STI/HIV test result disclosure between female sex workers and their primary, non-commercial male partners in two Mexico-US border cities: a prospective study

Objective. To assess adherence to and acceptability of the diaphragm among 140 female sex workers in Kenya in a 6-month prospective study.Methods. At baseline and bimonthly visits, participants were interviewed on diaphragm knowledge, attitude, and practices. We used principal component analysis and logistic regression to identify predictors of consistent use.Results. At 50% of 386 bimonthly visits, women reported consistently using a diaphragm with all partners during the preceding 2 weeks. Consistent use was significantly higher at the 6-month than the 2-month visit. Women reported less covert use with “helping” (regular sex partners to whom she could go for help or support) than with “other” partners. Perceptions that diaphragms are easier to use than condoms and that their lack of coital interruption is important were associated with consistent diaphragm use with both partner types. Partner support of diaphragm use is correlated with consistent use with “helping” partners only while higher parity, consistent condom use, and perceived lack of need of condoms as a benefit of diaphragms were associated with consistent use with “other” partners.Conclusions. Diaphragm acceptance among female sex workers in Nairobi was high. Future studies should distinguish between partner types when evaluating diaphragm adherence.

Download Full-text

Vulvovaginal candidiasis in female sex workers

International Journal of STD & AIDS ◽

10.1258/0956462981922764 ◽

1998 ◽

Vol 9 (9) ◽

pp. 526-530 ◽

Cited By ~ 18

Author(s):

L Otero ◽

V Palacio ◽

F Carreno ◽

F J Mendez ◽

F Vazquez

Keyword(s):

Prospective Study ◽

Sex Workers ◽

Candida Species ◽

Female Sex Workers ◽

Clinical Findings ◽

Vulvovaginal Candidiasis ◽

Recurrent Vulvovaginal Candidiasis ◽

Female Sex ◽

Related Risk ◽

A Prospective Study

Vulvovaginal candidiasis is a frequent inflammatory process in women but it has not been widely studied in female sex workers FSWs . To estimate the frequency of Candida species infection in FSWs and to identify related risk factors and clinical findings, we carried out a retrospective study of 1923 FSWs over 11 years. We also performed a prospective study of 163 consecutive FSWs with a history of candidiasis during a 4 year period. Candida species were isolated in 1967 samples 18.5 of the total . Candida albicans 89.3 was the most frequent species, followed by Candida glabrata 2.7 , Candida parapsilosis 1.2 and Saccharomyces cerevisiae 0.4 . In the prospective study of 163 patients, we found vaginal discharge in 76.1 of cases, soreness in 52.1 and vulval pruritus in 32.5 . We identified 12 patients 7.4 with recurrent vulvovaginal candidiasis. No statistical difference was found between recurrent vulvovaginitis and the use of oral contraceptives, oral sex, tight fitting clothing and synthetic underwear. FSWs have the same prevalence of candidiasis as other groups of women described in published literature. The proportion of albicans and non albicans species does not differ between women with recurrent and non recurrent vulvovaginal candidiasis VVC .

Download Full-text

A Prospective Study of Depressive Symptoms, Condomless Sex, and HIV Viral Load in HIV-Positive Female Sex Workers in Kenya

AIDS and Behavior ◽

10.1007/s10461-021-03258-0 ◽

2021 ◽

Author(s):

Molly A. Rosenthal ◽

George Wanje ◽

Barbra A. Richardson ◽

Juma Shafi ◽

Lei Wang ◽

...

Keyword(s):

Depressive Symptoms ◽

Viral Load ◽

Prospective Study ◽

Sex Workers ◽

Female Sex Workers ◽

Hiv Positive ◽

Hiv Viral Load ◽

Condomless Sex ◽

Female Sex ◽

A Prospective Study

Download Full-text

Factors Associated With HIV Testing History and HIV-Test Result Follow-up Among Female Sex Workers in Two Cities in Yunnan, China

Sexually Transmitted Diseases ◽

10.1097/olq.0b013e3181f0bc5e ◽

2011 ◽

Vol 38 (2) ◽

pp. 89-95 ◽

Cited By ~ 25

Author(s):

Junjie Xu ◽

Katherine Brown ◽

Guowei Ding ◽

Haibo Wang ◽

Guolei Zhang ◽

...

Keyword(s):

Hiv Testing ◽

Sex Workers ◽

Female Sex Workers ◽

Factors Associated ◽

Female Sex ◽

Hiv Test ◽

Two Cities ◽

Test Result

Download Full-text

Strategies for Recruiting Steady Male Partners of Female Sex Workers for HIV Research

AIDS and Behavior ◽

10.1007/s10461-014-0894-9 ◽

2014 ◽

Vol 19 (2) ◽

pp. 362-368 ◽

Cited By ~ 10

Author(s):

Paul J. Fleming ◽

Clare Barrington ◽

Martha Perez ◽

Yeycy Donastorg ◽

Deanna Kerrigan

Keyword(s):

Sex Workers ◽

Female Sex Workers ◽

Male Partners ◽

Female Sex ◽

Hiv Research

Download Full-text

Incidence and Predictors of HIV and Sexually Transmitted Infections Among Female Sex Workers and Their Intimate Male Partners in Northern Mexico: A Longitudinal, Multilevel Study

American Journal of Epidemiology ◽

10.1093/aje/kwu340 ◽

2015 ◽

Vol 181 (9) ◽

pp. 723-731 ◽

Cited By ~ 15

Author(s):

A. R. Bazzi ◽

G. Rangel ◽

G. Martinez ◽

M. D. Ulibarri ◽

J. L. Syvertsen ◽

...

