Sexually transmissible infections among sex workers and their clients: Variation in prevalence between sectors of the industry
Seib, Charrlotte, Debattista, Joseph, Fischer, Jane, Dunne, Michael P., & Najman, Jackob M. (2009) Sexually transmissible infections among sex workers and their clients: Variation in prevalence between sectors of the industry. Sexual Health, 6(1), pp. 45-50.
The risk of sexually transmissible infection (STI) among sex workers and their clients may be higher than the general population. However, many studies have categorised workers or clients into homogenous groups for the purposes of analysis. The aim of the present study was to assess variations in self-reported STI rates among licenced brothel, private and illegal sex workers and their clients.
In 2003, self-report data were collected from female sex workers and their male commercial clients residing in the state of Queensland, Australia. Overall, 247 sex workers (aged 19–57 years) and 185 of their respective clients (aged between 19 and 72 years) completed anonymous questionnaires.
There was little variation in self-reported lifetime STI prevalence of licenced brothel, private and illegal (predominantly street-based) sex workers, although licenced brothel workers were less likely to report ever being diagnosed with gonorrhoea or pubic lice in the past (P = 0.035 and 0.004 respectively). In contrast, clients accessing illegal services reported higher lifetime STI (36.0%, 95% confidence interval (CI) 20.2–55.6) than men recruited through private sex workers (20.0%, 95% CI 11.4–32.5) and clients from licenced brothels (7.6%, 95% CI 3.7–14.5).
This study found high self-reported lifetime prevalence of infection among sex workers and their clients. It is notable, however, that lower STI rates were reported by clients and sex workers from licenced brothels. This would suggest that risk of infection is not equivalent across industry sectors and highlights some of the inherent risks associated with generalisation across the sex industry.
Impact and interest:
Citation counts are sourced monthly from and citation databases.
These databases contain citations from different subsets of available publications and different time periods and thus the citation count from each is usually different. Some works are not in either database and no count is displayed. Scopus includes citations from articles published in 1996 onwards, and Web of Science® generally from 1980 onwards.
Citations counts from theindexing service can be viewed at the linked Google Scholar™ search.
Full-text downloads displays the total number of times this work’s files (e.g., a PDF) have been downloaded from QUT ePrints as well as the number of downloads in the previous 365 days. The count includes downloads for all files if a work has more than one.
|Item Type:||Journal Article|
|Keywords:||Commercial clients, Legislation, Sex industry, Sex workers|
|Subjects:||Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Public Health and Health Services not elsewhere classified (111799)|
|Divisions:||Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Nursing
Current > Schools > School of Public Health & Social Work
|Copyright Owner:||Copyright 2009 CSIRO.|
|Copyright Statement:||The definitive version is available on the publisher's website. See Official URL above.|
|Deposited On:||29 Apr 2009 22:08|
|Last Modified:||19 Oct 2015 03:15|
Repository Staff Only: item control page