PREVALENCE OF HIV AND OTHER SEXUALLY TRANSMITTED INFECTIONS AMONG FEMALE COMMERCIAL SEX WORKERS IN ARGENTINA

MARÍA A. PANDO Centro Nacional de Referencia para el SIDA, Buenos Aires, Argentina; Laboratorio de Hemoterapia, Hospital de Clínicas José de San Martín, Buenos Aires, Argentina; AMMAR, Asociación de Mujeres Meretrices de Argentina, Buenos Aires, Argentina; NEXO, Asociación Civil, Buenos Aires, Argentina; U.S. Naval Medical Research Center Detachment, Lima, Peru; U.S. Military HIV Research Program and Henry M. Jackson Foundation, Rockville, Maryland

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CAROLINA BERINI Centro Nacional de Referencia para el SIDA, Buenos Aires, Argentina; Laboratorio de Hemoterapia, Hospital de Clínicas José de San Martín, Buenos Aires, Argentina; AMMAR, Asociación de Mujeres Meretrices de Argentina, Buenos Aires, Argentina; NEXO, Asociación Civil, Buenos Aires, Argentina; U.S. Naval Medical Research Center Detachment, Lima, Peru; U.S. Military HIV Research Program and Henry M. Jackson Foundation, Rockville, Maryland

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MARIEL BIBINI Centro Nacional de Referencia para el SIDA, Buenos Aires, Argentina; Laboratorio de Hemoterapia, Hospital de Clínicas José de San Martín, Buenos Aires, Argentina; AMMAR, Asociación de Mujeres Meretrices de Argentina, Buenos Aires, Argentina; NEXO, Asociación Civil, Buenos Aires, Argentina; U.S. Naval Medical Research Center Detachment, Lima, Peru; U.S. Military HIV Research Program and Henry M. Jackson Foundation, Rockville, Maryland

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MAURO FERNÁNDEZ Centro Nacional de Referencia para el SIDA, Buenos Aires, Argentina; Laboratorio de Hemoterapia, Hospital de Clínicas José de San Martín, Buenos Aires, Argentina; AMMAR, Asociación de Mujeres Meretrices de Argentina, Buenos Aires, Argentina; NEXO, Asociación Civil, Buenos Aires, Argentina; U.S. Naval Medical Research Center Detachment, Lima, Peru; U.S. Military HIV Research Program and Henry M. Jackson Foundation, Rockville, Maryland

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ELENA REINAGA Centro Nacional de Referencia para el SIDA, Buenos Aires, Argentina; Laboratorio de Hemoterapia, Hospital de Clínicas José de San Martín, Buenos Aires, Argentina; AMMAR, Asociación de Mujeres Meretrices de Argentina, Buenos Aires, Argentina; NEXO, Asociación Civil, Buenos Aires, Argentina; U.S. Naval Medical Research Center Detachment, Lima, Peru; U.S. Military HIV Research Program and Henry M. Jackson Foundation, Rockville, Maryland

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SERGIO MAULEN Centro Nacional de Referencia para el SIDA, Buenos Aires, Argentina; Laboratorio de Hemoterapia, Hospital de Clínicas José de San Martín, Buenos Aires, Argentina; AMMAR, Asociación de Mujeres Meretrices de Argentina, Buenos Aires, Argentina; NEXO, Asociación Civil, Buenos Aires, Argentina; U.S. Naval Medical Research Center Detachment, Lima, Peru; U.S. Military HIV Research Program and Henry M. Jackson Foundation, Rockville, Maryland

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RUBÉN MARONE Centro Nacional de Referencia para el SIDA, Buenos Aires, Argentina; Laboratorio de Hemoterapia, Hospital de Clínicas José de San Martín, Buenos Aires, Argentina; AMMAR, Asociación de Mujeres Meretrices de Argentina, Buenos Aires, Argentina; NEXO, Asociación Civil, Buenos Aires, Argentina; U.S. Naval Medical Research Center Detachment, Lima, Peru; U.S. Military HIV Research Program and Henry M. Jackson Foundation, Rockville, Maryland

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MIRNA BIGLIONE Centro Nacional de Referencia para el SIDA, Buenos Aires, Argentina; Laboratorio de Hemoterapia, Hospital de Clínicas José de San Martín, Buenos Aires, Argentina; AMMAR, Asociación de Mujeres Meretrices de Argentina, Buenos Aires, Argentina; NEXO, Asociación Civil, Buenos Aires, Argentina; U.S. Naval Medical Research Center Detachment, Lima, Peru; U.S. Military HIV Research Program and Henry M. Jackson Foundation, Rockville, Maryland

