Aphrodisiac Use and Associated Factors Among Older Male Clients of Low-Cost Female Sex Workers in Southwestern Rural Areas of China

2016 ◽  
Vol 14 (1) ◽  
pp. 71-80 ◽  
Author(s):  
Xinghua Wu ◽  
Huiling Huang ◽  
Zhenzhu Tang ◽  
Zhiyong Shen ◽  
Huaxiang Lu ◽  
...  
2016 ◽  
Vol 46 (6) ◽  
pp. 1867-1876 ◽  
Author(s):  
Christine Milrod ◽  
Martin Monto

Medicine ◽  
2016 ◽  
Vol 95 (22) ◽  
pp. e3726 ◽  
Author(s):  
Yi Chen ◽  
Scottie Abraham Bussell ◽  
Zhiyong Shen ◽  
Zhenzhu Tang ◽  
Guanghua Lan ◽  
...  

2021 ◽  
Author(s):  
Bingyu Liang ◽  
Fei Zhang ◽  
Dongmei Wei ◽  
Peidong Zhang ◽  
Guangwu Wei ◽  
...  

Abstract Background To analyze the trends of HIV-1 and syphilis prevalence as well as associated factors among local Chinese female sex workers (LCFSWs) and cross-border migrant female sex workers (CMFSWs) in Sino-Vietnam border cities in Guangxi, China. Methods A consecutive cross-sectional study was conducted from 2010 to 2018 in three border cities in Guangxi. The survey was conducted through face-to-face interview with a structured questionnaire. HIV-1 and syphilis infections were tested simultaneously. Cochran-Armitage analysis was used to assess the trends of HIV-1, syphilis and HCV prevalence, as well as the trend of risk behaviors, HIV/AIDS knowledge and prevention services. Multivariate logistics regression analysis was used to identify factors associated with HIV-1 and syphilis infection.Results Totally, 19873 LCFSWs and 1723 CMFSWs were enrolled. The overall prevalence of HIV-1 and syphilis infection was 0.91% and 5.14%, respectively. The HIV-1 prevalence among CMFSWs was higher than that among LCFSWs, without a declined trend. However, a downward trend was observed among LCFSWs. Overall, the main associated factors of HIV-1 infection among CMFSWs shifted from age >35 years old, staying in current residence for >12 months, self-reporting of STIs in the last year during 2010-2015 to inconsistent condoms use in commercial sex in the past month, HCV infection, self-reporting of STIs in the last year during 2016-2018. The main correlated factors of syphilis infection among CMFSWs changed from staying in current residence for 6~12 months, self-reporting of STIs in the last year, HCV infection during 2010-2015 to low-tier working venues, self-reporting of STIs in the last year, sexing with commercial male clients who used aphrodisiac drugs during 2016-2018. For LCFSWs, the relative strong associated factors of HIV-1 infection shifted from primary school or illiterate education background, illicit drugs use during 2010-2015 to the marital status of unmarried/divorced/widowed, sexing with commercial male clients who use aphrodisiac drugs during 2016-2018, while the main factors of syphilis infection changed from self-reporting of STIs in the last year, illicit drug use during 2010-2015 to self-reporting of STIs in the last year, HCV infection during 2016-2018.Conclusions The relatively higher prevalence of HIV-1 infection and frequent risk behaviours among CMFSWs in border cities in Guangxi, indicating that CMFSWs is the high-risk population for HIV-1 infection and transmission in the region, and is the key population of HIV/AIDS prevention and control. Meanwhile, the change of HIV infection-associated risk factors over time suggests that HIV intervention strategies need to be changed accordingly.


2021 ◽  
Author(s):  
Bingyu Liang ◽  
Fei Zhang ◽  
Dongmei Wei ◽  
Peidong Zhang ◽  
Guangwu Wei ◽  
...  

