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"titulo" => "Social and work conditions, risk behavior and prevalence of sexually transmitted diseases among female immigrant prostitutes in Madrid [Spain]"
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"resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Describir las características sociodemográficas, las condiciones de trabajo, las conductas sexuales y la prevalencia de infecciones por el virus de la inmunodeficiencia humana (VIH), el virus de la hepatitis B (VHB), el virus de la hepatitis C (VHC) y otras infecciones de transmisión sexual (ITS) en un grupo de mujeres inmigrantes que ejercen la prostitución en Madrid.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio transversal de 579 mujeres inmigrantes que ejercían la prostitución, atendidas en un centro de ITS de Madrid entre 1999 y 2000. Se analizan las características sociodemográficas, las condiciones de trabajo, el consumo de drogas por vía parenteral y las prácticas sexuales con los clientes y en su vida privada. La atención incluía un control de las principales ITS y el estudio serológico para el VIH, el VHB y el VHC.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La media de edad fue de 28,7 años, el 96% procedía de Latinoamérica y ninguna había consumido drogas por vía parenteral. La edad media de inicio en la prostitución fue de 27,4 años y el 93,3% había comenzado en España. En el último mes, el 98% había utilizado siempre el preservativo en las penetraciones vaginales o anales con los clientes, pero sólo el 17,6% en sus relaciones privadas. Un 30% refirió alguna rotura del preservativo durante un servicio. La prevalencia de infección por el VIH fue del 0,2%, y por el VHC del 0,9%. El 8,1% tenía anticuerpos anti-core para el VHB y el 0,5% antígeno de superficie. La prevalencia de otras ITS fue del 18,0% y la de otras infecciones genitales no necesariamente de transmisión sexual, del 27,3%.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Se observa un uso generalizado del preservativo con los clientes, aunque también una elevada frecuencia de roturas. La prevalencia de marcadores de infección para el VIH, el VHB y el VHC es baja, aunque la de otras ITS es elevada.</p>"
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"en" => array:2 [
"titulo" => "Abstract"
"resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To describe the sociodemographic characteristics, work conditions, sexual behavior, and prevalence of HIV, hepatitis B (HBV), and hepatitis C (HCV) infection and of other sexually transmitted infections among a group of female immigrant prostitutes in Madrid.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We performed a descriptive study of a group of immigrant women who worked as prostitutes and who attended a sexually transmitted diseases (STD) clinic in Madrid in 1999 and 2000. Information was collected on sociodemographic characteristics, work conditions, use of injected drugs, and sexual practices with their clients and in their private lives. The services provided included screening for the main STDs and serological studies for HIV, HBV and HCV.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A total of 579 female immigrants were analyzed. The mean age was 28.7 years. Ninety-six percent were from Latin America. None reported having consumed injected drugs. They began to work as prostitutes at a mean age of 27.4 years and 93.3% of them began in Spain. In the previous month, 98% had always used condoms for vaginal and anal penetrations with their clients and 17.6% had used them in their private sexual relations. Thirty percent reported condom breakage during intercourse. The prevalence of HIV and HCV infection was 0.2 and 0.9%, respectively; 8.1% showed HIV anticore antibodies and 0.5% showed surface antigens. An ulcerative STD was diagnosed in 2.1% and a non-ulcerative STD was diagnosed in 16%.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Condoms are generally used with clients although the frequency of breakage is high. Condom use in prostitutes’ personal lives is dramatically lower. The prevalence of markers for HIV, HBV and HCV is low and the frequency of STD is moderate.</p>"
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