scholarly journals Characterizing HIV and STIs among Transgender Female Sex Workers: A Longitudinal Analysis

2020 ◽  
Author(s):  
Tonia Poteat ◽  
Rebecca Hamilton White ◽  
Katherine H.A. Footer ◽  
Ju Nyeong Park ◽  
Noya Galai ◽  
...  
Keyword(s):  
Criminal Justice ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Transgender Women ◽  
Computer Assisted ◽  
List Type ◽  
Anal Sex ◽  
Female Sex ◽  
Increased Risk ◽  
The U.S

ABSTRACTObjectivesThough highly vulnerable to HIV and STIs, transgender female sex workers (TFSW) are understudied in the U.S. HIV and STI response. This study examined the correlates of laboratory-confirmed STIs among a cohort of 62 TFSW followed over the course of one year and explored associations between specimen site and self-reported engagement in insertive and receptive anal intercourse.MethodsParticipants completed an interviewer-administered computer assisted personal interview at baseline, 3-, 6-, 9-, and 12-month visits where self-administered anal swabs and urine samples for gonorrhea, chlamydia, and trichomonas were also collected. HIV testing was conducted at baseline, 6-, and 12-month visits.ResultsBaseline HIV prevalence was 40.3% with no HIV seroconversions over follow-up. Baseline prevalence of gonorrhea, chlamydia, and trichomonas was 9.7%, 17.7%, and 14.5%, respectively. In the multivariable regression modeling, recent arrest was significantly associated with testing positive for any STI (aRR 1.77; 95% CI: 1.10-2.84). Insertive anal sex with clients was associated with increased risk of testing positive for an STI via urine specimen (RR 3.48; 95% CI: 1.14-10.62), while receptive anal sex was not significantly associated with specimen site.ConclusionOur findings confirm a high prevalence of STIs among TFSW and highlight the importance of addressing structural drivers such as criminal justice involvement as well as the need to ensure screening for STIs at all anatomical sites regardless of self-reported sites of potential exposure. More research is needed to better understand HIV and STI vulnerabilities and appropriate interventions for TFSW in the U.S.KEY MESSAGESTransgender female sex workers in the U.S. face substantial vulnerability to HIV and STIs, and interventions to reduce their risk for HIV and STI acquisition are needed.Engagement with criminal justice significantly increases the risk for STIs among transgender women engaged in street-based sex work, suggesting the need to address factors that lead to disproportionate arrest and incarceration of transgender women.Screening for STIs among transgender women should include all potential sites of exposure, regardless of reported sexual positioning.

scholarly journals Characterising HIV and STIs among transgender female sex workers: a longitudinal analysis

2020 ◽  
pp. sextrans-2019-054414 ◽  
Author(s):  
Tonia Poteat ◽  
Rebecca Hamilton White ◽  
Katherine H A Footer ◽  
Ju Nyeong Park ◽  
Noya Galai ◽  
...  
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Anal Intercourse ◽  
Computer Assisted ◽  
Urine Specimen ◽  
Receptive Anal Intercourse ◽  
Anal Sex ◽  
Adjusted Risk ◽  
Female Sex ◽  
Increased Risk

ObjectivesThough highly vulnerable to HIV and STIs, transgender female sex workers (TFSWs) are understudied in the US HIV and STI response. This study examined the correlates of laboratory-confirmed STIs among a cohort of 62 TFSWs followed over the course of 1 year and explored associations between specimen site and self-reported engagement in insertive and receptive anal intercourse.MethodsParticipants completed an interviewer-administered computer-assisted personal interview at baseline, 3-, 6-, 9- and 12-month visits where self-administered anal swabs and urine samples for gonorrhea, chlamydia and trichomoniasis were also collected. HIV testing was conducted at baseline, 6-month and 12-month visits.ResultsBaseline HIV prevalence was 40.3% with no HIV seroconversions over follow-up. Baseline prevalence of gonorrhea, chlamydia and trichomoniasis was 9.7%, 17.7% and 14.5%, respectively. In the multivariable regression modelling, recent arrest was significantly associated with testing positive for any STI (adjusted risk ratio (RR) 1.77; 95% CI: 1.10 to 2.84). Insertive anal sex with clients was associated with increased risk of testing positive for an STI via urine specimen (RR 3.48; 95% CI: 1.14 to 10.62), while receptive anal sex was not significantly associated with specimen site.ConclusionOur findings confirm a high prevalence of STIs among TFSWs and highlight the importance of addressing structural drivers such as criminal justice involvement as well as the need to ensure screening for STIs at all anatomical sites regardless of self-reported sites of potential exposure. More research is needed to better understand HIV and STI vulnerabilities and appropriate interventions for TFSWs in the USA.

New victimisations: female sex worker hate crime and the ‘ideal victim’

2018 ◽  
pp. 103-122
Author(s):  
Karen Corteen
Keyword(s):  
Criminal Justice ◽  
Social Construction ◽  
Sex Workers ◽  
Hate Crime ◽  
Female Sex Workers ◽  
Female Sex Worker ◽  
Policy And Practice ◽  
Sex Worker ◽  
Female Sex ◽  
The Social

Female sex worker victim characteristics and their social, situational and interactive contexts have not substantially changed. Yet, the manner in which female sex worker victimisation is currently understood has changed in some quarters. This chapter documents the unusual inclusion of female sex workers into Merseyside police hate crime policy and practice. Given that female sex workers embody a ‘non-ideal’ victim identity the focus here is to consider what this development may mean for Christie’s (1986) ‘ideal victim’ thesis. In so doing the role (or lack of) emotion and compassion will be discussed. The chapter concludes that victims and victimisation have been reimagined and new victimisations have arisen. However, with regard to hate crime, and the social construction of, and criminal justice responses to the victimisation of female sex workers Christie’s ‘ideal victim’ thesis remains contemporarily relevant and predominantly intact.