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SILVIA M. MONTANO Centro Nacional de Referencia para el SIDA, Buenos Aires, Argentina; Laboratorio de Hemoterapia, Hospital de Clínicas José de San Martín, Buenos Aires, Argentina; AMMAR, Asociación de Mujeres Meretrices de Argentina, Buenos Aires, Argentina; NEXO, Asociación Civil, Buenos Aires, Argentina; U.S. Naval Medical Research Center Detachment, Lima, Peru; U.S. Military HIV Research Program and Henry M. Jackson Foundation, Rockville, Maryland

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CHRISTIAN T. BAUTISTA Centro Nacional de Referencia para el SIDA, Buenos Aires, Argentina; Laboratorio de Hemoterapia, Hospital de Clínicas José de San Martín, Buenos Aires, Argentina; AMMAR, Asociación de Mujeres Meretrices de Argentina, Buenos Aires, Argentina; NEXO, Asociación Civil, Buenos Aires, Argentina; U.S. Naval Medical Research Center Detachment, Lima, Peru; U.S. Military HIV Research Program and Henry M. Jackson Foundation, Rockville, Maryland

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MERCEDES WEISSENBACHER Centro Nacional de Referencia para el SIDA, Buenos Aires, Argentina; Laboratorio de Hemoterapia, Hospital de Clínicas José de San Martín, Buenos Aires, Argentina; AMMAR, Asociación de Mujeres Meretrices de Argentina, Buenos Aires, Argentina; NEXO, Asociación Civil, Buenos Aires, Argentina; U.S. Naval Medical Research Center Detachment, Lima, Peru; U.S. Military HIV Research Program and Henry M. Jackson Foundation, Rockville, Maryland

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JOSÉ L. SANCHEZ Centro Nacional de Referencia para el SIDA, Buenos Aires, Argentina; Laboratorio de Hemoterapia, Hospital de Clínicas José de San Martín, Buenos Aires, Argentina; AMMAR, Asociación de Mujeres Meretrices de Argentina, Buenos Aires, Argentina; NEXO, Asociación Civil, Buenos Aires, Argentina; U.S. Naval Medical Research Center Detachment, Lima, Peru; U.S. Military HIV Research Program and Henry M. Jackson Foundation, Rockville, Maryland

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MARÍA M. AVILA Centro Nacional de Referencia para el SIDA, Buenos Aires, Argentina; Laboratorio de Hemoterapia, Hospital de Clínicas José de San Martín, Buenos Aires, Argentina; AMMAR, Asociación de Mujeres Meretrices de Argentina, Buenos Aires, Argentina; NEXO, Asociación Civil, Buenos Aires, Argentina; U.S. Naval Medical Research Center Detachment, Lima, Peru; U.S. Military HIV Research Program and Henry M. Jackson Foundation, Rockville, Maryland

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Sexually transmitted infections (STIs) have shown to enhance the transmission of human immunodeficiency virus (HIV) and to be more common among female commercial sex workers (FSWs). A cross-sectional study was conducted among 625 FSWs in six cities of Argentina in 2000–2002. The seroprevalence of HIV, hepatitis B virus (HBV), hepatitis C virus (HCV), human T-cell lymphotropic virus type I/II, and syphilis was 3.2%, 14.4%, 4.3%, 1.6%, and 45.7%, respectively. Syphilis was associated with older age (≥ 30 years, adjusted odds ratio [AOR] = 2.6 to 4.9), ≥ 10 years in sex work (AOR = 2.2), use of illegal drugs (AOR = 2.1), and a prior history of an STI (AOR = 3.0). HBV and syphilis was the most common co-infection in 44 (7.5%) subjects. FSWs in Argentina are exposed to HIV and other STIs due to high-risk sexual and illegal drug use behavior. Renewed efforts are necessary to intervene effectively in this high-risk population.

Author Notes

Reprint requests: María M. Avila, Ph.D., Centro Nacional de Referencia para el SIDA, Departamento de Microbiología, Parasitología e Inmunología, Facultad de Medicina, Universidad de Buenos Aires, Paraguay 2155, Piso 11, C1121ABG, Buenos Aires, Argentina, Telephone: 54-11-4508-3689/3671, Fax: 54-11-4508-3705, E-mail: mavila@fmed.uba.ar.
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