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Psychosocial stress and vulvovaginal Candidiasis among female sex workers in Banyumas PurposeThis study aimed to determine the relationship between psychosocial stress with candidiasis vulvovaginalis (KVV) incidence in female sex workers (FSW).MethodsThe research design was a case control study conducted in health center clinics in the Banyumas District. The sample size was 164 FSW (82 cases & 82 control). The research instrument was structured questionnaires, Social Readjustment Rating Scale (SRRS), laboratory equipment and microscopes for inspection KVV. Data analysis used logistic regression tests to calculate odds ratios (OR), confidence interval (CI), and p value.ResultsThe multivariate analysis showed that stress was not KVV risk factors, and the risk factors that contribute to the occurrence of KVV in FSW were oral sex (OR = 3.31, 95% CI = 1.60 to 6.83, p-value = 0.001) and smoking more than 10 cigarettes/day (OR = 2.33, 95% CI = 1.2 to 4.59, p-value = 0.014).ConclusionsThe risk factors of KVV were oral sex and smoking ≥ ten cigarettes/day. We recommend to avoid oral sex and smoking < ten cigarettes/day to avoid the risk of KVV infection., Latar belakang: Kandidiasis vulvovaginal (KVV) adalah infeksi mukosa yang disebabkan oleh spesies Candida dan merupakan salah satu masalah klinis yang paling umum pada wanita usia produktif. Wanita pekerja seks (WPS) merupakan kelompok berisiko tinggi untuk mengalami KVV. Prevalensi KVV di Indonesia pada WPS berkisar antara 12-33%. Kejadian KVV pada WPS di Kabupaten Banyumas tahun 2011 (33,3%5), 2012 (54,6%), 2013 (61%). Stres dapat melemahkan sistem imun, sehingga meningkatkan kerentanan terhadap penyakit termasuk KVV. WPS juga memiliki kerentanan terhadap stres. Penelitian ini bertujuan untuk mengetahui hubungan antara stres psikososial dengan kejadian KVV pada WPS.Metode: Penelitian analitik observasional dengan rancangan case control dilakukan di klinik IMS di Kabupaten Banyumas. Besar sampel sebanyak 164 WPS (82 kasus dan 82 kontrol). Instrumen penelitian adalah kuesioner terstruktur, kuesioner stress Social Readjustment Rating Scale (SRRS), timbangan berat badan, mikrotoise, serta peralatan laboratorium dan mikroskop untuk pemeriksaan KVV. Analisis data menggunakan logistic regression untuk menghitung nilai odds ratio (OR), confidence interval (CI), dan p-value. Hasil: Hasil analisis multivariabel menunjukkan bahwa stres tidak signifikan secara statistik. Analisis multivariabel menunjukkan bahwa faktor risiko yang berkontribusi dalam terjadinya KVV pada WPS adalah melakukan hubungan seksual dengan seks oral (OR = 3,31, 95% CI = 1,60-6,83, p-value = 0,001) dan merokok lebih dari 10 batang/hari (OR = 2,33, 95% CI = 1,2-4,59, p-value = 0,014).Kesimpulan: Faktor risiko KVV adalah hubungan seksual dengan seks oral dan merokok ≥ 10 batang/hari. Direkomendasikan untuk menghindari hubungan seksual dengan cara seks oral dan merokok dengan jumlah < 10 batang/hari untuk menghindari risiko infeksi KVV.

Introduction Prevalence of Bacterial Vaginosis (BV) in various countries around the world is quite high and the highest prevalence is found in female sex workers (FSW). Resulting interference of BV epithelial vaginal infection, disturbsbalance of normal flora of the vagina and changesacidity (pH), which could be a base for increased risk to HIV infection. Early BV detection among FSW is recommended for early treatment to prevent other serious infections. Screening was conducted to detect BV, calculate the prevalence and evaluate the medical staff of STD’s Program. Methods A crossectional study was implemented in December 2014. Subjects were sex workers in Banyumas District, Central Java. Amsel criteria were used for diagnostic test and Hay/Ison criteria as a gold standard. Results There 99 women out of 200 sex worker in Baturraden were screened. Results of screening of BV as perAmsel criteria are 37 people (38%) and gold standard are 43 people (43%) positive for BV. The loss of acidity was found in most of them (78%) as an indicator with the highest level of agreement (97%). The fishy smell indicator using whiff test on were the lowest level of agreement (74%). Reability of the examination between doctors is optimum (89%). Realibility of clue cell indicators using microscopic examination between analyst on the health centre with hospital is still limited (56%). The validity of Amsel criteria compared with Hay/Ison criteria were optimum (Sn = 89%, Sp = 72%, PPV = 81%, NPV = 84%). Conclusion Prevalence of BV among subjects were 43%. Amsel criteria can be used for screening method because it has good sensitivity and specificity to determine BV. The agreement between Health Centre Analyst and Hospital need to be improved ( Disclosure of interest statement This study is my field project as a FETP Trainee that are funded by FETP UGM. No funding were received for this study.