SEXUALLY-TRANSMITTED INFECTIONS AMONG SEX WORKERS IN KWAZULU-NATAL, SOUTH-AFRICA

Objective: The purpose of this study was to investigate the prevalence of sexually transmitted infections, including human immunodeficiency virus (HIV), among female sex workers operating at truckstops in the K waZulu-Natal midlands of South Africa. Methods: A total of 145 sex wor kers were recruited from August 1996 to March 1997. A gynecologic exam ination, including a speculum examination,,vas performed. Investigatio ns were performed to identify gonorrhea, syphilis, chlamydia (infectio n), candidiasis, trichomoniasis, bacterial vaginosis, and HIV infectio n. Results: A total of 50.3% of the sex workers were HIV positive. Inf ection with Trichomonas vaginalis was present in 41.3% of the women, C andida albicans in 40.6%, Neisseria gonorrheae in 14.3%, and Chlamydia trachomatis in 16.4%. Bacterial vaginosis was present in 71% and acti ve syphilis in 42.1% of the women. Conclusion: The high prevalence of sexually transmitted infections, including HIV, clearly highlights the urgent need for interventions. In addition to empowering women with m ethods they can use and control to reduce their risk of infection, an effective approach to control of sexually transmitted infections also needs to recognize the role of the clients, such as truck drivers, so that they also are targeted for interventions.