P3.199 Factors Affecting HIV Prevalence Among Clients of Female Sex Workers in 16 Districts of Southern India

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.

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O1-S08.06 Variability in the numbers and types of sex partners of female sex workers and its impact on HIV prevalence in southern India

Sexually Transmitted Infections ◽

10.1136/sextrans-2011-050109.48 ◽

2011 ◽

Vol 87 (Suppl 1) ◽

pp. A43-A44

Author(s):

K. Deering ◽

J. Shoveller ◽

M. Pickles ◽

S. Shaw ◽

S. Moses ◽

...

Keyword(s):

Sex Workers ◽

Female Sex Workers ◽

Hiv Prevalence ◽

Southern India ◽

Sex Partners ◽

Female Sex

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

International Journal of STD & AIDS ◽

10.1177/0956462412472300 ◽

2013 ◽

Vol 24 (1) ◽

pp. 34-38 ◽

Cited By ~ 20

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

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Association between treatment for gonorrhoea and chlamydia and lower condom use in a cross-sectional study of female sex workers in southern India

BMJ Open ◽

10.1136/bmjopen-2015-009774 ◽

2016 ◽

Vol 6 (5) ◽

pp. e009774

Author(s):

Marianne Legendre-Dugal ◽

Janet Bradley ◽

Subramanian Potty Rajaram ◽

Catherine M Lowndes ◽

Banadakoppa M Ramesh ◽

...

Keyword(s):

Condom Use ◽

Sex Workers ◽

Female Sex Workers ◽

Cross Sectional Study ◽

Southern India ◽

Sectional Study ◽

Cross Sectional ◽

Female Sex

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

AIDS and Behavior ◽

10.1007/s10461-019-02495-8 ◽

2019 ◽

Vol 24 (3) ◽

pp. 714-723 ◽

Cited By ~ 1

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

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Nurses’ attitudes toward female sex workers: A qualitative study

Nursing Ethics ◽

10.1177/0969733020961490 ◽

2020 ◽

pp. 096973302096149

Author(s):

Haixia Ma ◽

Alice Yuen Loke

Keyword(s):

Hong Kong ◽

Qualitative Study ◽

Sex Workers ◽

Female Sex Workers ◽

Current Knowledge ◽

Healthcare Services ◽

Major Barrier ◽

Factors Affecting ◽

Individual Interviews ◽

Female Sex

Background: Stigma is considered a major barrier to accessing healthcare services by female sex workers. Current knowledge of nurses’ attitudes appears to imply a stigma toward female sex workers. But in-depth understanding of their perceptions is scarce. Furthermore, factors that inform a conceptual understanding of how this occurs are lacking. Objectives: The study aimed to explore nurses’ attitudes toward female sex workers and factors affecting caring for female sex workers. Research design: This was a qualitative study. A content analysis approach was adopted in analyzing the data. Participants and research context: Thirty-three practicing nurses participated in seven semi-structured focus group interviews and three key informants participated in three individual interviews in Hong Kong. Ethical considerations: This study was approved by the Ethics Committee of one university in Hong Kong. Findings: The findings revealed three themes: (1) accept, stigmatize, or against sex work; (2) reluctance, hesitation, or willingness to care for female sex workers; and (3) factors affecting the care of female sex workers. Discussion and conclusion: This study found that nurses held different attitudes toward female sex workers, and they experienced feelings of reluctance, hesitation, or willingness to care for female sex workers. Multi-level factors could affect their level of comfort of caring for female sex workers. Intervention should be developed to encourage health professionals to examine their personal views toward female sex workers introspectively, how their attitude may have affected the provision of quality services, and to enhance the provision of sensitive non-discriminative services to female sex workers.

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Association Between System Reach and Exposure to Interventions and Characteristics of Mobile Female Sex Workers in Four High HIV Prevalence States in India

Global Journal of Health Science ◽

10.5539/gjhs.v7n4p83 ◽

2015 ◽

Vol 7 (4) ◽

Cited By ~ 1

Author(s):

Varun Sharma ◽

Niranjan Saggurti ◽

Shalini Bharat

Keyword(s):

Sex Workers ◽

Female Sex Workers ◽

Hiv Prevalence ◽

Female Sex

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

BMJ Global Health ◽

10.1136/bmjgh-2020-002300 ◽

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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