Table 2

Factors associated with syphilis in female sex workers from eight provinces in Panama, October 2009–May 2011

CategoryCharacteristic†Syphilis (n=38)Unadjusted ORp ValueAdjusted ORp Value
n positive/ total(%)(95% CI)(95% CI)
SociodemographicsRegulation
 Registered13/620(2.1)0.30 (0.15–0.60)0.00060.35 (0.16–0.74)0.0058
 Unregistered25/379(6.6)1.00
Province
 Panama19/455(4.2)0.82 (0.39–1.73)0.6091
 Colón3/150(2.0)0.39 (0.11–1.39)0.1457
 Chiriquí4/155(2.6)0.50 (0.16–1.58)0.2390
 Other*11/175(6.3)1.00
Age, years
 24 or less9/320(2.8)1.00
 25–2911/261(4.2)1.54 (0.65–3.69)0.3284
 30–397/271(2.6)0.94 (0.34–2.62)0.9062
 40+11/139(7.9)3.02 (1.25–7.27)0.0139
Nationality
 Panamanian25/487(5.1)2.03 (1.02–4.01)0.0423
 Foreigner13/500(2.6)1.00
Race
 African descent12/164(7.3)2.76 (1.34–5.69)0.0060
 Other22/791(2.8)1.00
Education
 Incomplete secondary or less29/536(5.4)2.84 (1.33–6.06)0.007
 Complete Secondary or technical school or university9/456(2.0)1.00
Work location
 Street17/157(10.8)4.43 (2.23–8.81)<0.0001
 Premises18/675(2.7)1.00
SerologyAnti-HIV
 Positive1/7(14.3)4.30 (0.50–36.65)0.1819
 Negative37/992(3.7)1.00
Anti-HBc
 Positive7/87(8.0)2.49 (1.06–5.83)0.0360
 Negative31/912(3.4)1.00
Anti-HSV-2
 Positive37/741(5.0)13.51 (1.84–98.94)0.010410.05 (1.36–74.38)0.0239
 Negative1/257(0.4)1.00
Sexual risk behaviourForced sex
 Yes12/132(9.1)3.19 (1.57–6.49)0.00142.470 (1.11–5.48)0.0262
 No26/855(3.0)1.00
Regular client construction worker21/346(6.1)2.42 (1.26–4.65)0.0081
Regular client transportation worker14/204(6.9)2.37 (1.20–4.66)0.0127
Regular client police officer10/180(5.6)1.66 (0.79–3.49)0.1790
Regular client in military7/79(8.9)2.79 (1.19–6.55)0.0187
Anal sex with non-regular partner
 Yes10/141(7.1)2.26 (1.06–4.79)0.0341
 No26/794(3.3)1.00
Condom use with non-regular partner
 Vaginal sex
 Never/inconsistent11/104(10.6)3.84 (1.81–8.18)0.0005
 Always22/737(3.0)1.00
Anal sex
 Never/inconsistent4/27(14.8)3.69 (0.92–14.80)0.0658
 Always5/111(4.5)1.00
Sexual contact with foreigners
 No19/280(6.8)1.00
 Yes17/687(2.5)0.35 (0.18–0.68)0.0020
Sex work, another country
 Yes4/178(2.2)0.47 (0.16–1.35)0.1627
 No33/712(4.6)1.00
Health historySexually transmitted infection history
 Yes9/111(8.1)2.61 (1.20–5.68)0.01522.37 (1.01–5.58)0.0486
 No29/888(3.3)1.00
Use contraceptives
 No15/285(5.3)0.63 (0.32–1.23)0.1768
 Yes23/678(3.4)1.00
Drug useNever used drugs22/737(3.0)0.47 (0.24–0.91)0.0262
Used marijuana11/152(7.2)2.37 (1.15–4.89)0.0194
  • *‘Other’ included Coclé, Herrera, Los Santos, Bocas del Toro, and Veraguas.

  • †Only characteristics significant at p<0.20 are shown and were considered in multivariate analysis.