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    The incidence of sexually transmitted infections among frequently screened sex workers in a decriminalised and regulated system in Melbourne

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    Author
    Lee, DM; Binger, A; Hocking, J; Fairley, CK
    Date
    2005-10-01
    Source Title
    SEXUALLY TRANSMITTED INFECTIONS
    Publisher
    BMJ PUBLISHING GROUP
    University of Melbourne Author/s
    LEE, DAVID MICHAEL; Hocking, Jane; Fairley, Christopher
    Affiliation
    Population Health
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Lee, D. M., Binger, A., Hocking, J. & Fairley, C. K. (2005). The incidence of sexually transmitted infections among frequently screened sex workers in a decriminalised and regulated system in Melbourne. SEXUALLY TRANSMITTED INFECTIONS, 81 (5), pp.434-436. https://doi.org/10.1136/sti.2004.014431.
    Access Status
    Access this item via the Open Access location
    URI
    http://hdl.handle.net/11343/26394
    DOI
    10.1136/sti.2004.014431
    Open Access at PMC
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1745044
    Description

    C1 - Journal Articles Refereed

    Abstract
    OBJECTIVE: To determine the incidence of sexually transmitted infections (STI) among decriminalised and regulated sex workers in Victoria. METHODS: The incidence of STI was calculated for individuals who attended the Melbourne Sexual Health Centre on more than one occasion. Results of initial screen specimens were not included. Follow up time was calculated in person months and used as the denominator with the number of "specified" STIs diagnosed over the study period as the numerator. RESULTS: Among 388 sex workers the incidence of chlamydia, Trichomonas vaginalis, genital warts, and herpes was 0.61, 0.11, 0.79, and 0.17, respectively, per 100 person months of follow up. The mean number of sexual non-paying private partners in the past 3 months was significantly greater among those with chlamydia (0.8 v 1.5, p < 0.01) and any STI (0.7 v 1.2, p < 0.05). CONCLUSION: The incidence of STIs was low among decriminalised and regulated sex work and most infections were related to partners outside of work. Frequent screening of sex workers will reduce the chance of workers passing on an STI but is expensive. However, it may also discourage women from joining the sex work system and push them into an illegal system with a worse outcome.
    Keywords
    Preventive Medicine; Primary Health Care; Infectious Diseases; Women's Health

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