Group sex events among female sex workers in Melbourne, Australia

Sexual Health ◽  
2020 ◽  
Vol 17 (6) ◽  
pp. 534
Author(s):  
Evelyn M. Turek ◽  
Christopher K. Fairley ◽  
Marjan Tabesh ◽  
Tiffany R. Phillips ◽  
Eric P. F. Chow
Keyword(s):  
Sexual Health ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Health Centre ◽  
Cross Sectional Survey ◽  
The Past ◽  
Female Sex ◽  
Increased Risk ◽  
Sexually Transmissible Infections ◽  
Group Sex

Background Group sex is associated with increased risk of HIV and sexually transmissible infections (STIs), but there is limited data on group sex among female sex workers (FSW). Understanding current group sex practices among FSW may assist with understanding and addressing the rise in STIs observed among Australian FSW in the 2010s. The aim of this study was to examine the proportion of FSWs who had engaged in group sex. Methods: A cross-sectional survey was conducted among FSWs attending the Melbourne Sexual Health Centre, Australia, between March and April 2019. Females aged ≥18 years who self-reported as a sex worker were invited to participate in the survey asking whether they had had group sex in the past 3 months. Group sex was defined as sex that involved two or more sexual partners. Results: Of the 51 FSWs who completed the survey, the median age was 29 years (IQR 24–34). Almost half (49%; n = 25) reported having group sex in the past 3 months, with a median number of group sex events of two (IQR 1–4). Australian-born FSW were more likely to report group sex than overseas-born FSW (76% vs 42%; P = 0.02). Age, number of paid clients and injecting drug use were not associated with group sex. Conclusion: The present study findings show that group sex is common among FSW and should be included in peer sexual health education and interventions among FSW.

scholarly journals Heterosexual Anal Sex among Female Sex Workers in High HIV Prevalence States of India: Need for Comprehensive Intervention

PLoS ONE ◽  
2014 ◽  
Vol 9 (2) ◽  
pp. e88858 ◽  
Author(s):  
Mallika Alexander ◽  
Mandar Mainkar ◽  
Sucheta Deshpande ◽  
Shweta Chidrawar ◽  
Suvarna Sane ◽  
...  
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Prevalence ◽  
Anal Sex ◽  
Female Sex ◽  
Comprehensive Intervention ◽  
Heterosexual Anal Sex

scholarly journals Anal Sex, Vaginal Practices, and HIV Incidence in Female Sex Workers in Urban Kenya: Implications for the Development of Intravaginal HIV Prevention Methods

2011 ◽  
Vol 27 (10) ◽  
pp. 1067-1072 ◽  
Author(s):  
Frances H. Priddy ◽  
Sabina Wakasiaka ◽  
Tina D. Hoang ◽  
Donna J. Smith ◽  
Bashir Farah ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Incidence ◽  
Anal Sex ◽  
Female Sex ◽  
Vaginal Practices ◽  
Prevention Methods

scholarly journals Factors associated with inconsistent condom use with clients among female sex workers in Podgorica, Montenegro

2016 ◽  
Vol 144 (7-8) ◽  
pp. 424-430
Author(s):  
Dragan Lausevic ◽  
Senad Begic ◽  
Natasa Terzic ◽  
Zoran Vratnica ◽  
Alma Cicic ◽  
...  
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Snowball Sampling ◽  
Inconsistent Condom ◽  
Cross Sectional ◽  
Factors Associated ◽  
Female Sex ◽  
Increased Risk ◽  
Inconsistent Condom Use

Introduction. Female sex workers (FSWs) are a group at increased risk for human immunodeficiency virus (HIV) infection, and inconsistent condom use with clients is a known risk factor for infection in this group. Objective. The aim of the study was to determine factors associated with inconsistent condom use with clients among female sex workers in Podgorica, Montenegro. Methods. We conducted an HIV bio-behavioral cross-sectional study in a sample of female sex workers recruited by snowball sampling. Results. A total of 142 FSWs were recruited. Eighty-one (57.0%) of them used condoms consistently with clients. HIV prevalence was 0.0%. In the multivariate analysis inconsistent condom use with clients in the previous month was associated with clients? negative personal attitude [age-adjusted odds ratio (AOR) = 22.7, 95% confidence interval (CI) = 2.3-228.0] or client?s indifference (AOR = 13.0, 95% CI = 1.4-118.9) towards using condom during sex with sexual workers, decision making by clients or by mutual agreement with client about using a condom (AOR = 10.2, 95% CI = 3.7-28.0), and early age of first sex (AOR = 5.4, 95% CI = 1.6-18.5). Conclusion. Our results suggest not only the need for further promotion of condom use, information and education for FSW but also the need to strengthen negotiation skills of FSWs with clients on regular use of condoms, as well as the need to extend prevention programs to clients of FSWs.

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