International Journal of STD & AIDS > Volume 19, Number 4 > Pp. 264-267

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Original research articles

Low educational level: a risk factor for sexually transmitted infections among commercial sex workers in Quito, Ecuador

M M Solomon BA ^*, M J Smith MD  and C Del Rio MD   

^* School of Medicine, Emory University, Atlanta, GA; Department of Psychiatry and Behavioral Sciences, George Washington University, Washington, DC 20052; Division of Infectious Disease, Department of Medicine, Emory University School of Medicine, Atlanta, GA; Department of Global Health, Rollins School of Public Health of Emory University, Atlanta, GA 30322, USA

Correspondence to: Dr Carlos del Rio, Department of Medicine, Emory University School of Medicine, 69 Jesse Hill Jr Drive, Atlanta, GA 30303, USA Email: cdelrio{at}emory.edu

Few studies have assessed the effect of educational level on sexually transmitted infections (STIs) and risk-taking behaviours among commercial sex workers (CSWs). This study analysed this association among female CSWs in Quito, Ecuador. Eighty-five CSWs were given a Spanish-language questionnaire on behaviours, socioeconomics and demographics. The correlation between years of education and number of prior STIs was calculated. Three groups of varying education level were formed and risk factors were analysed by Chi-square tests and analysis of variances. Lower educational level was associated with more STIs (r = –0.36; F = 4.2; P = 0.04), poorer knowledge of HIV/AIDS (P = 0.03), earlier first prostitution (P = 0.05) and first sex (P = 0.00), willingness to engage in group sex (P = 0.05) and work on the street (P = 0.02), and presence of non-paying sexual partners (P = 0.05). CSWs with lower educational levels were disproportionately afflicted with STIs and participated in more high-risk behaviours. Low educational level may predispose CSWs to STIs and associated risk factors.

Key Words: sex workers • South America • educational level • prevention • women • bacterial disease

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