<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-3349</journal-id>
<journal-title><![CDATA[Revista de salud publica del Paraguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. salud publica Parag.]]></abbrev-journal-title>
<issn>2307-3349</issn>
<publisher>
<publisher-name><![CDATA[INSTITUTO NACIONAL DE SALUD - MSP Y BS]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-33492019000200029</article-id>
<article-id pub-id-type="doi">10.18004/rspp.2019.diciembre.29-34</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Prevalencia del VIH/Sífilis y comportamientos de riesgo en mujeres trabajadoras sexuales en Paraguay]]></article-title>
<article-title xml:lang="en"><![CDATA[Prevalence of HIV/Syphilis and risk behaviors in female sex workers in Paraguay]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguilar]]></surname>
<given-names><![CDATA[Gloria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Samudio]]></surname>
<given-names><![CDATA[Tania]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[Gladys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Giménez]]></surname>
<given-names><![CDATA[Liliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rios-González]]></surname>
<given-names><![CDATA[Carlos Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sanabria]]></surname>
<given-names><![CDATA[Gabriela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Programa Nacional de VIH/sida/ITS ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Caaguazú Facultad de Ciencias Médicas ]]></institution>
<addr-line><![CDATA[Cnel. Oviedo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Instituto de Medicina Tropical ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>9</volume>
<numero>2</numero>
<fpage>29</fpage>
<lpage>34</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-33492019000200029&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-33492019000200029&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-33492019000200029&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  En Paraguay, la epidemia del VIH se encuentra concentrada en población clave. La ruta principal de transmisión de las infecciones de transmisión del VIH y la Sífilis es la sexual. Las mujeres trabajadoras sexuales (MTS) presentan riesgo incrementado debido a su trabajo sexual y sus comportamientos de riesgo.  Objetivo:  Determinar la prevalencia de VIH/Sífilis y el comportamiento de riesgo de la población de mujeres trabajadoras sexuales en seis regiones sanitarias del país durante el año 2017.  Material y Métodos:  El diseño del estudio fue observacional, corte transversal. La metodología utilizada para la selección de la muestra fue la de TLS (muestreo tiempo-ubicación). Se utilizaron pruebas rápidas como tamizaje inicial en todas las mujeres que ingresaron al estudio y a la vez se aplicó un instrumento para los comportamientos de riesgo.  Resultados:  Ingresaron 643 MTS, la edad media fue de 27 años, donde el 50% tenían entre 22 y 34 años. El 88.11% (585) realizaba el trabajo sexual en locales (prostíbulos, saunas, salón de masajes y departamentos) y el 11.89% (58) en paradas en las calles. La prevalencia del VIH fue de 1.34% (CI95% 0.513.48) y de Sífilis 8.59% (CI95% 5.78-12.59). El uso de condón en la última relación con el cliente fue de 96.02% y del 25.78% con la pareja estable en la última relación sexual. El consumo de drogas en los últimos 6 meses por más de 25 días fue de 10.78% (44/643) para la cocaína. El 54.17% de las MTS encuestadas se consideraron en igual riesgo de adquirir el VIH en comparación con el resto de las personas.  Conclusión:  La prevalencia de VIH fue baja y de Sífilis elevada en MTS. Se observó bajo porcentaje de uso de condón con la pareja estable, alto consumo de drogas y baja percepción de riesgo. Es importante considerar estos aspectos en el momento de planificar las intervenciones en MTS: parejas, drogas y percepción de riesgo para que se pueda lograr la eficiencia de las mismas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: The HIV epidemic in Paraguay is concentrated in key population. The main route of HIV and Syphilis infections transmission is sexual. Female sex workers (FSW) have increased risk due to their sex work and risk behaviors.  Objective: To determine the HIV/Syphilis prevalence and risk behavior in the population of female sex workers in six health regions from the country during 2017.  Material and Methods:  This is a cross-sectional study. The methodology used for the selection of the sample was the TLS (time-location sampling). Rapid tests were used as initial screening of all women who entered the study and at the same time an instrument for risk behaviors was applied.  Results: Of 643 FSW enrolled, the average age was 27 years, where 50% were between 22 and 34 years old. 88.11% (585) performed sex work in premises (brothels, saunas, massage parlors and departments) and 11.89% (58) at street. The HIV prevalence was 1.34% (95% CI 0.513.48) and 8.59% Syphilis (95% CI 5.78-12.59). Condom use in the last relationship with the client was 96.02% and 25.78% with the stable partner in the last sexual relationship. 54.17% of the FSW surveyed were considered at equal risk of acquiring HIV compared to the rest of the people.  Conclusion: The prevalence of HIV was low and Syphilis was high in MTS. A low percentage of condom use was observed with the stable partner, high drug use and low risk perception. It is important to consider these aspects when planning interventions in MTS: couples, drugs and low risk perception so that their efficiency can be achieved.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Seroprevalencia de VIH]]></kwd>
<kwd lng="es"><![CDATA[Serodiagnóstico de la Sífilis]]></kwd>
<kwd lng="es"><![CDATA[Grupos de Riesgo]]></kwd>
<kwd lng="es"><![CDATA[Paraguay]]></kwd>
<kwd lng="en"><![CDATA[HIV seroprevalence]]></kwd>
<kwd lng="en"><![CDATA[Serodiagnostic of Syphilis]]></kwd>
<kwd lng="en"><![CDATA[Risk Groups]]></kwd>
<kwd lng="en"><![CDATA[Paraguay]]></kwd>
</kwd-group>
</article-meta>
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<surname><![CDATA[Ortiz-Martínez]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Ríos-González]]></surname>
<given-names><![CDATA[CM.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Need for more research on and health interventions for transgender people.]]></article-title>
<source><![CDATA[Sex Health.]]></source>
<year>2017</year>
<volume>14</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>196</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
