HIV Prevalence and the HIV Treatment Cascade Among Female Sex Workers in Cross-Border Areas in East Africa

2021 ◽  
Author(s):  
Grace E. Mulholland ◽  
Milissa Markiewicz ◽  
Peter Arimi ◽  
Freddie Ssengooba ◽  
Sharon Weir ◽  
...  
Keyword(s):  
East Africa ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Prevalence ◽  
Hiv Treatment ◽  
Treatment Cascade ◽  
Cross Border ◽  
Female Sex ◽  
Hiv Treatment Cascade ◽  
Border Areas

Declines in HIV prevalence in female sex workers accessing an HIV treatment and prevention programme in Nairobi, Kenya over a 10-year period

AIDS ◽  
2021 ◽  
Vol 35 (2) ◽  
pp. 317-324
Author(s):  
Achieng Tago ◽  
Lyle R. McKinnon ◽  
Tabitha Wanjiru ◽  
Festus Muriuki ◽  
Julius Munyao ◽  
...  
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Prevalence ◽  
Hiv Treatment ◽  
Prevention Programme ◽  
Female Sex ◽  
Treatment And Prevention

scholarly journals Safer Conception Needs for HIV Prevention among Female Sex Workers in Burkina Faso and Togo

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Sheree R. Schwartz ◽  
Erin Papworth ◽  
Odette Ky-Zerbo ◽  
Simplice Anato ◽  
Ashley Grosso ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Burkina Faso ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Treatment ◽  
Hiv Diagnosis ◽  
Safer Conception ◽  
Cross Sectional ◽  
Treatment Cascade ◽  
Female Sex

Background. Reproductive health programming for female sex workers (FSW) may include contraceptive services but rarely addresses safer pregnancy planning.Methods. Adult FSW were enrolled into a cross-sectional study across four sites in Burkina Faso and Togo using respondent-driven sampling. Sociobehavioral questionnaires and HIV counseling and testing were administered. Sample statistics and engagement in HIV treatment were described and compared using Chi-squared statistics.Results. 1,349 reproductive-aged FSW were enrolled from January to July 2013. Overall, 267 FSW (19.8%) were currently trying to conceive. FSW trying to conceive were more likely to test positive for HIV at enrollment as compared to women not trying to become pregnant (24.5% versus 17.7%,P<0.01); however awareness of HIV status was similar across groups. Among FSW trying to conceive, 79.0% (211/267) had previously received HIV testing, yet only 33.8% (23/68) of HIV-infected FSW reported a previous HIV diagnosis. Overall 25.0% (17/68) of HIV-infected FSW trying to conceive were on antiretroviral therapy.Conclusion. FSW frequently desire children. However engagement in the HIV prevention and treatment cascade among FSW trying to conceive is poor potentiating periconception transmission risks to partners and infants. Programs to facilitate earlier HIV diagnosis for FSW and safer conception counseling are needed as components of effective combination HIV prevention services.

Vietnamese female sex workers in rural cross-border areas of Guangxi, China: migration and HIV/STI risk behaviors

AIDS Care ◽  
2020 ◽  
Vol 32 (12) ◽  
pp. 1515-1523
Author(s):  
Jun Yu ◽  
Eric J. Nehl ◽  
Van Phu Dinh ◽  
Bingyu Liang ◽  
Nguyen Van Son ◽  
...  
Keyword(s):  
Risk Behaviors ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Cross Border ◽  
Female Sex ◽  
Border Areas

scholarly journals Unexpectedly high HIV prevalence among female sex workers in Bangkok, Thailand in a respondent-driven sampling survey

2013 ◽  
Vol 24 (1) ◽  
pp. 34-38 ◽  
Author(s):  
C Manopaiboon ◽  
D Prybylski ◽  
W Subhachaturas ◽  
S Tanpradech ◽  
O Suksripanich ◽  
...  
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Prevalence ◽  
Respondent Driven Sampling ◽  
Female Sex ◽  
Sampling Survey

scholarly journals Characteristics of the vaginal microbiome in cross-border female sex workers in China: a case-control study

PeerJ ◽  
2019 ◽  
Vol 7 ◽  
pp. e8131
Author(s):  
Xiang Hong ◽  
Shenghao Fang ◽  
Kaiping Huang ◽  
Jiechen Yin ◽  
Jianshuang Chen ◽  
...  
Keyword(s):  
Relative Abundance ◽  
Sex Workers ◽  
Female Sex Workers ◽  
16S Rrna Genes ◽  
Rrna Genes ◽  
Health Examination ◽  
Vaginal Microbiome ◽  
Cross Border ◽  
Female Sex ◽  
Α Diversity

