{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T16:27:40Z","timestamp":1778603260005,"version":"3.51.4"},"reference-count":0,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2003,3,1]],"date-time":"2003-03-01T00:00:00Z","timestamp":1046476800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2003,3,1]]},"abstract":"<jats:p> In Thyolo District, Malawi, a study was conducted among commercial sex workers (CSWs) attending mobile clinics in order to; determine the prevalence and pattern of sexually transmitted infections (STIs), describe sexual behaviour among those who have an STI and identify risk factors associated with 'no condom use'. <\/jats:p><jats:p> There were 1817 CSWs, of whom 448 (25%) had an STI. Of these, the commonest infections included 237 (53%) cases of abnormal vaginal discharge, 109 (24%) cases of pelvic inflammatory disease and 95 (21%) cases of genital ulcer disease (GUD). Eighty-seven per cent had sex while symptomatic, 17% without condoms. Having unprotected sex was associated with being married, being involved with commercial sex outside a known rest-house or bar, having a GUD, having fewer than two clients\/day, alcohol intake and having had no prior medication for STI. <\/jats:p><jats:p> The high levels of STIs, particularly GUDs, and unprotected sex underlines the importance of developing targeted interventions for CSWs and their clients. <\/jats:p>","DOI":"10.1258\/095646203762869197","type":"journal-article","created":{"date-parts":[[2003,3,27]],"date-time":"2003-03-27T23:45:33Z","timestamp":1048808733000},"page":"185-188","source":"Crossref","is-referenced-by-count":24,"title":["Sexually transmitted infections and sexual behaviour among commercial sex workers in a rural district of Malawi"],"prefix":"10.1177","volume":"14","author":[{"given":"R","family":"Zachariah","sequence":"first","affiliation":[{"name":"M\u00e9decins sans Fronti\u00e8res - Luxembourg, Thyolo District, Malawi"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M P","family":"Spielmann","sequence":"additional","affiliation":[{"name":"M\u00e9decins sans Fronti\u00e8res - Luxembourg, Thyolo District, Malawi"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A D","family":"Harries","sequence":"additional","affiliation":[{"name":"National TB Control Program\/DFID advisor, Thyolo District, Ministry of Health and Population, Malawi"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W","family":"Nkhoma","sequence":"additional","affiliation":[{"name":"National AIDS Control Program, Thyolo District, Ministry of Health and Population, Malawi"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Chantulo","sequence":"additional","affiliation":[{"name":"STI services, Thyolo District, Ministry of Health and Population, Malawi"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V","family":"Arendt","sequence":"additional","affiliation":[{"name":"Department of Tropical and Infectious Diseases, Luxembourg"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2003,3,1]]},"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/095646203762869197","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/095646203762869197","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T01:34:11Z","timestamp":1741052051000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1258\/095646203762869197"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,3,1]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2003,3,1]]}},"alternative-id":["10.1258\/095646203762869197"],"URL":"https:\/\/doi.org\/10.1258\/095646203762869197","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"value":"0956-4624","type":"print"},{"value":"1758-1052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,3,1]]}}}