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Poster Presentations
PS02 – POSTER VIEWING SESSION – TUESDAY
Tuesday, July 16, 2019 5:45 PM – 7:00 PM
P706 Low gonorrhea and chlamydia testing rate among female sex workers in guangdong province: a cross-sectional analysis
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  1. Peizhen Zhao1,
  2. Fan Yang2,
  3. Yajie Wang1,
  4. Weiming Tang1,
  5. He-Ping Zheng3,
  6. Bin Yang4,
  7. Cheng Wang1
  1. 1Dermatology Hospital of Southern Medical University, Guangzhou, China
  2. 2University of North Carolina Project – China, Guangzhou, China
  3. 3Dermatology Hospital of Southern Medical University, Guangdong Center for STD Control and Prevention, Guangzhou, China
  4. 4Dermatology Hospital, Southern Medical University, Guangzhou, China

Abstract

Background Female sex workers (FSW) are at high risk of gonorrhea and chlamydia infection. However, gonorrhea and chlamydia testing rate remain low in this population. This study aimed to assess the gonorrhea and chlamydia testing rates and its associated factors among FSW in Guangdong, China.

Methods A cross-sectional study was conducted in seven cities in Guangdong province. We collected data on socio-demographic characteristics, gonorrhea and chlamydia testing uptake and health care services utilization from participants through face-to-face interview in 2017. We reported the outcomes adjusted for age, ethnic, education level, marital status, monthly income and local working time through multivariable logistic regressions.

Results Overall, 1207 people participated in the survey. The mean age of FSW was 30.69±6.75 years. The average number of customers per week was 8.18±5.43. Ninety (7.46%) of them had gonorrhea testing and 125 (10.36%) people had chlamydia testing in the last 12 months. Multivariable analysis indicated that FSW who reported having abnormal vaginal discharge (aOR=3.33, 95%CI: 2.03–5.46) or having ulcers in the genital area (aOR=6.16,95%CI: 1.99–19.06) in the past year were more likely to have gonorrhea testing. Those who had stable partners (aOR=2.59, 95%CI: 135–4.99), had anal sex (aOR=2.23,95%CI: 1.76–2.84), had HIV testing (aOR=3.94,95%CI: 2.34–6.65) and syphilis testing (aOR=3.27,95%CI: 1.96–5.46) were also more likely to have gonorrhea testing. Similar as gonorrhea testing, participants who had abnormal vaginal discharge in the past year (aOR=4.09, 95%CI: 2.62–6.40), had ulcers in the genital (aOR=10.37, 95%CI: 3.23–33.31), had anal sex (aOR=2.36,95%CI:1.54–3.60), had HIV testing (aOR=5.16,95%CI: 3.21–8.30) and syphilis testing (aOR=6.90,95%CI: 4.21–11.32) were more likely to have chlamydia testing.

Conclusion Gonorrhea and chlamydia testing rates remain low among FSW in China. Interventions that can further improve the uptake of gonorrhea and chlamydia are further needed. Providing gonorrhea and chlamydia testing at syphilis/HIV testing sites and among asymptomatic FSW may increase testing rate.

Disclosure No significant relationships.

  • sex workers
  • chlamydia
  • Neisseria gonorrhoeae
  • diagnosis

https://doi.org/10.1136/sextrans-2019-sti.771

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