{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T21:33:10Z","timestamp":1791495190176,"version":"4.3.4"},"reference-count":29,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2024,8,13]],"date-time":"2024-08-13T00:00:00Z","timestamp":1723507200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003252","name":"Lunds Universitet","doi-asserted-by":"publisher","award":["Dnr F: 2014\/354"],"award-info":[{"award-number":["Dnr F: 2014\/354"]}],"id":[{"id":"10.13039\/501100003252","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004359","name":"Vetenskapsr\u00e5det","doi-asserted-by":"publisher","award":["2013-06541"],"award-info":[{"award-number":["2013-06541"]}],"id":[{"id":"10.13039\/501100004359","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Region Sk\u00e5ne Research and Development","award":["REGSKANE-826071"],"award-info":[{"award-number":["REGSKANE-826071"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Sex Transm Infect"],"accepted":{"date-parts":[[2024,6,29]]},"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To estimate the prevalence of the curable sexually transmitted infections (STIs)\n                      <jats:italic>Chlamydia trachomatis<\/jats:italic>\n                      ,\n                      <jats:italic>Neisseria gonorrhoeae<\/jats:italic>\n                      ,\n                      <jats:italic>Mycoplasma genitalium<\/jats:italic>\n                      ,\n                      <jats:italic>Trichomonas vaginalis<\/jats:italic>\n                      and\n                      <jats:italic>Treponema pallidum<\/jats:italic>\n                      , to identify associated risk factors and to assess ciprofloxacin resistance in\n                      <jats:italic>N. gonorrhoeae<\/jats:italic>\n                      -positive specimens among female sex workers (FSWs) in Guinea-Bissau.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      For this cross-sectional study, FSWs were recruited from October 2014 to May 2019. A questionnaire on STI risk factors was completed by the study participants, and the women were asked to provide a vaginal swab for nucleic acid amplification tests for\n                      <jats:italic>C. trachomatis<\/jats:italic>\n                      ,\n                      <jats:italic>N. gonorrhoeae<\/jats:italic>\n                      ,\n                      <jats:italic>M. genitalium<\/jats:italic>\n                      ,\n                      <jats:italic>T. vaginalis<\/jats:italic>\n                      (Aptima, Hologica), as well as a blood sample for\n                      <jats:italic>T. pallidum<\/jats:italic>\n                      serological testing and discriminatory HIV-testing. The prevalence of STIs was determined, and multivariate logistic regression was used to identify STI risk factors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study included 467 women. The prevalence of current infection with any curable STI was 46.7%, and the most common pathogen was\n                      <jats:italic>T. vaginalis<\/jats:italic>\n                      (26.3%), followed by\n                      <jats:italic>M. genitalium<\/jats:italic>\n                      (21.9%),\n                      <jats:italic>C. trachomatis<\/jats:italic>\n                      (11.8%),\n                      <jats:italic>N. gonorrhoeae<\/jats:italic>\n                      (10.1%) and\n                      <jats:italic>T. pallidum<\/jats:italic>\n                      (2.8%). The proportion of asymptomatic infections among the diagnosed STIs was 61.8%, 61.5%, 55.3%, 55.3% and 52.2% for\n                      <jats:italic>C. trachomatis, T. pallidum, N. gonorrhoeae, T. vaginalis and M. genitalium, respectively<\/jats:italic>\n                      . The prevalence of the\n                      <jats:italic>gyrA<\/jats:italic>\n                      S91F mutation conferring ciprofloxacin resistance in\n                      <jats:italic>N. gonorrhoeae<\/jats:italic>\n                      -positive specimens was 84.0%. Significant risk factors for having a curable STI were age and HIV-1 infection, while use of female condoms was a protective factor.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study demonstrated that the prevalence of curable STIs was high among FSWs in Guinea-Bissau during the study period, indicating an unmet need for STI services. Moreover, the results indicated that symptomatic treatment might be insufficient, highlighting a need for periodic aetiological testing to facilitate detection of asymptomatic as well as symptomatic STIs to stop ongoing transmission.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/sextrans-2023-056015","type":"journal-article","created":{"date-parts":[[2024,8,13]],"date-time":"2024-08-13T13:22:25Z","timestamp":1723555345000},"page":"411-417","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Prevalence of sexually transmitted infections and associated risk factors among female sex workers in Guinea-Bissau"],"prefix":"10.1136","volume":"100","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2034-464X","authenticated-orcid":false,"given":"Jacob","family":"Lindman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mamadu Aliu","family":"Djalo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ansu","family":"Biai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fredrik","family":"M\u00e5nsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Golparian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joakim","family":"Esbj\u00f6rnsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianne","family":"Jansson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrik","family":"Medstrand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magnus","family":"Unemo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans","family":"Norrgren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,8,13]]},"reference":[{"key":"2024101702550762000_100.7.411.1","unstructured":"WHO . 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