Abstract
Sexually transmitted infections constitute a gateway for the human immunodeficiency virus by the presence of ulcerations and local inflammatory manifestations, thus increasing the risk of transmission. The aim of the study was to assess the sexual behavior and syndromic management of sexual infections among female sex workers in the Kadiolo circle. Material and method: This was a descriptive cross-sectional study carried out in the Kadiolo circle from January 1 to December 31, 2014. It focused on clandestine or posted sex workers, aged 15 and over. Results: We collected 465 sex workers aged 15 and 49, aged 26.6 on average and from Ivory Coast 52%, Nigeria 26.2% and Mali 9.7%. Educational attainment was higher with 2.4%. Posted sex workers represented 92.5% and housed in brothels with a stay of 6 months with 53.3%. They were single with 70.8% of cases and about 72.9% lived alone and without a spouse. The age at first sexual intercourse was between 15 - 19 years with 76.6% of cases. The number of first commercial sex was between 15 - 19 years (26%) and 20 - 24 years (45.8%). Usual condom use with regular sex partners was 22.1%. Condom use was almost compulsory at 89.7% with occasional clients or non-regular sexual partners. The average number of clients per day was five (5). The major reason for consultation was vaginal discharge 16.4% followed by abdominal pain. The human immunodeficiency virus test was not compulsory and only 86 workers or 18.5% accepted with a positive result of 11 people or 12.8% of cases. Conclusion: Sexually transmitted infections are common especially as they affect young people.
Highlights
The couple sexually transmitted infection and infection with the human immunodeficiency virus remain a major public health problem in our countries
Transmitted infections constitute a gateway for the human immunodeficiency virus by the presence of ulcerations and local inflammatory manifestations, increasing the risk of transmission
Transmitted infections are a gateway for the human immunodeficiency virus by the presence of ulcerations and local inflammatory manifestations, increasing the risk of transmission [1] [2]
Summary
The couple sexually transmitted infection and infection with the human immunodeficiency virus remain a major public health problem in our countries. Transmitted infections are a gateway for the human immunodeficiency virus by the presence of ulcerations and local inflammatory manifestations, increasing the risk of transmission [1] [2]. The World Health Organization estimates that approximately one million people contract a sexually transmitted infection, including HIV, per day [5]. In Mali, according to the 2006 demographic health survey, the prevalence of sexually transmitted infections was estimated at 6% among women with a high prevalence of 10% in Bamako. The Sikasso region is home to many gold panning areas in which workers outside their activities and far from their families constitute a group at risk of associating with sex workers Their surveillance remains important for the protection of the surrounding population by stopping the transmission of sexually transmitted infections and the human immunodeficiency virus. We thought that it would be wise to assess the risk behaviors and the quality of syndromic management of sexually transmitted infections among sex workers in the Kadiolo circle
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