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In addition, the social stigma and feelings of shame prevented many young people from seeking treatment for STI.Overall, these studies highlighted the need for health education in young people and groups at risk and for adequate treatment of cases.13–15 In Nigeria it is estimated that CSWs account for ∼20% of new infections by HIV.16In a study carried out in Nigeria in 2012, Lawan 17 found that most CSWs are aware that unprotected intercourse and multiple sexual partners are the main risk factors for STI and HIV/AIDS.Interventions aimed at CSWs must address knowledge gaps, risk behaviours and structural elements.This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.The study concludes that increased risk perception is related to older age and higher educational level rather than to marital status or length of time as a CSW.Although most CSWs identified the condom as the best method of preventing STI, up to 25% were not aware of any method of prevention, and 50% practised unprotected sex despite active STI symptoms.A 2004 study by Belza 3 showed that, in Spain, over 70% of CSWs were immigrants.

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Consequently, they could not readily access social and health services.Indeed, they are 13.5 times more likely to live with HIV than non-CSW women.The United Nations programme indicates that efforts to reduce transmission of HIV in CSWs have been insufficient, as reflected by the high prevalence in this group.CSWs were aware of the higher risk of STI associated with their occupation.They identified condoms as the best preventive method and used them during intercourse with clients.

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