Prevalence and risk factors of HIV and syphilis infection among migrant workers in Takuapa district, Phangnga Province
DOI:
https://doi.org/10.14456/dcj.2019.18Keywords:
syphilis, HIV infection, prevalence, sexual behavior, migrant workerAbstract
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.
References
2. Centers for Disease Control and Prevention (CDC). Syphilis-CDC fact Sheet (detailed) [Internet]. [cited 2017 Jun 22]. Available from: https://www.cdc.gov/std/syphilis/stdfact-syphilis-detailed.htm
3. Centers for Disease Control and Prevention. 2016 Sexually transmitted diseases surveillance [Internet]. [cited 2017 Jun 22]. Available from: https://www.cdc.gov/std/stats16/syphilis.htm
4. Bureau of Epidemiology, Department of Disease Control, Ministry of Public Health. Report of sexually transmitted infection, 2012 [Internet]. [cited 2017 Jun 28]. Available from: https://www.boe.moph.go.th/Annual/AESR2012/main/AESR55_Part1/file6/3155_STI.pdf(in Thai)
5. Bureau of AIDS, Tuberculosis and Sexually Transmitted Infections, Department of Disease Control, Ministry of Public Health. National sexually transmitted diseases prevention and control strategy 2017-2021. Bangkok: Augsorn Graphic and Design; 2016. (in Thai)
6. Richens J. Sexually transmitted infections and HIV among travelers: a review. Travel Med Infect Dis 2006;4:184-95.
7. Ratanalertnavee J, Jitrpratum P, Rasmi A. Incidence of syphilis and HIV infection among migrant workers at Takuapa district, Phangnga Province 2004 [Internet]. [cited 2017 Jul 28]. Available from: https://books.google.co.th/books/about/%E0%B8%9A%E0%B8%97%E0 %B8%84%E0%B8%B1%E0%B8%94%E0%B8%A2%E0%B9%88%E0%B8%AD%
E0%B8%81%E0%B8%B2%E0%B8%A3%E0%B8%AA%E0%B8%B1.html?id=ieNGNQEACAAJ&redir_esc=y (in Thai)
8. Bureau of Epidemiology, Department of Disease Control, Ministry of Public Health. HIV sero-surveillance 2016 [Internet]. [cited 2017 Jun 28]. Available from: https://www.boe.moph.go.th/aids (in Thai)
9. UNAIDS. On the fast-track to end AIDS [Internet]. [cited 2017 Jun 22]. Available from: https://www.unaids.org/sites/default/files/media_asset/20151027_UNAIDS_PCB37_15_18_EN_rev1.pdf
10. Bureau of Epidemiology, Department of Disease Control, Ministry of Public Health. Summary of the situation of AIDS and HIV infection in Thailand, 2015. Nonthaburi: Ministry of Public Health; 2015. (in Thai)
11. Ritthikrai U, Pungphrakiat D, Arsayot K, Boonthongtho K. Prevalence of infectious diseases among migrant workers who registered for health examination at Rajavithi Hospital. Journal of Public Health 2012;21:704-11. (in Thai)
12. Vichanjalearnsuk V, Chaimanee A. Syphilis among expatriates participating in health check-up for registration for employment at Occupational Medicine Clinic, Nopparat Rajathanee Hospital. The Public Health Journal of Burapha University 2015;10:26-33. (in Thai)
13. Pan X, Zhu Y, Wang Q, Zheng H, Chin X, Su J, et al. Prevalence of HIV, syphilis, HCV and their high risk behaviors among migrant workers in eastern China. PLoS One 2013;8:e57258.
14. Poudel KC, Okumura J, Sherchand JB, Jimba M, Murakami I, Wakai S. Mumbai disease in far western Nepal: HIV infection and syphilis among male migrant-returnees and non-migrants. Trop Med Int Health 2003;8:933-9.
15. Bureau of AIDS, Tuberculosis and Sexually Transmitted Infections, Department of Disease Control, Ministry of Public Health. Guidelines for the treatment of sexually transmitted diseases, 2015 [Internet]. 2015 [cited 2018 Nov 20]. Available from: e-lib.ddc.moph.go.th/ pdf/jacket%20283/jacket%20283.pdf (in Thai)
16. Phangnga Provincial Labor Office. Report of labor situation in Phangnga province for the ASEAN Community (AC) 2015 [Internet]. 2015 [cited 2018 Nov 20]. Available from: https://phangnga.mol.go.th/sites/phangnga.mol.go.th/files/raayngaansthaankaarnaerngngaan_aitrmaas_4_pii_2558_1.pdf (in Thai)
17. International Organization for Migration (IOM) Thailand. Thailand migration report 2014 [Internet]. [Cited 2017 Nov 20]. Available from: https://thailand.iom.int/thailand-migration-report-2014
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