Prevalence and Risk Factors of Chlamydia trachomatis Infection in Female Sex Workers Living in Isfahan, Iran: A Cross-Sectional Study by Claes C* in Cohesive Journal of Microbiology & Infectious Disease_ Journal of Microbiology
Abstract
Background:
Chlamydia trachomatis (CT) has been considered as a major health problem
worldwide given the high incidence of the infection, estimated to be 131
million new cases annually. The aim of the current study was to determine the
prevalence of CT infection in female sex workers (FSWs) living in Isfahan, Iran
and risks associated with its prevalence.
Methods:
This was a cross-sectional study, which was conducted on 99 FSWs recruited from
two drop-in centers (DIC) in Isfahan during 2012-2014. The attendees were
recruited consecutively. Vaginal, rectal, saliva and urine samples were tested
for CT using Real-time PCR. The demographic
data were gathered by face to face interview.
Results:
Prevalence of Chlamydia infection was 20.2% (20/99). The number of people who
had more than one sexual partner in the CT-positive group was significantly
higher than CT-negative (P= 0.042). The percentage of women whose duration of
intimate relationship lasted more than three years was higher in the
Chlamydia-positive population compared to Chlamydia-negative (70% vs 35.4%,
p=0.005). Furthermore, Chlamydia-negative and Chlamydia-positive FSWs differed
from one another in the history of imprisonment (11.4 % in Chlamydia-negative
vs 35% in Chlamydia-positive group, p=0.017).
Conclusion: The prevalence of CT infection
was high among FSWs. Our findings showed that prison experience, the number of
sexual partners and duration of intimate relationship were statistically
significant among those affected by chlamydia infection.
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