Abstract

This study using the block-randomization procedure was conducted to examine the risk among Peruvian women for sexually transmitted diseases (STDs). A total of 300 men and 300 women with a mean age 25 and 26 respectively completed a questionnaire about their social and demographic status medical history sexual behavior contraceptive history and perception of risk of sexually transmitted infection. Blood samples were drawn and tested for antibodies to Treponema pallidum (syphilis) Chlamydia trachomatis herpes simplex virus type 2 and HIV. Overall women were 3 times more likely than men to test positive for past or current infection with chlamydia genital herpes or syphilis although at any given age men were more likely than women to be sexually experienced and have had more sexual partners. It is noted that 59% of the men had had sex with a female sex worker and only 30% of them used a condom during such encounters. Among men the presence of antibodies to STDs was associated with having unprotected sex with commercial sex workers while among women such presence was associated with having had intercourse before age 18. The authors recommend that STD prevention programs stress delayed onset of sexual activity and the promotion of condom use.

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