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[PMID]: 23530381 [Au] Autor: Matkins PP [Ad] Endereço: Teen Health Connection, Levine Children's Hospital, Charlotte, North Carolina 28211, USA. preeti.matkins@teenhealthconnection.org [Ti] Título: Sexually transmitted infections in adolescents. [So] Source: N C Med J;74(1):48-52, 2013 Jan-Feb. [Is] ISSN: 0029-2559 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Sexually transmitted infections (STIs) are very common in teenagers and young adults, with adolescents making up a disproportionate percentage of cases. This article reviews the epidemiology of STIs in North Carolina adolescents and summarizes current recommendations for screening, testing, and treatment. Successful strategies for maintaining confidentiality around screening, notification, billing, and treatment are also discussed. [Mh] Termos MeSH primário: Doenças Sexualmente Transmissíveis/epidemiologia [Mh] Termos MeSH secundário: Adolescente Centers for Disease Control and Prevention (U.S.) Comunicação Sigilosa Humanos Programas de Rastreamento/organização & administração North Carolina/epidemiologia Doenças Sexualmente Transmissíveis/diagnóstico Doenças Sexualmente Transmissíveis/terapia Estados Unidos [Pt] Tipo de publicação: JOURNAL ARTICLE; REVIEW [Em] Mês de entrada: 1305 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 130327 [St] Status: MEDLINE

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[PMID]: 23319742 [Au] Autor: Widdice L; Ma Y; Jonte J; Farhat S; Breland D; Shiboski S; Moscicki AB [Ad] Endereço: Cincinnati Children's Research Foundation, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA. [Ti] Título: Concordance and transmission of human papillomavirus within heterosexual couples observed over short intervals. [So] Source: J Infect Dis;207(8):1286-94, 2013 Apr 15. [Is] ISSN: 1537-6613 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: BACKGROUND: Because many human papillomavirus (HPV) infections are transient, rates of transmission may be miscalculated if the interval between testing spans several months. We examined rates of concordance and transmission in heterosexual couples over short intervals. METHODS: Twenty-five adult couples were enrolled and sampled for HPV DNA from the genitals, hand, and mouth 5 times over a 6-week period, including 24 hours after sexual intercourse and after 48 hours of abstinence. Concordance and transmission patterns were described. RESULTS: Concordance between the couple's genital sites ranged from 64% to 95% for at least 1 HPV type. The highest rates of concordance were observed 24 hours after sexual intercourse. A similar peak in concordance was not seen between genital and nongenital anatomic sites. Transmission rates for female genital to male genital ranged from 26.8 to 187.5 per 100 person-months and for male genital to female genital from 14.5 to 100 per 100 person-months. CONCLUSIONS: High rates of concordance shortly after intercourse suggest that some DNA detections in the genital area are contaminants from a partner and not established HPV infections. Female-to-male transmission appeared more common than male-to-female transmission. [Mh] Termos MeSH primário: Alphapapillomavirus/patogenicidade Heterossexualidade Infecções por Papillomavirus/transmissão Doenças Virais Sexualmente Transmissíveis/transmissão [Mh] Termos MeSH secundário: Adolescente Adulto Alphapapillomavirus/genética Coito DNA Viral/análise DNA Viral/genética Feminino Genitália Feminina/virologia Genitália Masculina/virologia Mãos/virologia Humanos Masculino Boca/virologia Infecções por Papillomavirus/virologia Fatores Sexuais Doenças Virais Sexualmente Transmissíveis/virologia Fatores de Tempo Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T [Nm] Nome de substância: 0 (DNA, Viral) [Em] Mês de entrada: 1305 [Cu] Atualização por classe: 130506 [Lr] Data última revisão: 130506 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 130321 [St] Status: MEDLINE [do] DOI: 10.1093/infdis/jit018

