The Prevalence, Incidence and Associated Factors of Neisseria gonorrhea Among Female Sex Workers Seeking the Disease Screening at Pattayarak Center
Abstract
Introduction: Amongst 5 major sexually transmitted diseases in Thailand, Gonorrhea is the most notable one in terms of infection rates. There is currently no documentation regarding the subject matter in sex workers group regularly exposed to these biological health hazards in their work.
Objectives: This study aims to investigate the prevalence, incidence, and factors associated with Neisseria gonorrhea infection among female sex workers seeking disease screening at Pattayarak Center, Chonburi, Thailand.
Methods: A cross-sectional and retrospective cohort study has been conducted using medical records of 2,519 female sex workers visiting Pattayarak Center during January 1st 2016 to December 31st 2020 without randomization. Data collection was done through information retrieve form and statistical analysis was performed using Poisson regression through STATA Version 14.0.
Results: A total of 21,698 visits has been recorded. Gonorrhea prevalence and incidence were 96.01 per 1,000 samples and 3.80 per 1,000 person-month, respectively. After statistically adjusted, factors significantly associated with the infection include unprotected sexual intercourse [IRR (95%CI) = 10.22 (1.50, 69.44) p = 0.02] and condom slippage or leakage during intercourse [IRR (95%CI) = 1.98 (1.22, 3.21) p < 0.01].
Conclusion: Prevention of gonorrhea infection among female sex workers could be done via sexual health education and encouragement to correctly and consistent condom use
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