Public Health and Preventive Medicine Archive
Vol. 1 No. 2 (2013)

Long-term trends in Neisseria gonorrhoeae and Chlamydia trachomatis prevalence among brothel-based female sex workers in Denpasar, Bali, Indonesia

Dewa Nyoman Wirawan (Faculty of Medicine Udayana University, Kerti Praja Foundation, Denpasar, Bali, Indonesia)
Emily Rowe (Kerti Praja Foundation, Denpasar, Bali, Indonesia)
Fonny Silfanus (National AIDS Commission, Jakarta, Indonesia)
Putri Pidari (Kerti Praja Foundation, Denpasar, Bali, Indonesia)
Gusti Ayu Satriani (Kerti Praja Foundation, Denpasar, Bali, Indonesia)
Dewa Suyetna (Kerti Praja Foundation, Denpasar, Bali, Indonesia)



Article Info

Publish Date
01 Dec 2013

Abstract

The objective of this study is to analyze the long-term trends of Neisseria gonorrhoeae (NG) and Chlamydia trachomatis (CT) infections and risk factors among female sex workers (FSW) in Denpasar, Bali, Indonesia. In order to understand the long-term trends, secondary data was examined from the years 1997-1999, 2004, 2007, 2009 and 2010; to analyze associated factors, data from 2010 was used. Analysis indicates an overall decrease of NG prevalence in Bali from 60.5% (95%CI: 56.6-64.5) in 1997 to 22% (95%CI: 16.8-27.1) in 2010. CT prevalence has also experienced a long term decline but not to the same degree as NG. Findings from analysis of surveys in 2004 and 2010 indicate that there is a strong relationship between condom use in the last sexual transaction with NG infection (p=0.02), duration of sex work (p=0.02), number of clients in the last week (p=0.01), clinic visit intervals and clinic visit frequency. CT prevalence was associated with the number of clients (p=0.04) and clinic visit frequency. Unfortunately, these were the only variables collected therefore a multivariate analysis was not possible. High prevalence of both NG and CT is associated with the high mobility of FSW and low condom use. There is a significant long-term decrease of NG prevalence from 60.5% to 22%. However, CT experienced an insignificant long term decrease from 41.3% to 35%.

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Journal Info

Abbrev

phpma

Publisher

Subject

Public Health

Description

ublic Health and Preventive Medicine Archive (PHPMA) is an open access, peer reviewed journal published by Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University. Issues covered in the journal are as the following: Environmental and occupational health Field and ...