position or opinion of the U.S. Department of the Navy or Army or the Uruguayan Ministry of Health.

Authors’ addresses: Jose C. Russi, M. T. Pérez, D. Ruchansky, and G. Alonso, Ministerio de Salud Pública, Departamento de Laboratorios, Avenida 8 de Octubre 2720, Montevideo, Uruguay, Telephone: 598-2-487-2516, Fax: 598-2-480-2014. Margarita Serra and Jose Viñoles, Ministerio de Salud Pública, Programa Nacional de SIDA/VIH, 18 de Julio 1892, 4to Piso, Montevideo, Uruguay, Telephone: 598-2-408-8296, Fax: 598-2-408-8399. Jose L. Sanchez, U.S. Military HIV Research Program, Walter Reed Army Institute of Research, 13 Taft Court, Suite 200, Rockville, MD 20850, Telephone: 301-251-5000, Fax: 301-762-4177. Silvia Montano, U.S. Naval Medical Research Center Detachment-Lima, Unit 3800, American Embassy-Lima, APO AA 34031-3800, Telphone: 51-1-561-2882, Fax: 51-1-561-3042. Kevin Russell, U.S. Naval Health Research Center, PO Box 85122, San Diego, CA 92186-5122, Telephone: 619-553-7628, Fax: 619-553-7601. Monica Negrete, Medecins Sans Frontieres, Apartado No. 5850, Managua, Nicaragua, Telephone: 50-5-222-3532, Fax: 50-5-222-2482. Mercedes Weissenbacher, Centro Nacional de Referencia para el SIDA, Departamento de Microbiologia, Facultad de Medicina, Universidad de Buenos Aires, Paraguay 2155, Piso 11 (1121), Buenos Aires, Argentina, Telephone: 54-11-4508-3689, Fax: 54-11-4508-3705.

Reprint requests: Jose L. Sanchez, U.S. Military HIV Research Program, Walter Reed Army Institute of Research, 13 Taft Court, Suite 200, Rockville, MD 20850, Telephone: 301-251-5000, Fax: 301-762-4177, E-mail: jsanchez{at}hivresearch.org.




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