Sexually transmitted infections among at-risk women in Ecuador: implications for global prevalence and testing practices for STIs detected only at the anorectum in female sex workers
2024

Sexually Transmitted Infections in At-Risk Women in Ecuador

Sample size: 500 publication 10 minutes Evidence: high

Author Information

Author(s): LlangarĂ­-Arizo Luz Marina, Broad Claire Elizabeth, Zhou Liqing, Martin Mateo Miguel, Moreno Cristina Izquierdo, Moreno Cevallos Marcelo, Cooper Philip J, Romero-Sandoval Natalia, Sadiq Syed Tariq

Primary Institution: Escuela de Medicina, Universidad Internacional del Ecuador

Hypothesis

What is the prevalence and risk factors of non-viral STIs among female sex workers and non-sex workers in Ecuador?

Conclusion

The study found a high prevalence of STIs, particularly those detected only at the anorectum, indicating the need for improved testing practices.

Supporting Evidence

  • 39.7% of female sex workers had at least one STI.
  • 12.1% of infections were detected only at the anorectum.
  • 64.4% of Chlamydia and/or Gonorrhea infections were detected only at the anorectum.

Takeaway

This study shows that many women who sell sex in Ecuador have infections that are often missed if only genital tests are done.

Methodology

A cross-sectional study was conducted with 250 female sex workers and 250 non-sex workers, collecting various swabs and socio-demographic data.

Potential Biases

Potential reporting bias due to the sensitive nature of sexual health topics.

Limitations

The study did not include anorectal swabs for non-sex workers, limiting comparisons.

Participant Demographics

86.8% Ecuadorian, 8.4% Venezuelan, 4.8% Colombian; median age 29 years.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI 33.8% to 46.1%

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1136/sextrans-2023-056075

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