The study abstracted below cites that CFP - Clients of female prostitutes had contracted HIV in approx 3%, syphilis in 10% and hep b in 50%. Fairly
small numbers of patients. We know that gonorrhea and syphilis live quite well in the back of the throat hence mouth wash probably does not work
well so bb transmission is not a suprise. Hep a, b, e, g is contracted easily by rimming, oral and bb sex. Previous papers have shown data which
suggests that asymptomatic viral shedding occurs with both forms of herpes (shedding in absence of a sore) in a low but meaningful numbers of days
so oral transmission of either strain is not suprising hence 20- 50% or so of the US population is infected. The low incidence of hiv transmission
reinforces the lower female to male transmission rates. Hep C in my estimation, has a faily low incidence of transmission (3-4% in long term couples)
so long as blood contact is not in the equation (razors, needles, transfusion, tatoos,shared toothbrushes, bleeding hemorrhoids, menstual bleeding-
beware of non-detectable early bleeding).
One could still argue effectively- that the risk of dying of a traffic accident driving to your ATF is greater than the risk of std death. On the other hand
death takes alot of the fun out of life.
J Acquir Immune Defic Syndr Hum Retrovirol 1999 Feb 1;20(2):195-200
HIV seroprevalence and risk factors among clients of female and male prostitutes. Elifson KW, Boles J, Darrow WW, Sterk CE. Department of
Sociology, Georgia State University, Atlanta 30303, USA.
OBJECTIVES: To document the HIV and STD infection rates among clients of female(CFP) and clients of male prostitutes (CMP) and to identify the
risk factors for HIV among CFP and CMP. METHODS: Structured interviews were conducted with 82 CMP and 69 CFP in 1990 and 1991 in Atlanta,
Georgia, U.S.A. Blood samples were tested for HIV, syphilis, and hepatitis B. RESULTS: The HIV-positive rate was 36.6% among CMP and 2.9%
among CFP. Syphilis seromarkers were found in 15.9% of CMP and 10.1% of CFP; hepatitis B seromarkers were identified in 58.0% of CMP and
24.6% of CFP. Key risk factors for HIV among CMP included serologic historyof syphilis, serologic history of hepatitis B, receptive anal sex with a male
prostitute, ever injecting drugs, ever using crack cocaine, and little education. CFP had no significant risk factors for HIV in the logistic analysis.
CONCLUSIONS: Several studies have focused on risk factors for HIV among female and male prostitutes; however, research on their clients has
been limited.Although HIV infection rates among CFP are relatively low, their infection ratefor syphilis and hepatitis warrants serious health education
efforts. Even more critical are harm-reduction programs targeting CMP. Generic health and HIV risk reduction messages on heterosexual transmission
might be insufficient.