Keyword(s):

Sexually Transmitted Infections ◽

Sex Workers ◽

Female Sex Workers ◽

Male Partners ◽

Sexually Transmitted ◽

Northern Mexico ◽

Multilevel Study ◽

Female Sex

Download Full-text

Systematic Differences in HIV, Syphilis and Risk Behaviors among Street Based and Establishment Based Female Sex Workers in Kathmandu Valley of Nepal

Nepal Journal of Epidemiology ◽

10.3126/nje.v6i4.17256 ◽

2017 ◽

Vol 6 (4) ◽

pp. 620-630

Author(s):

Sampurna Kakchapati ◽

Tarun Paudel ◽

Manju Maharjan ◽

Apiradee Lim

Keyword(s):

Risk Behaviors ◽

Sex Work ◽

Sex Workers ◽

Female Sex Workers ◽

Cluster Sampling ◽

Kathmandu Valley ◽

Inconsistent Condom ◽

Hiv Intervention ◽

Female Sex ◽

Hiv Test

Background: Female Sex Workers (FSWs) are main drivers of the HIV epidemic in Nepal. The work environment of sex work in Nepal is differentiated into establishment based (e.g. massage parlors, dance restaurants, hotels and lodges) and street based (e.g. streets, parks and markets). The study compares HIV, syphilis and risk behaviours among establishment-based FSWs and street-based FSWs in Kathmandu Valley of Nepal.Materials and Methods: Cross-sectional bio-behavioral surveys in 2006, 2008, 2011 and 2015 aimed to sample 2093 FSWs using two stage cluster sampling in the Kathmandu valley. Statistical analysis used chi-squared tests and logistic regression models to assess differences of HIV, syphilis and risk behaviors among street-based FSWs and establishment-based FSWs.Results: The study included 39.7% street-based FSWs and 60.3% establishment-based FSWs. The street-based FSWs had lower education levels, older age groups, separated, longer duration of sex work and inconsistent condom used with clients than establishment-based FSWs (p<0.05). Establishment-based FSWs were lower exposure to HIV intervention programs and pervasive alcohol consumption and use of drugs (p<0.05). The multivariate analysis showed that street-based FSWs were more likely of HIV test (aOR=1.25, 95%CI=1.04, 1.49), HIV (aOR=4.72, 95%CI=2.19, 10.15) and syphilis (aOR=7.96, 95%CI=3.49, 18.15) than establishment-based FSWs.Conclusion: Street-based FSWs possessed higher risk behaviour and have higher HIV and syphilis prevalence. HIV prevention interventions targeting FSWs should consider risks and vulnerability of street-based FSWs.

Download Full-text

HIV testing behaviour and HIV prevalence among female sex workers in Ukraine: findings from an Integrated Bio-Behavioural Survey, 2013–2014

Sexually Transmitted Infections ◽

10.1136/sextrans-2018-053684 ◽

2019 ◽

Vol 95 (3) ◽

pp. 193-200 ◽

Cited By ~ 1

Author(s):

Anna Tokar ◽

Iana Sazonova ◽

Sharmistha Mishra ◽

Pavlo Smyrnov ◽

Tetiana Saliuk ◽

...

Keyword(s):

Hiv Testing ◽

Sex Work ◽

Sex Workers ◽

Sexual Partner ◽

Female Sex Workers ◽

Hiv Prevalence ◽

Factors Associated ◽

Female Sex ◽

Living With Hiv ◽

Test Result

ObjectivesUkraine has one of the largest HIV epidemics in Europe, with high prevalence among female sex workers (FSWs). We aimed to identify factors associated with HIV testing and receipt of the test result in the last 12 months, HIV prevalence and self-reported positive status among FSWs in Ukraine.MethodsWe used data from an Integrated Bio-Behavioural Survey among FSWs conducted in 2013–2014. The survey methodology combined three sampling strategies: time and location sampling, respondent-driven sampling and key informant recruitment. We used multivariable regression to identify factors associated with self-reported HIV testing in the last 12 months, HIV prevalence and self-reported positive status among FSWs living with HIV. Explored factors included: age, age at first sex, age at entry into sex work, education, marital status, employment status beside sex work, condom use with last paying or non-paying sexual partner, drug or alcohol consumption and sex work venue.ResultsRecent HIV testing was low overall with only 63.2% of FSWs reported having tested and received their test result in the last 12 months prior to the survey. HIV prevalence was 7.1% overall, but only 45.0% of FSWs living with HIV were aware of their HIV status. Testing in the last 12 months with receipt of test result was less common among FSWs who used drugs ever in life (adjusted OR (AOR) 0.7, 95% CI 0.6 to 0.9), women soliciting clients indoors (AOR 0.8, 95% CI 0.7 to 0.9) and those not using a condom with last paying sexual partner (AOR 0.3, 95% CI 0.2 to 0.5). HIV positivity was associated with history of ever using drugs (AOR 2.3, 95% CI 1.4 to 3.6) and soliciting clients outdoors (AOR 1.5, 95% CI 1.1 to 2.0). Women working indoors were less aware of their positive status (AOR 0.1, 95% CI 0.1 to 0.9).ConclusionHIV prevalence is high among FSWs in Ukraine, and testing and knowledge of one’s status remain insufficient. HIV testing programmes need to expand with strategies to reach specific subgroups of FSWs.

Download Full-text