Prevalence and risk factors of HIV and syphilis infection among migrant workers in Takuapa district, Phangnga Province

  • อภิษฎา รัศมี Bamrasnaradura Infectious Diseases Institute, Department of Disease Control, Ministry of Public Health, Thailand
  • จุไรรัตน์ รัตนเลิศนาวี Takuapa Hospital, Phangnga Provincial Health Office, Office of the Permanent Secretary, Ministry of Public Health, Thailand
  • ศาริณี เรี่ยวแรง Bamrasnaradura Infectious Diseases Institute, Department of Disease Control, Ministry of Public Health
Keywords: syphilis, HIV infection, prevalence, sexual behavior, migrant worker

Abstract

This cross-sectional study aims to investigate the prevalence and risk factors of HIV and syphilis infection among migrant workers in Takuapa district, Phangnga province. A total of 16,929 migrants were tested for syphilis infection and its prevalence was 0.44%, whereas a total of 1,010 migrants were voluntarily and randomly enrolled for HIV testing and the prevalence of HIV infection was 2.28%. A leading risk factor associated with HIV and syphilis infection is having a sexual partner with STIs. It was found that 18.18% of the migrants having a partner with STIs tested positive for HIV infection (OR = 22.30, 95% CI: 3.95-25.82, p<0.0004), and 4.26% for syphilis infection (OR = 18.61, 95% CI: 6.40-54.15, p<0.0001), when compared with those having sex with an STIs-free partner. Other related risk factors are drug abuse, not using condom, history of STIs, and having multiple sex partners. Healthcare services for HIV and syphilis treatment, as well as education campaign for promoting condom use and safe sex among migrant workers, especially for those working in fishery and construction sectors, are therefore necessary.

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Published
2019-03-27
Section
Original Article