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[PMID]: 22350123 [Au] Autor: Nguyen HV; Koo KH; Davis KC; Otto JM; Hendershot CS; Schacht RL; George WH; Heiman JR; Norris J [Ad] Endereço: Department of Psychology, University of Washington, Box 351525, Seattle, WA 98195-1525, USA. hongy2@u.washington.edu [Ti] Título: Risky sex: interactions among ethnicity, sexual sensation seeking, sexual inhibition, and sexual excitation. [So] Source: Arch Sex Behav;41(5):1231-9, 2012 Oct. [Is] ISSN: 1573-2800 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Rates of sexually transmitted infections, including HIV, vary across ethnic minority groups, yet few studies have evaluated sexual risk behaviors and their psychological correlates to determine if risk and protective factors vary by ethnicity. The purpose of the current study was to assess sexual sensation seeking (SSS), sexual inhibition (SIS1 and SIS2), and sexual excitation (SES) as correlates of risky sexual behaviors in 106 (55 male and 51 female) Asian Americans, African Americans, and Caucasian Americans. Results revealed that higher SSS was associated with more vaginal and anal sex partners. Further, the association between SSS and the number of anal sex partners was positive among Asian Americans and Caucasians, but non-significant among African Americans. SIS1 was positively associated with unprotected sex on the first date among Asian Americans and African Americans. However, the association was not significant for Caucasians. SIS2 was negatively associated with general unprotected sex, and SES was positively associated with the number of vaginal sex partners. Findings suggest that ethnicity plays an important moderating role in the relationship between sexual traits and risky sexual behaviors. [Mh] Termos MeSH primário: Grupos Étnicos/psicologia Comportamento Sexual/psicologia Sexualidade/psicologia Sexo sem Proteção [Mh] Termos MeSH secundário: Adulto Afro-Americanos/psicologia Afro-Americanos/estatística & dados numéricos Americanos Asiáticos/psicologia Americanos Asiáticos/estatística & dados numéricos Preservativos/utilização Grupos Étnicos/estatística & dados numéricos Grupo com Ancestrais do Continente Europeu/psicologia Grupo com Ancestrais do Continente Europeu/estatística & dados numéricos Feminino Infecções por HIV/etnologia Infecções por HIV/psicologia Humanos Masculino Fatores de Risco Comportamento Sexual/estatística & dados numéricos Sexualidade/estatística & dados numéricos Doenças Sexualmente Transmissíveis/etnologia Doenças Sexualmente Transmissíveis/psicologia Estados Unidos/epidemiologia Sexo sem Proteção/etnologia Sexo sem Proteção/psicologia Sexo sem Proteção/estatística & dados numéricos [Pt] Tipo de publicação: JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL [Em] Mês de entrada: 1304 [Cu] Atualização por classe: 130506 [Lr] Data última revisão: 130506 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 121018 [St] Status: MEDLINE [do] DOI: 10.1007/s10508-012-9904-z

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[PMID]: 22595630 [Au] Autor: Lo BM; Schott CK; Visintainer CM; Best HA [Ad] Endereço: Department of Emergency Medicine, Eastern Virginia Medical School, Norfolk, Virginia 23507, USA. [Ti] Título: The utility of wet prep in predicting Neisseria gonorrhoeae and Chlamydia trachomatis. [So] Source: J Emerg Med;43(6):964-9, 2012 Dec. [Is] ISSN: 0736-4679 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: BACKGROUND: Diagnosing Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) cervical infections can be difficult in the Emergency Department without real-time testing, as historical and physical elements are known to be unreliable. OBJECTIVE: To evaluate the utility of the vaginal wet mount preparation (wet prep) in predicting an infection with NG or CT. METHODS: A retrospective chart review was performed on 12 months of data from September 2007 to August 2008 on patients aged 18 years and above who had a chief complaint requiring a pelvic examination and had concurrent testing for NG/CT and a wet prep. Wet preps were analyzed and reported as quantity of white cells and clue cells present (none, few, moderate, or many) as well as the presence of Trichomonas vaginalis (TV). Wet prep results were evaluated to see if there was a correlation with NG/CT. RESULTS: There were 2439 patient encounters reviewed. A total of 373/2439 (15.3%) patient encounters were positive for NG or CT; 272/2439 (11.2%) were positive for TV, whereas 966/2439 (39.6%) had white cells and 995/2439 (40.8%) had clue cells on