Demographic changes and trends in risk behaviours, HIV and other sexually transmitted infections among female sex workers in Bangalore, India involved in a focused HIV preventive intervention

SUMMARYIn 2009, we examined HIV and sexually transmitted infections (STIs) in 750 female sex workers (FSWs) in Shanghai using a cross-sectional survey. Participants (mean age 27 years) were interviewed and tested for HIV and selected STIs. Prevalence was: HIV 0·13%, chlamydia 14·7%, gonorrhoea 3·5% and syphilis 1·3%. In a demographic multivariate model, younger age, higher income and originating from provinces other than Zhejiang and Shanghai were independently associated with STI. In a social and sexual behavioural model, women working in small venues with fewer clients per week, use of drugs, and higher price charged per sex act indicated a greater risk for STI. Although HIV appears rare in Shanghai FSWs, chlamydial infection is common, especially in women aged <25 years (prevalence 19·6%). Since STI and HIV share similar risk factors, preventive intervention measures should be implemented immediately based on the venues and characteristics of FSWs to prevent future spread of HIV.

Download Full-text

Associations between drug use and risk behaviours for HIV and sexually transmitted infections among female sex workers in Yunnan, China

International Journal of STD & AIDS ◽

10.1258/ijsa.2012.011346 ◽

2012 ◽

Vol 23 (10) ◽

pp. 698-703 ◽

Cited By ~ 12

Author(s):

Y Yao ◽

F Yang ◽

J Chu ◽

G Siame ◽

H J Lim ◽

...

Keyword(s):

Drug Use ◽

Sexually Transmitted Infections ◽

Sex Workers ◽

Female Sex Workers ◽

Risk Behaviours ◽

Sexually Transmitted ◽

Female Sex

Download Full-text

Risk behaviours and prevalences of HIV and sexually transmitted infections among female sex workers in various venues in Changzhou, China

International Journal of STD & AIDS ◽

10.1177/0956462416689763 ◽

2017 ◽

Vol 28 (11) ◽

pp. 1135-1142 ◽

Cited By ~ 3

Author(s):

Yanli Guo ◽

Xiaoguo Xu ◽

Gengfeng Fu ◽

Xiping Huan ◽

Ning Jiang ◽

...

Keyword(s):

Sexually Transmitted Infections ◽

Sex Workers ◽

Female Sex Workers ◽

Heterosexual Transmission ◽

Consistent Condom ◽

Risk Behaviours ◽

Cross Sectional ◽

Sexually Transmitted ◽

Female Sex ◽

Increased Risk

Female sex workers (FSWs) play an important role in the heterosexual transmission of HIV and sexually transmitted infections (STIs) in China. We conducted a cross-sectional study of 609 FSWs from various venues in Changzhou to investigate risk behaviours and prevalences of HIV and STIs among FSW subgroups. Structured questionnaires were used in face-to-face interviews to collect information. Blood and cervical specimens were collected to test for HIV, syphilis, Neisseria gonorrhoeae (NG) and Chlamydia trachomatis (CT) infections. The overall prevalences of syphilis, NG and CT were 5.6, 2.3 and 17.0%, respectively. The highest prevalence of syphilis (13.8%, P < 0.001) was observed among FSWs in low-class (LC) venues. No case of HIV infection was found. Less than half of all FSWs (40.7%) reported consistent condom use with clients during the last month. A multivariate analysis revealed a 13-fold increased risk for FSWs with NG infection to be infected with syphilis and a four-fold increased risk for FSWs aged 30–39 years to have a CT infection relative to FSWs aged 15–20 years. The prevalences of STIs were high, and risky sexual behaviours were common, especially among FSWs in LC venues. More tailored and comprehensive prevention programmes should be developed for specific FSW subgroups.

Download Full-text