A study of health seeking behavior about sexually transmitted infection in women with high risk behavior in an urban slum

Sneha Parve, Shrikala Acharya, Pratik Chide


Background: Health care seeking for sexually transmitted infection is frequently inadequate, particularly among female sex workers because of the low levels of awareness regarding sexual health. Correct diagnosis and treatment with health information are essential components of sexually transmitted infection (STI) services. Objective was to study demographic profile and to assess their health seeking behavior for STI and prevention services.

Methods: Study was done in urban slum in Mumbai. It was cross sectional study conducted from May 2018 to December 2018.

Results: The median age of women was 26 years. Majority belong to lower socio economic class, 39.4% women admitted that they took alcohol on occasions while 22% had sex with alcohol intake, 41% women were using condom during sexual activity. Only 14.5% women completed treatment who had past history of STI.

Conclusions: Ensuring timely complete treatment of STI/RTI among women with high risk behavior is priority to prevent spread among general population.


Condom usage, Female sex workers, Sexually transmitted infection

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Epidemiology of communicable diseases. In: park’s textbook of preventive and Social Medicine. k.park(editor). 24thEdition. m/s Banarsidas Bhanot publishers; 2017:348-358.

Verscheijden MM, Woestenberg PJ, Götz HM, van Veen MG, Koedijk FD, van Benthem BH. Sexually transmitted infections among female sex workers tested at STI clinics in the Netherlands, 2006–2013. Emerging Themes Epidemiol. 2015 Dec 1;12(1):12.

Shethwala ND, Mulla SA, Kosambiya JK, Desai VK. Sexually transmitted infections and reproductive tract infections in female sex workers. Ind J Pathol Microbiol. 2009 Apr 1;52(2):198-9.

Shukla P, Masood J, Singh JV, Singh VK, Gupta A, Krishna A. Predictors of Sexually Transmitted Infections among Female Sex Workers (FSWs) in a City of Northern India. Ind j commu med: official publication Ind Assoc Prevent Soc Med. 2015 Apr;40(2):121.

International Institute for Population Sciences (IIPS): National Family Health Survey (NFHS-2), 1998-99. IIPS.2000.

Nirgude A, Solanki M, Shinde R, Naik P. Study of sexual behaviour of bar-girls residing in an urban slum area of Mumbai. Ind J Commu Med. 2011;36(1):31.

Ghebremichael M. The syndromic versus laboratory diagnosis of sexually transmitted infections in resource-limited settings. Isrn Aids. 2014 Mar 5;2014.

Das A, Prabhakar P, Narayanan P, Neilsen G, Wi T, Kumta S, et al. Prevalence and assessment of clinical management of sexually transmitted infections among female sex workers in two cities of India. Infectious Dis Obstetr Gynecol. 2011;2011:1-9.

Brahme R, Mehta S, Sahay S, Joglekar N, Ghate M, Joshi S, et al. Correlates and trend of HIV prevalence among female sex workers attending sexually transmitted disease clinics in Pune, India (1993-2002). J Acquir Immune Deficiency Syndromes (1999). 2006 Jan 1;41(1):107-13.

Mgone CS, Passey ME, Anang J, Peter W, Lupiwa T, Russell DM, et al. Infections Among Female Sex Workers in Two Major Cities in Papua New Guinea. 1999:265-70.

Zachariah R, Nkhoma W, Harries AD, Arendt V, Chantulo A, Spielmann MP, et al. Health seeking and sexual behaviour in patients with sexually transmitted infections: the importance of traditional healers in Thyolo, Malawi. Sexually Transmitted Infections. 2002 Apr 1;78(2):127-9.

Zachariah R, Spielmann MP, Harries AD, Nkhoma W, Chantulo A, Arendt V. Sexually transmitted infections and sexual behaviour among commercial sex workers in a rural district of Malawi. Inter J STD AIDS. 2003 Mar 1;14(3):185-8.

Taghizadeh H, Taghizadeh F, Fathi M, Reihani P, Shirdel N, Rezaee SM. Drug Use and High-Risk Sexual Behaviors of Women at a Drop-In Center in Mazandaran Province, Iran, 2014. Iran J Psychiatr Behav Sci. 2015 June; 9(2):e1047.

Choi SY, Holroyd E. The influence of power, poverty and agency in the negotiation of condom use for female sex workers in mainland China. Culture, Health Sex. 2007 Sep 1;9(5):489-503.