wet prep. Clue cells and TV did not correlate with the presence of NG or CT. Only the presence of "moderate" and "many" white cells correlated with NG or CT (odds ratio [OR] 1.58, 95% confidence interval [CI] 1.12-2.22 and OR 2.47, 95% CI 1.86-3.27, respectively). CONCLUSION: In patients who are diagnosed with NG or CT, the presence of TV or clue cells on wet prep is an unreliable marker for diagnosis. However, having moderate or many white cells present on wet prep does increase the probability of concurrent NG or CT infection and may be used in cases where the clinical suspicion is equivocal. [Mh] Termos MeSH primário: Técnicas de Tipagem Bacteriana Infecções por Chlamydia/microbiologia Chlamydia trachomatis/isolamento & purificação Gonorreia/microbiologia Neisseria gonorrhoeae/isolamento & purificação Doenças Bacterianas Sexualmente Transmissíveis/diagnóstico Doenças Vaginais/microbiologia [Mh] Termos MeSH secundário: Infecções por Chlamydia/diagnóstico Feminino Gonorreia/diagnóstico Humanos Doenças Vaginais/patologia [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1305 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 121203 [St] Status: MEDLINE

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[PMID]: 22967276 [Au] Autor: Ramesh S; Ganju D; Mahapatra B; Mishra RM; Saggurti N [Ad] Endereço: Population Council, 1st Floor, 142 Golf Links, New Delhi, 110003, India. sramesh@popcouncil.org [Ti] Título: Relationship between mobility, violence and HIV/STI among female sex workers in Andhra Pradesh, India. [So] Source: BMC Public Health;12:764, 2012. [Is] ISSN: 1471-2458 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: BACKGROUND: Violence and mobility have been identified as critical factors contributing to the spread of HIV worldwide. This study aimed to assess the independent and combined associations of mobility and violence with sexual risk behaviors and HIV, STI prevalence among female sex workers (FSWs) in India. METHODS: Data were drawn from a cross-sectional, bio-behavioral survey conducted among 2042 FSWs across five districts of southern India in 2005-06. Regression models were used to estimate odds ratios and 95% confidence intervals (CIs) for sexual risk behaviors and HIV infection based on experience of violence and mobility after adjusting for socio-demographic and sex work related characteristics. RESULTS: One-fifth of FSWs (19%) reported experiencing violence; 68% reported travelling outside their current place of residence at least once in the past year and practicing sex work during their visit. Mobile FSWs were more likely to report violence compared to their counterparts (23% vs. 10%, p < 0.001). Approximately 1 in 5 tested positive for HIV. In adjusted models, FSWs reporting both mobility and violence as compared to their counterparts were more likely to be infected with HIV (Adjusted odds ratio (adjusted OR): 2.07, 95% CI: 1.42-3.03) and to report unprotected sex with occasional (adjusted OR: 2.86, 95% CI: 1.76-4.65) and regular clients (adjusted OR: 2.07, 95% CI: 1.40-3.06). CONCLUSIONS: The findings indicate that mobility and violence were independently associated with HIV infection. Notably, the combined effect of mobility and violence posed greater HIV risk than their independent effect. These results point to the need for the provision of an enabling environment and safe spaces for FSWs who are mobile, to augment existing efforts to reduce the spread of HIV/AIDS. [Mh] Termos MeSH primário: Soropositividade para HIV/epidemiologia Profissionais do Sexo Doenças Sexualmente Transmissíveis/epidemiologia Viagem Violência [Mh] Termos MeSH secundário: Adulto Intervalos de Confiança Estudos Transversais Feminino Humanos Índia/epidemiologia Razão de Chances Doenças Sexualmente Transmissíveis/transmissão Viagem/estatística & dados numéricos Sexo sem Proteção/estatística & dados numéricos [Pt] Tipo de publicação: JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T [Em] Mês de entrada: 1305 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 121107 [St] Status: MEDLINE [do] DOI: 10.1186/1471-2458-12-764

