HIV susceptibility among clients of female sex workers in Indonesia: a qualitative inquiry

Sexual Health ◽  
2018 ◽  
Vol 15 (3) ◽  
pp. 246 ◽  
Author(s):  
Lillian Mwanri ◽  
Nelsensius Klau Fauk ◽  
Christina Yeni Kustanti ◽  
Atik Ambarwati ◽  
Maria Silvia Merry
Keyword(s):  
Hiv Infection ◽  
Socioeconomic Factors ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Qualitative Inquiry ◽  
Hiv And Aids ◽  
Framework Analysis ◽  
Hiv Susceptibility ◽  
Female Sex ◽  
Study Results

Background The spread of HIV infection among men in Indonesia continues to increase every year. Clients of female sex workers (FSWs) are a group at higher risk of acquiring HIV infection due to their frequent engagement in sexual acts with sex workers. This study aimed to identify factors of susceptibility to HIV infection among clients of FSWs. Methods: A qualitative inquiry using one-on-one in-depth interviews was conducted in the Belu and Malaka districts of Indonesia from January to April 2017. The study participants (n =42) were the clients of FSWs recruited using the snowball sampling technique. The inclusion criteria were: being a client of FSWs and being aged 18 years or more. Data were analysed using a framework analysis. Results: Findings were grouped into two main emerging themes that included behavioural and socioeconomic factors. Behavioural factors that mediated HIV susceptibility among clients of FSWs were: frequent engagement in unsafe sex with multiple sex workers; low perceptions of the relevance of available HIV and AIDS services and limited access to these services; and HIV stigma or fear of being labelled as HIV positive. Socioeconomic factors included: participants’ economic situation; and individuals’ household responsibility and ability to afford FSWs services. Conclusions: The study results indicate the need to reformulate and improve HIV and AIDS-related services, including increasing the level of availability of HIV service points and the dissemination of knowledge and information about HIV and AIDS and condom use and making them accessible to both FSWs and their clients in Belu and Malaka districts.

Constituting the Unsafe: Nigerian Sex Workers' Notions of Unsafe Sexual Conduct

2007 ◽  
Vol 50 (3) ◽  
pp. 29-49 ◽  
Author(s):  
Chimaraoke O. Izugbara
Keyword(s):  
Sexual Behavior ◽  
Sexual Health ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Qualitative Inquiry ◽  
Unprotected Sex ◽  
Female Sex ◽  
The Face ◽  
Sexual Conduct

Abstract:This article reports findings of a qualitative inquiry on representations of unsafe sexual conduct among female sex workers in Aba, Nigeria. Participating sex workers viewed their work as a form of business, a survival imperative in the face of poverty, and they generally considered it both risky and disgraceful. However, they frequently framed unsafe sexual behavior in terms of poorly remunerated unprotected sex with clients. Sex workers in the study were not only generally willing to grant, but also confirmed regularly granting, unprotected sex to clients offering to pay a premium for it. Receiving “good money” for unprotected sex made higher degrees of risk acceptable to these women and was considered an effective way to avoid clients assumed to be carriers of infections. In their struggle for sexual health, sex workers in Nigeria are hindered by poverty, powerlessness, and marginality. Future programs must aim, inter alia, at supporting sex workers' willingness to insist on condoms no matter what clients offer them to do otherwise.

Prevalence and risk of HIV infection among female sex workers in Burkina Faso

1998 ◽  
Vol 9 (3) ◽  
pp. 146-150 ◽  
Author(s):  
Salif Lankoande Nicolas ◽  
Meda Lassana Sangare ◽  
Issaka P Compaore ◽  
Joseph Catraye ◽  
Paul T Sanou ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Burkina Faso ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Transmission ◽  
Cross Sectional Study ◽  
World Health ◽  
Cross Sectional ◽  
Female Sex ◽  
Bobo Dioulasso

Summary: Little information is available regarding human immunodeficiency virus (HIV) infection among female sex workers (FSW) in Burkina Faso, West Africa. A cross-sectional study was conducted in Ouagadougou and Bobo-Dioulasso, the 2 largest cities of the country, to determine the prevalence of HIV infection and other sexually transmitted diseases (STDs) among FSWs, and to investigate the factors which were associated with HIV infection in this population. From October to November 1994, 426 FSWs were recruited. The method of anonymous and unlinked HIV screening recommended by the World Health Organization (WHO) was used. The overall HIV seroprevalence was 58.2% (95% confidence interval: 53.4-62.9) and 52.6% of FSWs had at least one STD agent. The most common STDs were trichomoniasis (23%), syphilis (15%) and gonorrhoea (13%). In a logistic regression analysis, risk factors for HIV infection were high gravidity ( 2 pregnancies), low perception of personal risk of HIV infection, syphilis and the presence of genital warts. These results suggest that FSWs in Burkina Faso need better information about HIV transmission and prevention and then need better access to STD detection and management services.

Knowledge and sexual behaviour related to HIV and AIDS of female sex workers in Singapore

1994 ◽  
Vol 53 (2) ◽  
pp. 155-162 ◽  
Author(s):  
M.L. Wong ◽  
T.C. Tan ◽  
M.L. Ho ◽  
J.Y. Lim ◽  
R. Lim ◽  
...  
Keyword(s):  
Sexual Behaviour ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv And Aids ◽  
Female Sex

Was the HIV infection burden in female sex workers in China overestimated?

