Prevalence of syphilis among female sex workers and their clients in Togo in 2011

BMC Public Health

Research Article

Yao Layibo¹  Wemboo Afiwa Halatoko¹  Abiba Kere Banla¹  Koffi Akolly¹  Issifou Yaya²  Bayaki Saka³  Palokinam Pitché⁴  Dodji Gbetoglo⁵  Dadja Essoya Landoh⁶ 

[1] Institut National d’Hygiène de Lomé, BP 1396, Lomé, Togo;Laboratoire de Santé Publique (EA 3279), Aix-Marseille Université, Marseille, France;Service de Dermatologie et IST, CHU Sylvanus Olympio, Université de Lomé, Lomé, Togo;Service de Dermatologie et IST, CHU Sylvanus Olympio, Université de Lomé, Lomé, Togo;Conseil National de lutte contre le VIH/Sida et les IST (CNLS/IST), Lomé, Togo;Unité de Recherche Démographique, Université de Lomé, Lomé, Togo;World Health Organization, country office of Togo, Lomé, Togo;

关键词: Female sex workers;    Clients;    Syphilis;    HIV;    Togo;   

DOI  :  10.1186/s12889-017-4134-x

 received in 2015-11-12, accepted in 2017-02-14,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundDuring the last ten years, a resurgence of syphilis has occurred in many countries worldwide, including Togo. Previous studies have shown a wide range of syphilis infection among the female sex workers (FSWs), from 1.5 to 42.1%. In Togo, Key populations, including FSWs, are rarely involved in the sentinel surveillance programs to determine the prevalence of HIV and syphilis. The aim of this study was to determine the prevalence of syphilis among female sex workers (FSWs) and their clients in Togo.MethodsWe conducted a cross-sectional study in December 2011 targeting FSWs and their clients in Togo. Among participant who consented, we collected blood samples for syphilis and HIV testing.ResultsIn total, 1,836 participants (1,106 FSWs and 730 clients) were included in the survey. Their mean age was 28.6 ± 9 years. The prevalence of syphilis was 2.2% (2.2% among FSWs compare to 2.3% among their clients, p = 0.82). This prevalence was higher among FSWs over 30 years old compare to those less than 30 years old (Odd Ratio (OR) =5.03; 95% CI [1.95-13.49]). Single FSWs were three times less likely to have syphilis than those living in couple or married (OR = 3.11; CI 95% [1.16-8.83]). Brothel based or declared FSWs were 4 times more likely to be infected by syphilis than secret ones (OR = 3.89; CI 95% [1.60-9.54]). Out of the 1,836 participants of the survey, 165 (8.9%) were HIV positive. Having syphilis was associated with HIV infection (OR = 3.41; IC 95% [1.53-7.41]).ConclusionThis study showed that: i) the prevalence of syphilis among FSWs and their clients was high; ii) syphilis was significantly associated with HIV infection. It is necessary to increase awareness campaigns and emphasize on condom use among this key population group.

【 授权许可】

CC BY   
© The Author(s). 2017