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[PMID]: 22525109 [Au] Autor: Kahn JA; Xu J; Zimet GD; Liu N; Gonin R; Dillard ME; Squires K; Adolescent Trials Network for HIV/AIDS Interventions [Ad] Endereço: Division of Adolescent Medicine, Cincinnati Children's Hospital Medical Center, The University of Cincinnati College of Medicine, Cincinnati, OH, USA. jessica.kahn@cchmc.org [Ti] Título: Risk perceptions after human papillomavirus vaccination in HIV-infected adolescents and young adult women. [So] Source: J Adolesc Health;50(5):464-70, 2012 May. [Is] ISSN: 1879-1972 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: PURPOSE: To examine risk perceptions (perceived risk of human papillomavirus [HPV], perceived risk of other sexually transmitted infections [STIs], and need for safer sexual behaviors) and to determine factors associated with these risk perceptions after HPV vaccination. METHODS: Data were collected at the baseline visit of an HPV-6, -11, -16, -18 vaccine clinical trial in 16-23-year-old HIV-infected young women (N = 99). Immediately after receiving the first vaccine dose, participants completed a confidential questionnaire that included three 5-item scales measuring perceived risk of HPV, perceived risk of other STIs, and need for safer sexual behaviors. Linear and logistic regression models were used to examine associations between baseline characteristics (demographic characteristics; cluster of differentiation antigen 4 (CD4(+)) count; HIV viral load; knowledge about HPV and HPV vaccines; sexual behaviors; and STI diagnosis) and each measure of risk perceptions. RESULTS: Most participants perceived themselves to be at lower risk for HPV (mean scale score = 19.5/50), most perceived that they were not at lower risk for other STIs (mean = 31.2/50), and the vast majority reported that there was still a need for safer sexual behaviors after vaccination (mean = 43.1/50). Multivariate analyses indicated that knowledge about HPV and HPV vaccines was associated with perceived need for safer sexual behaviors (OR = 1.05, 95% CI = 1.0-1.1). CONCLUSIONS: Although almost all young women in this study believed that safer sexual behaviors were still important after HPV vaccination, a subset believed they were at less risk for STIs other than HPV. Educational interventions are needed to prevent misperceptions and promote healthy behaviors after vaccination. [Mh] Termos MeSH primário: Infecções por HIV Conhecimentos, Atitudes e Prática em Saúde Infecções por Papillomavirus/prevenção & controle Vacinas contra Papillomavirus Comportamento Sexual/estatística & dados numéricos Doenças Sexualmente Transmissíveis/prevenção & controle [Mh] Termos MeSH secundário: Adolescente Adulto Feminino Humanos Questionários Risco Vacinação Adulto Jovem [Pt] Tipo de publicação: CLINICAL TRIAL, PHASE II; JOURNAL ARTICLE; MULTICENTER STUDY; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T [Nm] Nome de substância: 0 (Papillomavirus Vaccines) [Em] Mês de entrada: 1304 [Cu] Atualização por classe: 130503 [Lr] Data última revisão: 130503 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 120424 [St] Status: MEDLINE [do] DOI: 10.1016/j.jadohealth.2011.09.005

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[PMID]: 22525107 [Au] Autor: Bailey JA; Fleming CB; Catalano RF; Haggerty KP; Manhart LE [Ad] Endereço: Social Development Research Group, School of Social Work, University of Washington, Seattle, WA 98115, USA. jabailey@uw.edu [Ti] Título: Romantic relationship characteristics and alcohol use: longitudinal associations with dual method contraception use. [So] Source: J Adolesc Health;50(5):450-5, 2012 May. [Is] ISSN: 1879-1972 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: PURPOSE: Dual method contraception use, or the use of one type of contraceptive intended to prevent pregnancy combined with another type intended to reduce the risk of sexually transmitted infection, may be the most effective method to prevent both unintended pregnancy and sexually transmitted infection. This study tested the association between relationship length, relationship type (married, cohabiting, dating but not cohabiting), global alcohol use, and situational alcohol use and the probability of dual method contraception use from 20 to 23 years of age. METHODS: Hierarchical linear modeling analyses were conducted using longitudinal data from 754 sexually active male and female young adults aged 20-23 years. Dependent variables