Background Female sex workers (FSWs) are key groups in the transmission of sexual transmitted infections (STI), and vaginal microbiome variations play an important role in transmission. We aimed to explore the characteristics of vaginal microbiome among FSWs. Materials and Methods A total of 24 cross-border FSWs were randomly selected from a cross-sectional survey for female sex workers in southwest China. Thirty-seven female non-sex workers (FNSWs) were randomly selected from the gynecology clinic and health examination center. Vaginal swabs were collected, bacterial DNA extracted and 16S rRNA genes were sequenced. Differences in the vaginal microbiome between both groups were compared using bioinformatics analysis. Results One DNA sample was excluded due to unqualified concentration, therefore 60 samples were sequenced. FSWs had significantly different vaginal microbiota β diversity, but undifferentiated α diversity when compared with non-sex workers. The average relative abundance of Sneathia, Shigella, Neisseria, Chlamydia, Prevotella, Enterococcus and Ureaplasma among FSWs was higher than FNSWs, and relative abundance of Atopobium in FSWs was lower than FNSWs. The Lactobacillus genus was the major genus in both groups. At the species level, Lactobacllus crispatus, Lactobacllus gasseri and Lactobacllus jensenii, in female sex workers, were lower when compared to FNSWs. Conclusion There were distinct differences in vaginal bacteria variety between FSWs and FNSWs. Some disease-related genus were also more abundant in FSWs. Based on these observations, further research is required to identify microbiome communities related to high STI risks and other diseases in these cohorts.

scholarly journals Do female sex workers have lower uptake of HIV treatment services than non-sex workers? A cross-sectional study from east Zimbabwe

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e018751 ◽  
Author(s):  
Rebecca Rhead ◽  
Jocelyn Elmes ◽  
Eloghene Otobo ◽  
Kundai Nhongo ◽  
Albert Takaruza ◽  
...  
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Household Survey ◽  
Hiv Treatment ◽  
Sample Survey ◽  
Physical And Mental Health ◽  
Hiv Knowledge ◽  
Cross Sectional ◽  
Female Sex ◽  
Treatment Services

ObjectiveGlobally, HIV disproportionately affects female sex workers (FSWs) yet HIV treatment coverage is suboptimal. To improve uptake of HIV services by FSWs, it is important to identify potential inequalities in access and use of care and their determinants. Our aim is to investigate HIV treatment cascades for FSWs and non-sex workers (NSWs) in Manicaland province, Zimbabwe, and to examine the socio-demographic characteristics and intermediate determinants that might explain differences in service uptake.MethodsData from a household survey conducted in 2009–2011 and a parallel snowball sample survey of FSWs were matched using probability methods to reduce under-reporting of FSWs. HIV treatment cascades were constructed and compared for FSWs (n=174) and NSWs (n=2555). Determinants of service uptake were identified a priori in a theoretical framework and tested using logistic regression.ResultsHIV prevalence was higher in FSWs than in NSWs (52.6% vs 19.8%; age-adjusted OR (AOR) 4.0; 95% CI 2.9 to 5.5). In HIV-positive women, FSWs were more likely to have been diagnosed (58.2% vs 42.6%; AOR 1.62; 1.02–2.59) and HIV-diagnosed FSWs were more likely to initiate ART (84.9% vs 64.0%; AOR 2.33; 1.03–5.28). No difference was found for antiretroviral treatment (ART) adherence (91.1% vs 90.5%; P=0.9). FSWs’ greater uptake of HIV treatment services became non-significant after adjusting for intermediate factors including HIV knowledge and risk perception, travel time to services, physical and mental health, and recent pregnancy.ConclusionFSWs are more likely to take up testing and treatment services and were closer to achieving optimal outcomes along the cascade compared with NSWs. However, ART coverage was low in all women at the time of the survey. FSWs’ need for, knowledge of and proximity to HIV testing and treatment facilities appear to increase uptake.