Abstract Background To analyze the trends of HIV-1 and syphilis prevalence as well as associated factors among local Chinese female sex workers (LCFSWs) and cross-border migrant female sex workers (CMFSWs) in Sino-Vietnam border cities in Guangxi, China. Methods A consecutive cross-sectional study was conducted from 2010 to 2018 in three border cities in Guangxi. The survey was conducted through face-to-face interview with a structured questionnaire. HIV-1 and syphilis infections were tested simultaneously. Cochran-Armitage analysis was used to assess the trends of HIV-1, syphilis and HCV prevalence, as well as the trend of risk behaviors, HIV/AIDS knowledge and prevention services. Multivariate logistics regression analysis was used to identify factors associated with HIV-1 and syphilis infection.Results Totally, 19873 LCFSWs and 1723 CMFSWs were enrolled. The overall prevalence of HIV-1 and syphilis infection was 0.91% and 5.14%, respectively. The HIV-1 prevalence among CMFSWs was higher than that among LCFSWs, without a declined trend. However, a downward trend was observed among LCFSWs. Overall, the main associated factors of HIV-1 infection among CMFSWs shifted from age >35 years old, staying in current residence for >12 months, self-reporting sexually transmitted infections (STIs) in the last year during 2010-2015 to inconsistent condoms use in commercial sex in last month, not receiving peer education and self-reporting STIs in the last year during 2016-2018. The main correlated factors of syphilis infection among CMFSWs changed from history of illicit drug use, staying in current residence for more than 12 months, self-reporting of STIs and inconsistent condoms use in commercial sex in the past month during 2010-2015 to working in low-tier venues, self-reporting of STIs in the last year, and sexing with commercial male clients who used aphrodisiac drugs during 2016-2018. For LCFSWs, the relative strong associated factors of HIV-1 infection shifted from receiving less than 6 years of education, illicit drugs use, and self-reporting STIs in the last year during 2010-2015 to sexing with commercial male clients who use aphrodisiac drugs and self-reporting of STIs during 2016-2018, while the main factors of syphilis infection changed from self-reporting STIs in the last year, history of illicit drug use and receiving less than 9 years of education during 2010-2015 to self-reporting of STIs in the last year, sexing with commercial male clients who use aphrodisiac drugs, and history of illicit drugs use during 2016-2018.Conclusions The relatively higher prevalence of HIV-1 infection and frequent risk behaviours among CMFSWs in border cities in Guangxi, indicating that CMFSWs is the high-risk population for HIV-1 infection and transmission in the region, and is the key population of HIV/AIDS prevention and control. Meanwhile, the change of HIV infection-associated risk factors over time suggests that HIV intervention strategies need to be changed accordingly.


Author(s):  
Sina Ahmadi ◽  
Mehrdad Khezri ◽  
Payam Roshanfekr ◽  
Salah Eddin Karimi ◽  
Meroe Vameghi ◽  
...  

Abstract Background Female sex workers (FSWs) are at a disproportionate risk of sexually transmitted infections and they may face significant barriers to HIV testing. This study aimed to examine HIV testing prevalence and its associated factors among street-based FSWs in Iran. Method A total of 898 FSWs were recruited from 414 venues across 19 major cities in Iran between October 2016 and March 2017. Eligible FSWs were women aged 18 years of age who had at least one commercial sexual intercourse in the previous year. HIV testing was defined as having tested for HIV in the lifetime. Bivariable and multivariable logistic regression were used to examine the correlates of HIV testing. We report adjusted odds ratios (aOR) and their 95% confidence intervals (CI). Result Overall, 57.8% (95%CI: 20.0, 88.0) of participants reported having tested for HIV, and HIV prevalence among FSWs who tested for HIV was 10.3% (95%CI: 7.5, 13.0). The multivariable model showed that unstable housing (aOR: 8.86, 95%CI: 2.68, 29.32) and drug use (aOR: 3.47, 95%CI: 1.33, 9.06) were associated with increased likelihood of HIV testing. However, FSWs with a higher level of income were less likely to be tested for HIV (aOR: 0.09, 95%CI: 0.02, 0.43). Conclusion Almost one in ten street-based FSWs had never tested for HIV. These findings suggest the need for evidence-based strategies such as outreach support and HIV self-testing to improve HIV testing in this marginalized population.


2016 ◽  
Vol 12 (12) ◽  
pp. 1538-1552 ◽  
Author(s):  
Shirley J Semple ◽  
Eileen V Pitpitan ◽  
Claudia V Chavarin ◽  
Steffanie A Strathdee ◽  
Doroteo V Mendoza ◽  
...  

2007 ◽  
Vol 83 (7) ◽  
pp. 577-581 ◽  
Author(s):  
C M Lowndes ◽  
M Alary ◽  
A-C Labbe ◽  
C Gnintoungbe ◽  
M Belleau ◽  
...  

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