Human T Cell Lymphotropic Virus Type I Infection among Female Sex Workers in Peru

Four hundred female sex workers attending a sexually transmitted disease clinic in Lima, Peru, were interviewed for demographic information and medical, contraceptive, and sexual practice histories. Cervical cultures were done for Neisseria gonorrhoeae and Chlamydia trachomatis, and serum was tested...

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Bibliographic Details
Published in:The Journal of infectious diseases 1994-04, Vol.169 (4), p.754-759
Main Authors: Gotuzzo, Eduardo, Sánchez, Jorge, Escamilla, Joel, Carrillo, Carlos, Phillips, Irving A., Moreyra, Luis, Stamm, Walter, Ashley, Rhoda, Roggen, Erwin L., Kreiss, Joan, Piot, Peter, Holmes, King K.
Format: Article
Language:English
Subjects:
Adult
Age Factors
AIDS/HIV
Analysis of Variance
Antibodies
Biological and medical sciences
Condoms
Condoms - statistics & numerical data
Cross-Sectional Studies
Educational Status
Female
HTLV I infections
HTLV-I Antibodies - blood
HTLV-I Infections - complications
HTLV-I Infections - epidemiology
Human herpesvirus 2
Human T lymphotropic virus 1
Humans
Immunodeficiencies
Immunodeficiencies. Immunoglobulinopathies
Immunopathology
Infections
Major Articles
Medical sciences
Middle Aged
Peru - epidemiology
Predisposing factors
Prevalence
Prostitution
Regression Analysis
Risk Factors
Sex Work
Sexual Behavior
Sexually transmitted diseases
Sexually Transmitted Diseases - complications
Sexually Transmitted Diseases - epidemiology
Tropical medicine
Viruses
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Summary:Four hundred female sex workers attending a sexually transmitted disease clinic in Lima, Peru, were interviewed for demographic information and medical, contraceptive, and sexual practice histories. Cervical cultures were done for Neisseria gonorrhoeae and Chlamydia trachomatis, and serum was tested for antibodies to human immunodeficiency virus, human T cell lymphotropic virus type I (HTLV-I), Treponema pallidum, C. trachomatis, herpes simplex virus type 2 (HSV-2), and Haemophilus ducreyi. The prevalence of HTLV-I increased with duration of prostitution from 3.6% (6 years; P > .01). After adjustment for duration of prostitution, reduced risk of HTLV-I was significantly correlated with condom use for more than half of all sexual exposures for >3 years (odds ratio [OR], 0.34; 95% confidence interval [CI], 0.13–0.89). Further adjusting for condom use, HTLV-I seropositivity was associated with C. trachomatis (OR, 3.7; 95% CI, 1.4-13.2) and with antibody to HSV-2 (OR, 3.7; 95% CI, 0.5–29.6). Thus, duration of prostitution, lack of consistent condom use, and past infection with C. trachomatis were significantly associated with HTLV-I seropositivity.
ISSN:0022-1899
1537-6613
DOI:10.1093/infdis/169.4.754