Correlates of HIV prevalence among female sex workers in four north and east Indian states: findings of a national bio-behavioural survey

2018 ◽  
Vol 30 (2) ◽  
pp. 120-130 ◽  
Author(s):  
Gunjika Misra ◽  
Damodar Sahu ◽  
Umenthala S Reddy ◽  
Saritha Nair
Keyword(s):  
Sex Work ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Uttar Pradesh ◽  
Hiv Prevalence ◽  
Indian States ◽  
Factors Affecting ◽  
East Indian ◽  
Female Sex ◽  
Behavioural Surveillance

The socio-demographic, sex work characteristics and the factors affecting HIV prevalence among female sex workers (FSWs) are not well known in low prevalence states showing rising trends within the HIV epidemic. This paper studies these attributes among FSWs in three north (Punjab, Rajasthan and Uttar Pradesh) and one east Indian states (Jharkhand). Integrated Biological and Behavioural Surveillance (IBBS) data, collected from 4491 FSWs in the study states, were analysed, with HIV status as the dependent variable and several socio-demographic, sex work, knowledge and agency characteristics as independent variables. Multivariate analysis found a number of factors such as age above 25 years (adjusted odds ratio [AOR] 5.0, 95% confidence interval [CI] 1.4–18.1), client solicitation in rented rooms (AOR 2.8, 95% CI 1.2–6.4) and the use of mobile phones for client solicitation (AOR 5.1, 95% CI 1.6–16.0) to be significantly associated with HIV risk. The study found low levels of HIV programme services uptake and HIV/AIDS knowledge among FSWs in the study states. There is an urgent need to focus on these risk factors for improving the effectiveness of the ongoing HIV prevention efforts and attaining the ‘Sustainable Development Goals’ goal of ‘Ending the AIDS epidemic’ by 2030.

scholarly journals Characterizing Multi-level Determinants of HIV Prevalence Among Female Sex Workers in Maseru and Maputsoe, Lesotho

2019 ◽  
Vol 24 (3) ◽  
pp. 714-723 ◽  
Author(s):  
Mitra Moazzami ◽  
Sosthenes Ketende ◽  
Carrie Lyons ◽  
Amrita Rao ◽  
Noah Taruberekera ◽  
...  
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Prevalence ◽  
Female Sex ◽  
Multi Level

scholarly journals Prevalence and incidence of HIV among female sex workers and their clients: modelling the potential effects of intervention in Rwanda

2020 ◽  
Vol 5 (8) ◽  
pp. e002300
Author(s):  
Sabin Nsanzimana ◽  
Edward J Mills ◽  
Ofir Harari ◽  
Placidie Mugwaneza ◽  
Etienne Karita ◽  
...  
Keyword(s):  
General Population ◽  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Prevalence ◽  
Consistent Condom ◽  
People Living With Hiv ◽  
Hiv Incidence ◽  
Female Sex ◽  
Hiv Epidemic

BackgroundRwanda has identified several targeted HIV prevention strategies, such as promotion of condom use and provision of antiretroviral therapy (ART) and pre-exposure prophylaxis (PrEP) for female sex workers (FSWs). Given this country’s limited resources, understanding how the HIV epidemic will be affected by these strategies is crucial.MethodsWe developed a Markov model to estimate the effects of targeted strategies to FSWs on the HIV prevalence/incidence in Rwanda from 2017 to 2027. Our model consists of the six states: HIV-; HIV+ undiagnosed/diagnosed pre-ART; HIV+ diagnosed with/without ART; and death. We considered three populations: FSWs, sex clients and the general population. For the period 2017–2027, the HIV epidemic among each of these population was estimated using Rwanda’s demographic, sexual risk behaviour and HIV-associated morbidity and mortality data.ResultsBetween 2017 and 2027, with no changes in the current condom and ART use, the overall number of people living with HIV is expected to increase from 344,971 to 402,451. HIV incidence will also decrease from 1.36 to 1.20 100 person-years. By 2027, a 30% improvement in consistent condom use among FSWs will result in absolute reduction of HIV prevalence among FSWs, sex clients and the general population by 7.86%, 5.97% and 0.17%, respectively. While recurring HIV testing and improving the ART coverage mildly reduced the prevalence/incidence among FSWs and sex clients, worsening the two (shown by our worst-case scenario) will result in an increase in the HIV prevalence/incidence among FSWs and sex clients. Introduction of PrEP to FSWs in 2019 will reduce the HIV incidence among FSWs by 1.28%.ConclusionsContinued efforts toward improving condom and ART use will be critical for Rwanda to continue their HIV epidemic control. Implementing a targeted intervention strategy in PrEP for FSWs will reduce the HIV epidemic in this high-risk population.

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