DOI: https://doi.org/10.14710/jekk.v9i2.23070

Factors Associated with Chlamydia Infection among Female Sex Workers in West Jakarta: Analysis of the 2018-2019 Integrated Biological and Behavioral Survey

*Selma Eliana Karamy orcid  -  Universitas Indonesia, Indonesia
Mondastri Korib Sudaryo  -  Universitas Indonesia, Indonesia
Received: 13 May 2024; Published: 31 Aug 2024.

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Abstract

Background: Chlamydia is one of the most common sexually transmitted infections globally. Female sex workers (FSW), especially in urban areas, face a higher risk of infection due to their risky work environment and lifestyle. Jakarta is a city that has cosmopolitan and urban characteristics with an active sex industry. This research was conducted to determine the factors associated with the incidence of chlamydia infection among FSWs in West Jakarta.

Methods: The research was conducted using a cross-sectional design by analyzing data from the 2018-2019 Integrated Biological and Behavioral Survey (IBBS). The data were analyzed using univariate and bivariate analysis with the chi-square test. Prevalence ratio (PR) was used as the measure of association.

Results: Of the 283 FSWs involved in the study, the positivity rate of chlamydia infection in West Jakarta reached 42.8%. Significant risk factors for chlamydia infection among FSWs in West Jakarta include younger age, divorced status, recently becoming a sex worker, and having ≥ 5 customers per week.

Conclusion: The high rate of chlamydia infection among FSWs in West Jakarta highlights the need to increase outreach to FSWs in order to educate them about STIs and encourage them to perform regular screenings, especially for young FSWs.

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Keywords: Sexually transmitted infections; Chlamydia; Female sex workers; Sexual behavior

