Journal of Biosocial Science

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A DEMOGRAPHIC AND HEALTH SURVEY OF SPANISH FEMALE SEX WORKERS: HIV PREVALENCE AND ASSOCIATED RISK FACTORS


PILAR ESTÉBANEZ a1, MA. VICTORIA ZUNZUNEGUI a3, MA. DOLORES AGUILAR a3, CONCHA COLOMA a4, MILAGROSA RUA[hyphen]FIGUEROA a2, KATHY FITCH a5, JONATHAN GRANT a6, CRISTINA SARASQUETA  and RAFAEL NÁJERA a5
a1 London School of Hygiene & Tropical Medicine, London
a2 Centro de Evaluación e Investigación en Salud (CEIS), Madrid
a3 Centro Universitario de Salud Pública, Madrid
a4 Concepción Colmo CPS Ayuntamiento, Madrid
a5 Instituto de Salud Carlos III, Madrid
a6 Freelance Researcher, Madrid and Hospital Virgen de Arantzazu, San Sebastián

Abstract

In order to examine the prevalence of HIV infection and associated risk factors amongst Spanish female prostitutes a multicentre (n=22) cross[hyphen]sectional study was conducted between November 1989 and January 1991. Data collected included socioeconomic characteristics, sexual behaviour and health status together with blood samples. A total of 1633 prostitutes were recruited into the study. Of these, 1433 (87.8%) consented to blood samples being taken and 180 (12.6%) were HIV positive. HIV seroprevalence was 54.7% for intravenous drug users (IVDUs) versus 3.7% for non[hyphen]IVDUs. Previous imprisonment, hepatitis B and a partner who was an IVDU were significant predictors of HIV infection according to multivariate logistic regression models.