Objective: To determine the KAP and prevalence of syphilis and to investigate the sexual health practices and constrains involved among commercial sex workers (CSWs) in Guyana.
Methods: The participants were randomly selected from CSWs participating in support group meetings held in Georgetown and Berbice. The survey was cross sectional and SPSS was used to perform the data analysis.
Results: The majority (92.9%) of CSW were tested negative for syphilis while two (2.9%) of the five (7.1%) reactive VDRL cases indicated prior history of syphilis infection. 54.3% of participants always used condoms while 74.3% did not use drugs and only 2.9% consumed alcohol every day. The participants had a fair KAP towards syphilis but few misconceptions exist. Stigma and discrimination was identified as the major constraints faced by the male sex workers and 97.1% of CSW indicated that they preferred giving up sex work.
Conclusion: Syphilis was not prevalent among the selected CSWs in Georgetown and Berbice. Prevention programs should be continued through the support groups to maintain and increase safe sexual practices among FSWs. Strategies should also be tailored to provide the CSWs rehabilitation especially for those willing to give up sex work.
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