included both any dual method contraception use and consistent dual method contraception use. RESULTS: Between 15% and 20% of respondents reported consistent dual method contraception use at each time point. Longer relationship length and more committed relationship type were associated with a lower probability of both any and consistent dual method contraception use. Situational alcohol use (drinking before sex), but not global alcohol use, also was related to a lower probability of both any and consistent dual method contraception use. Increasing age was associated with a lower probability of any dual method contraception use, but was not related to consistent dual method use. CONCLUSIONS: Efforts to promote dual method contraception among young adults should include messages discouraging drinking before sex and supporting dual method use even in the context of committed relationships. [Mh] Termos MeSH primário: Consumo de Bebidas Alcoólicas Comportamento Contraceptivo Anticoncepção/métodos Comportamento Sexual Doenças Sexualmente Transmissíveis/prevenção & controle [Mh] Termos MeSH secundário: Adulto Fatores Etários Anticoncepção/utilização Feminino Humanos Relações Interpessoais Modelos Lineares Masculino Análise Multivariada Fatores de Tempo Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL [Em] Mês de entrada: 1304 [Cu] Atualização por classe: 130503 [Lr] Data última revisão: 130503 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 120424 [St] Status: MEDLINE [do] DOI: 10.1016/j.jadohealth.2011.09.008

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[PMID]: 23524913 [Au] Autor: Klausner JD; Katz KA [Ti] Título: Occupational health and the adult film industry: time for a happy ending. [So] Source: Sex Transm Dis;38(7):649-50, 2011 Jul. [Is] ISSN: 1537-4521 [Cp] País de publicação: United States [La] Idioma: eng [Mh] Termos MeSH primário: Infecções por Chlamydia/epidemiologia Literatura Erótica Gonorreia/epidemiologia Cinema como Assunto Doenças Bacterianas Sexualmente Transmissíveis/epidemiologia [Mh] Termos MeSH secundário: Feminino Humanos Masculino [Pt] Tipo de publicação: COMMENT; EDITORIAL [Em] Mês de entrada: 1305 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 130325 [St] Status: MEDLINE [do] DOI: 10.1097/OLQ.0b013e3182182ecb

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[PMID]: 22911349 [Au] Autor: Kacker S; Frick KD; Gaydos CA; Tobian AA [Ad] Endereço: Department of Pathology, School of Medicine, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21287, USA. [Ti] Título: Costs and effectiveness of neonatal male circumcision. [So] Source: Arch Pediatr Adolesc Med;166(10):910-8, 2012 Oct. [Is] ISSN: 1538-3628 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: OBJECTIVE: To evaluate the expected change in the prevalence of male circumcision (MC)-reduced infections and resulting health care costs associated with continued decreases in MC rates. During the past 20 years, MC rates have declined from 79% to 55%, alongside reduced insurance coverage. DESIGN: We used Markov-based Monte Carlo simulations to track men and women throughout their lifetimes as they experienced MC procedure-related events and MC-reduced infections and accumulated associated costs. One-way and probabilistic sensitivity analyses were used to evaluate the impact of uncertainty. SETTING: United States. PARTICIPANTS: Birth cohort of men and women. INTERVENTION: Decreased MC rates (10% reflects the MC rate in Europe, where insurance coverage is limited). OUTCOMES MEASURED: Lifetime direct medical cost (2011 US$) and prevalence of MC-reduced infections. RESULTS: Reducing the MC rate to 10% will increase lifetime health care costs by $407 per male and $43 per female. Net expenditure per annual birth cohort (including procedure and complication costs) is expected to increase by $505 million, reflecting an increase of $313 per forgone MC. Over 10 annual cohorts, net present value of additional costs would exceed $4.4 billion. Lifetime prevalence of human immunodeficiency virus infection among males is expected to increase by 12.2% (4843 cases), high- and low-risk human papillomavirus by 29.1% (57 124 cases), herpes simplex virus type 2 by 19.8% (124 767 cases), and infant urinary tract infections by 211.8% (26 876 cases). Among