HIV INFECTION AND RISK FACTORS AMONG SEX WORKERS IN THE SOUTHERN VIETNAM

 

Nguyen Thi Thanh Thuy*, Vo Tuyet Nhung*, Nguyen Van Thuc**,

 Truong Xuan Lien*, Tran Kim Phuong*, Ha Ba Khiem*

* Pasteur Institute in HoChiMinh city, Vietnam

** Dermato-Venereal Hospital in HCMC

 

The study aimed determine the extent of HIV infection among sex workers, to identify risk factors, and to provide baseline data for developing and targeting prevention measures. 968 sex workers residing in education centers were enrolled in a cross-sectional study between August 1995 and October 1996 in three high risk areas. Information was obtained based on confidential face-to-face interview, physical examination, and laboratory testing. The global seroprevalence estimated from this study was 5.2% (95% CI: 3.81-6.6). The highest seroprevalence was evidenced in AnGiang province, a border area adjacent to Cambodia (9.5%) and the lowest was observed in HoChiMinh city (1.8%). 6 of 7 HIV isolates in AnGiang province were characterised as Thai sub-type E, one as sub-type B. Multiple logistic regression showed an independent significant association between HIV seroprevalence and younger age £30 years old;    inconsistant use of condom , high frequency of sex >20 times per week; working place at brothels; sign of genital ulcers; and venereal warts. These data suggested further studies on risk sexual behavior in Vietnam and have to be considered in developing prevention measures such as education for safer sex, condom promotion, prevention of sexually transmitted diseases (STDs), which should access brothel sex establishment, for both sex workers and their clients, particularly in the border area with Cambodia.