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  5. Kementerian Kesehatan RI. 2019 Laporan Survei Terpadu Biologis dan Perilaku 2018-2019
  6. Decker MR, Crago AL, Ka Hon Chu S, Sherman SG, Saraswathi Seshu M, Buthelezi K, et al. 2015. The Lancet series on HIV in sex workers; Paper 4 burden and HIV impact of human rights violations against sex workers. Lancet. 385(9963):186–99
  7. Shannon, K., Strathdee, S.A., Goldenberg, S.M., Duff, P., Mwangi, P., and Rusakova, M., et al. 2015 Global epidemiology of HIV among female sex workers: influence of structural determinants. Lancet Lond Engl. 385(9962):55–71
  8. Callander, D., McManus, H., Guy, R., Hellard, M., O’Connor, C.C., and Fairley, C.K., et al. 2018 Rising chlamydia and gonorrhoea incidence and associated risk factors among female sex workers in Australia: A Retrospective cohort study. Sex Transm Dis. 45(3):199
  9. Abdullahi, A., Nzou, S.M., Kikuvi, and G., Mwau, M. 2018. Neisseria gonorrhoeae infection in female sex workers in an STI clinic in Nairobi, Kenya. PLoS ONE.17(2):e0263531
  10. PAHO and WHO. 2018. Chlamydia [Internet]. Pan American Health Organization (PAHO). [cited 2023 Jun 3]. Available from: https://www3.paho.org/hq/index.php?option=com_content&view=article&i d=14870:sti-chlamydia&Itemid=0〈=en#gsc.tab=0
  11. Suparno, H., Dadun, Siagian, F., Utomo, B., and Dharmaputra, N.G. 2020. Findings of the behavioral surveillance survey (BSS 1996-2000) on female commercial sex workers and adult male respondents [Internet]. Available from: https://chr.ui.ac.id/wp- content/uploads/2020/10/Findings-on-female-commercial-sex-workers-and- adult-male-respondents.pdf
  12. Tadié, J., and Permanadeli, R. Night and the city: Clubs, brothels and politics in Jakarta. 2015. Urban Stud. 52(3):471–85
  13. Jung, M. 2019. Risk factors of sexually transmitted infections among female sex workers in Republic of Korea. Infect Dis Poverty. ;8:6
  14. Sherman, S.G., Tomko, C., White, R.H., Nestadt, D.F., Silberzahn, B.E., and Clouse, E., et al. 2021. Structural and environmental influences increase the risk of sexually transmitted infection in a sample of female sex workers. Sex Transm Dis. 48(9):648–53
  15. Tadele, A., Hussen, S., and Shimelis, T. 2019. Prevalence and associated factors of Chlamydia trachomatis and Neisseria gonorrhoeae among female commercial sex workers in Hawassa City, Southern Ethiopia. BMC Infect Dis.;19:61
  16. Shi, L., Luo, J., Chen, Y., Chen, L., Hu, H., Qiu, T., et al. 2022. Prevalence of syphilis and chlamydia trachomatis infection among female sex workers in Jiangsu, China: Results from a multicenter cross-sectional and venue-based study. Front Public Health. 10:1018724
  17. Connolly, S., Wall, K.M., Parker, R., Kilembe, W., Inambao, M., and Visoiu, A.M., et al. 2022 Sociodemographic factors and STIs associated with Chlamydia trachomatis and Neisseria gonorrhoeae infection in Zambian female sex workers and single mothers. Int J STD AIDS. (4):364–74
  18. UNAIDS. 2018. Youth and HIV — Mainstreaming a three-lens approach to youth participation [Internet]. [cited 2023 Jan 6]. Available from: https://www.unaids.org/sites/default/files/media_asset/youth-and- hiv_en.pdf
  19. Busza, J., Mtetwa, S., Mapfumo, R., Hanisch, D., Wong-Gruenwald, R., and Cowan, F. 2016. Underage and underserved: reaching young women who sell sex in Zimbabwe. AIDS Care. 28(sup2):14–20
  20. Chabata, S.T., Hensen, B., Chiyaka, T., Mushati, P., Mtetwa S., and Hanisch D., et al. 2019. Changes over time in HIV prevalence and sexual behaviour among young female sex-workers in 14 Sites in Zimbabwe, 2013–2016. AIDS Behav. 6):1494–507
  21. Boothe, M.A.S., Semá, Baltazar, C., Sathane, I., Raymond, H.F., Fazito, E., and Temmerman, M., et al. 2021. Young key populations left behind: The necessity for a targeted response in Mozambique. PLoS ONE. 16(12):e0261943
  22. Tang, W., Pan, J., Jiang, N., Hu, H.Y., Mahapatra, T., Yin, and Y.P., et al. 2014. Correlates of chlamydia and gonorrhea infection among female sex workers: the untold story of Jiangsu, China. PLoS ONE. 9(1):e85985
  23. Nasirian, M., Kianersi, S., Hoseini, S.G., Kassaian, N., Yaran, M., and Shoaei, P., et al. 2017. Prevalence of sexually transmitted infections and their risk factors among female sex workers in Isfahan, Iran: A Cross-Sectional Study. J Int Assoc Provid AIDS Care JIAPAC. 16(6):608–14
  24. Park, J.N., Gaydos, C.A., White, R.H., Decker, M.R., Footer, K.H.A., and Galai, N., et al. 2019. Incidence and predictors of chlamydia, gonorrhea and trichomonas among a prospective cohort of cisgender female sex workers in Baltimore, Maryland. Sex Transm Dis. 46(12):788–94
  25. Diabaté, S., Chamberland, A., Geraldo, N., Tremblay, C., and Alary, M. 2018. Gonorrhea, chlamydia and HIV incidence among female sex workers in Cotonou, Benin: A longitudinal study. PLoS ONE. 13(5):e0197251
  26. Wu, P., Dong, W.M., Rou, K., Dong, W., Zhou, C., and Chen, X., et al. 2019. HIV-positive clients of female sex workers in Hunan Province, China: a mixed methods study assessing sexual relationships and

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