2013 ◽  
Vol 13 (1) ◽  
pp. 13 ◽  
Author(s):  
Xiang-Sheng Chen ◽  
Yue-Ping Yin ◽  
Ning Jiang
Keyword(s):  
Hiv Infection ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Female Sex

scholarly journals Typology of older female sex workers and sexual risk for HIV infection in China: a qualitative study

2013 ◽  
Vol 16 (1) ◽  
pp. 47-60 ◽  
Author(s):  
Chun Hao ◽  
Hongjie Liu ◽  
Susan G. Sherman ◽  
Baofa Jiang ◽  
Xiaojing Li ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Hiv Infection ◽  
Sexual Risk ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Female Sex

scholarly journals Identifying Risk Factors and Spatial Clustering of HIV Infection Among Female Sex Workers in India

2021 ◽  
Vol 5 (1) ◽  
pp. 41-53
Author(s):  
Elangovan Arumugam ◽  
Vasna Joshua ◽  
Santhakumar Aridoss ◽  
Ganesh Balasubramanian ◽  
Nagaraj Jaganathasamy ◽  
...  
Keyword(s):  
High Risk ◽  
Hiv Infection ◽  
Sex Work ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Component Analysis ◽  
Index Score ◽  
Data Set ◽  
Female Sex ◽  
Selling Sex

Background: The human immunodeficiency virus (HIV) epidemic in India is generally considered to be more concentrated, with the focus on high-risk groups including female sex workers (FSWs). The Integrated Biological and Behavioral Surveillance (IBBS), the first nationwide surveillance conducted during 2014-2015, collected many key indicators, including indicators related to HIV/STI transmission. The purpose of this study was to develop an index score for each domain surveyed and to identify focus areas for interventions among FSWs. Methods: The study population consisted of 27,007 FSWs. Forty high-risk related covariates of HIV/STI transmission, demographic characteristics, sexual history, condom practices, knowledge of HIV/STI and biological variables were considered. The original data set was examined using the correlation matrix and was reduced to 15 highly-correlated factors using principal component analysis. The factors were further improved using varimax rotation and the percentage of variation was used as weights to obtain the initial score for each domain, which were then standardized for comparison. Bartlett’s test of sphericity was examined before the factor extraction. Results: Six factors were extracted, which together explained about 73% of the total variation. The factors were: (1) more number of clients; (2) younger FSW and started selling sex at younger age; (3) experiencing condom breakage; (4) having occasional clients and poor HIV/AIDS knowledge; (5) illiteracy; and (6) a longer period of sex work. Six domains with an index score of above 80, from the states of Maharashtra, Rajasthan, Arunachal Pradesh, Uttar Pradesh, and Jharkhand need greater intervention. Conclusion and Implications for Translation: FSWs’ current age, age at commencement of sex work, and the number of clients were the indicators most-associated with HIV infection. Therefore, program and policy interventions should focus on FSWs who are younger than <25 years, who started selling sex at <22 years, and who have >10 clients. Key words: • Female Sex Worker • Kriged Map • Factor Analysis • Principle Component Analysis • HIV • Sexually Transmitted Infections   Copyright © 2021 Elangovan et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited.

scholarly journals Perceptions of Determinants of Condom Use Behaviors Among Male Clients of Female Sex Workers in Indonesia: A Qualitative Inquiry

2018 ◽  
Vol 12 (4) ◽  
pp. 666-675 ◽  
Author(s):  
Nelsensius Klau Fauk ◽  
Christina Yeni Kustanti ◽  
Debora Shinta Liana ◽  
Nina Indriyawati ◽  
Rik Crutzen ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Condom Use ◽  
Sex Workers ◽  
Perceived Risk ◽  
Qualitative Inquiry ◽  
Sexual Pleasure ◽  
Framework Analysis ◽  
Inconsistent Condom ◽  
Male Clients ◽  
Hiv Aids

This study aimed to explore perceived determinants of condom use behaviors among male clients of female commercial sex workers (FCSWs) in Belu and Malaka districts, Indonesia. One-on-one in-depth interviews guided by the Health Belief Model (HBM) were used to collect the data from participants ( n = 42). The Framework analysis for qualitative data was employed to analyze the data. Results demonstrated several factors associated with lack of and inconsistent condom use among the participants. They included self-perceived risk of contracting HIV infection, knowledge of the severity of HIV illness and its impacts, and condom use: its benefits and its influencing factors. Additionally, factors including reduced sexual pleasure and the lack of knowledge of how and where to access condoms were important perceived barriers to condom use among participants. Having seen images of HIV-/AIDS-positive people, knowing friends and relatives suffering from HIV, and knowing FCSWs as a high-risk group for HIV infection were the cues to using condoms among several participants. Likewise, self-efficacy was also associated with condom use behaviors among the participants. The findings indicate the needs for HIV/AIDS interventions that include dissemination of HIV/AIDS knowledge, condom promotion, and improvement in the availability of condoms for both FCSWs and their clients.

Experience of HIV Prevention Interventions among Female Sex Workers in Delhi, India

1994 ◽  
Vol 5 (1) ◽  
pp. 56-57 ◽  
Author(s):  
Yadu Nath Singh ◽  
Anand Narayan Malaviya
Keyword(s):  
Hiv Prevention ◽  
Hiv Infection ◽  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Seroprevalence ◽  
Hiv Prevention Intervention ◽  
Female Sex ◽  
Prevention Interventions ◽  
Hiv Prevention Interventions

This paper describes the effect of HIV prevention intervention among female sex workers in Delhi. Over a 2-year period we found a marked increase in condom use with little increase in HIV seroprevalence. The prevalence of HIV infection did not increase during the study period (1 positive among 701 in 1988 vs 1 positive in 600 in 1990).

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