females, lifetime prevalence of bacterial vaginosis is expected to increase by 51.2% (538 865 cases), trichomoniasis by 51.2% (64 585 cases), high-risk human papillomavirus by 18.3% (33 148 cases), and low-risk human papillomavirus by 12.9% (25 837 cases). Increased prevalence of human immunodeficiency virus infection among males represents 78.9% of increased expenses. CONCLUSION: Continued decreases in MC rates are associated with increased infection prevalence, thereby increasing medical expenditures for men and women. [Mh] Termos MeSH primário: Circuncisão Masculina/economia Custos de Cuidados de Saúde/estatística & dados numéricos Doenças Sexualmente Transmissíveis/prevenção & controle [Mh] Termos MeSH secundário: Adolescente Adulto Idoso Idoso de 80 Anos ou mais Circuncisão Masculina/tendências Circuncisão Masculina/utilização Estudos de Coortes Simulação por Computador Análise Custo-Benefício Feminino Humanos Recém-Nascido Masculino Cadeias de Markov Meia-Idade Modelos Biológicos Modelos Econômicos Método de Monte Carlo Prevalência Doenças Sexualmente Transmissíveis/economia Doenças Sexualmente Transmissíveis/epidemiologia Estados Unidos/epidemiologia Adulto Jovem [Pt] Tipo de publicação: EVALUATION STUDIES; JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T [Em] Mês de entrada: 1303 [Cu] Atualização por classe: 130502 [Lr] Data última revisão: 130502 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 130130 [St] Status: MEDLINE

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[PMID]: 23195516 [Au] Autor: Euser SM; Souverein D; Rama Narayana Gowda P; Shekhar Gowda C; Grootendorst D; Ramaiah R; Barot S; Kumar S; Jenniskens F; Kumar S; Den Boer JW [Ad] Endereço: Department of Epidemiology, Regional Public Health Laboratory Kennemerland, Haarlem, The Netherlands. s.euser@streeklabhaarlem.nl [Ti] Título: Pragati: an empowerment programme for female sex workers in Bangalore, India. [So] Source: Glob Health Action;5:1-11, 2012. [Is] ISSN: 1654-9880 [Cp] País de publicação: Sweden [La] Idioma: eng [Ab] Resumo: OBJECTIVES: To describe the effects of a broad empowerment programme among female sex workers (FSWs) in Bangalore, India, which seeks to develop the capacities of these women to address the issues that threaten their lives and livelihoods. DESIGN: This study is based on a comprehensive, on-going HIV-prevention and empowering programme, known as Pragati, which reaches out to approximately 10,000-12,000 FSWs in Bangalore each year. The programme has been designed in collaboration with the sex worker community and provides a personalised set of services, which include STI prevention and treatment services, crisis-response facilities, de-addiction services, and microfinance support all of which have been tailored to adequately fulfil each woman's needs. During the period examined by this study, the programme reached out to 20,330 individual FSWs [median (IQR) age 28 (24-35) years]. The programme's personal records of the participating FSWs were used for this descriptive study. RESULTS: Between 2005 and 2010, the number of participating FSWs increased from 2,307 to 13,392. These women intensified their contact with the programme over time: the number of programme contacts increased from 10,351 in 2005 to 167,709 in 2010. Furthermore, data on the effects of crisis-response facilities, de-addiction and microfinance services, condom distribution schemes, and STI diagnosis and treatment showed an accumulating involvement of the participating FSWs in these programme services. CONCLUSION: This programme, which focuses on social and economic empowerment among FSWs, is successful in reaching and involving the target population. [Mh] Termos MeSH primário: Poder (Psicologia) Profissionais do Sexo [Mh] Termos MeSH secundário: Adulto Preservativos/utilização Feminino Infecções por HIV/prevenção & controle Humanos Índia Desenvolvimento de Programas Profissionais do Sexo/legislação & jurisprudência Doenças Sexualmente Transmissíveis/prevenção & controle Violência/prevenção & controle Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T [Em] Mês de entrada: 1305 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 121130 [St] Status: MEDLINE [do] DOI: 10.3402/gha.v5i0.19279

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