Natural history of Mycoplasma genitalium Infection in a Cohort of Female Sex Workers in Kampala, Uganda

Abstract Background Street-based female sex workers (FSWs) are highly at risk of HIV and other harms associated with sex work. We assessed the prevalence of non-injection and injection drug use and their associated factors among street-based FSWs in Iran. Methods We recruited 898 FSWs from 414 venues across 19 major cities in Iran between October 2016 and March 2017. Correlates of lifetime and past-month non-injection and injection drug use were assessed through multivariable logistic regression models. Adjusted odds ratios (AOR) and 95% confidence intervals (CI) were reported. Results Lifetime and past-month non-injection drug use were reported by 60.3% (95% CI 51, 84) and 47.2% (95% CI 38, 67) of FSWs, respectively. The prevalence of lifetime and past-month injection drug use were 8.6% (95% CI 6.9, 10.7) and 3.7% (95% CI 2.6, 5.2), respectively. Recent non-injection drug use was associated with divorced marital status (AOR 2.00, 95% CI 1.07, 3.74), temporary marriage (AOR 4.31 [1.79, 10.40]), had > 30 clients per month (AOR 2.76 [1.29, 5.90]), ever alcohol use (AOR 3.03 [1.92, 6.79]), and history of incarceration (AOR 7.65 [3.89, 15.30]). Similarly, lifetime injection drug use was associated with ever alcohol use (AOR 2.74 [1.20–6.20]), ever incarceration (AOR 5.06 [2.48–10.28]), and ever group sex (AOR 2.44 [1.21–4.92]). Conclusions Non-injection and injection drug use are prevalent among street-based FSWs in Iran. Further prevention programs are needed to address and reduce harms associated with drug use among this vulnerable population in Iran.

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Identifying Barriers to Condom Use Among Female Sex Workers: a Systematic Review and Meta-analysis

10.21203/rs.3.rs-48093/v1 ◽

2020 ◽

Author(s):

Tahereh Omidi ◽

Maryam Mohammadian-khoshnoud ◽

Younes Mohammadi

Keyword(s):

Sexual Abuse ◽

Condom Use ◽

Sex Workers ◽

Female Sex Workers ◽

Meta Analysis ◽

Sex Worker ◽

Female Sex ◽

History Of ◽

Hiv Risk Perception ◽

History Of Violence

Abstract Background: Many studies have shown a lot of factors which are as barriers to the condom use among female sex workers (FSWs). However, there is not a comprehensive study to report the number and magnitude of these barriers. This study aimed to resolve this gap by comprehensive systematic review and meta-analysis. Methods: We have searched the electronic databases include Web of Science, PubMed, and Scopus until September 2019. For each database we formulated a separate search strategy using keywords such as “condom use” and “sex worker” and the related synonyms. Epidemiological epidemiology addressed the factors associated with unprotected sex for the female sex worker. The heterogeneity across studies and probability of publication bias was investigated by I2 statistic and Begg's and Egger's tests respectively. The pooled effect size were expressed as odds ratio (OR) with 95% confidence intervals (CI) using a random-effects model.Results: Out of 5854 studies obtained in initial search, 35 studies with sample size 14218 participants had eligibility criteria which were included in the final analysis. Ten factors include marital status, alcohol use, history of violence, history of sexual abuse, history of STIs, STIs knowledge, HIV risk perception, drug use, knowledge about the condom use, condom use self-efficacy were identified in those studies. History of sexual abuse with OR=1.87 and the knowledge on AIDS with OR=1.07 had the strongest association and weakest association with condom use respectively. Conclusion: Many factors with different degrees of association influence on the condom use among female sex workers. However, history of sexual abuse, a history of violence, and HIV risk perception were considered as the major determinants of the condom use. The structural interventions, policy change and empowerment of female sex workers are recommended to increase consistent condom use in FSWs.

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War-Related Abduction and History of Incarceration Linked to High Burden of HIV Among Female Sex Workers in Conflict-Affected Northern Uganda

JAIDS Journal of Acquired Immune Deficiency Syndromes ◽

10.1097/qai.0000000000001030 ◽

2016 ◽

Vol 73 (1) ◽

pp. 109-116 ◽

Cited By ~ 7

Author(s):

Shira M. Goldenberg ◽

Godfrey Muzaaya ◽

Monica Akello ◽

Paul Nguyen ◽

Josephine Birungi ◽

...

Keyword(s):

Sex Workers ◽

Female Sex Workers ◽

Northern Uganda ◽

High Burden ◽

Female Sex ◽

History Of

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Prevalence and Correlates of Mycoplasma genitalium Infection Among Female Sex Workers in Kampala, Uganda

The Journal of Infectious Diseases ◽

10.1093/infdis/jir733 ◽

2011 ◽

Vol 205 (2) ◽

pp. 289-296 ◽

Cited By ~ 35

Author(s):

Judith Vandepitte ◽

Etienne Muller ◽

Justine Bukenya ◽

Susan Nakubulwa ◽

Nassim Kyakuwa ◽

...

Keyword(s):

Sex Workers ◽

Female Sex Workers ◽

Mycoplasma Genitalium ◽

Female Sex

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Unmet contraceptives needs among Female Sex Workers (FSWs) in semi urban Blantyre, Malawi

10.21203/rs.3.rs-34458/v2 ◽

2020 ◽

Author(s):

Donatien Twizelimana ◽

Adamson S Muula

Keyword(s):

Side Effects ◽

Sex Workers ◽

Female Sex Workers ◽

Unmet Needs ◽

Outcome Variable ◽

Categorical Variables ◽

Care Providers ◽

Steady Partner ◽

Female Sex ◽

History Of

Abstract Background: Research has paid limited attention to understanding factors that are associated with unmet contraceptives needs among female sex workers. In order to fill this knowledge gap, we estimated the prevalence of unmet contraceptives needs and examined associated factors among FSWs in semi urban Blantyre, Malawi. Methods:. We used systematic sampling to recruit 290 female sex workers in semi urban Blantyre between February and March 2019. In this cross sectional study, we used questionnaire interviews to collect quantitative data. We calculated the mean and standard deviation for continuous variables and proportions for categorical variables to describe the data. Logistic regression analysis was used to investigate the association between unmet needs (the outcome variable) and explanatory variables such as: having a steady partner, fear of contraceptives’ side effects and having a history of sexually transmitted infections. Results: Out of the 290 study participants 102 (35.2%) reported unmet needs for contraceptives. The following factors were significantly associated with unmet contraceptives needs in multivariate analysis: female sex workers’ history of physical and sexual violence by clients [OR 3.38, 95% CI (1.10, 10.43)], p<0.03, participants with a steady partner [OR 3.28, 95% CI (1.89, 5.68)], p<0.001, and participants who feared side effects of contraceptives [OR 2.99, 95% CI (1.73, 5.20)], p<0.001. Conclusion: Reproductive Health services should address barriers to contraceptives use for instance: violence by female sex workers’ clients, fear and misinformation on contraceptives. There is need to improve awareness of contraceptives. Specific health promotion interventions on female sex workers engaged in a steady partnership are recommended. It is important to enhance the knowledge, attitudes, and counseling skills of health care providers in order to address unmet contraceptives needs among female sex workers in semi-urban Blantyre.

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