scholarly journals Genital Tract Infections, Bacterial Vaginosis, HIV, and Reproductive Health Issues among Lima-Based Clandestine Female Sex Workers

2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
M. E. Perla ◽  
Annette E. Ghee ◽  
Sixto Sánchez ◽  
R. Scott McClelland ◽  
Annette L. Fitzpatrick ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Reproductive Health ◽  
Condom Use ◽  
Sex Workers ◽  
Genital Tract ◽  
Female Sex Workers ◽  
Consistent Condom ◽  
Female Sex ◽  
Genital Tract Infections ◽  
Tract Infections

Sociodemographic and behavioral characteristics of 212 Peruvian female sex workers (FSWs) were analyzed. The association between genital tract infections (GTIs) and risk factors by multivariate analysis was evaluated. Eighty-eight percent of FSWs were diagnosed with at least one GTI (HSV-2 80.1%, BV 44.8%, candidiasis 9.9%, syphilis seropositivity 9.4%,Trichomonas vaginalis2.4%, HIV seropositivity 2.4%). Reported condom use with clients was nearly universal (98.3%), but infrequent with husband/regular partners (7.3%). In multivariate analysis BV was negatively associated with more consistent condom use (PRR=0.63, 95% CI, 0.42–0.96). Many had not visited a Sexually Transmitted Infection (STI) clinic or been tested for HIV in the past year (40.6%, 47.1%, resp.). Nonclient contraceptive use was low (57%) and induced abortion was common (68%). High GTI burden and abortions suggest that a services-access gap persists among marginalized FSWs. Continued health outreach programs and integrating family planning and reproductive health services into existing STI clinic services are recommended.

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

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.

Cross-sectional survey of Chinese-speaking and Thai-speaking female sex workers in Sydney, Australia: factors associated with consistent condom use

Sexual Health ◽  
2018 ◽  
Vol 15 (5) ◽  
pp. 389 ◽  
Author(s):  
Rosalind Foster ◽  
Lynne McCormack ◽  
Caroline Thng ◽  
Handan Wand ◽  
Anna McNulty
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Consistent Condom ◽  
Consistent Condom Use ◽  
Female Sex ◽  
Sexually Transmissible Infections ◽  
Vaginal Sex ◽  
Sydney Australia ◽  
Sex Practices

Background Previous studies have described inconsistent condom use in Chinese- and Thai-speaking female sex workers in Sydney, Australia. In the present study, we describe the demographics and safe sexual practices in the Chinese- and Thai-speaking female sex workers attending the Sydney Sexual Health Centre (SSHC) in 2014–15. Methods: A self-completed 60-item anonymous questionnaire, adapted from previous surveys conducted in 1993 and 2003, was translated into Chinese and Thai and administered to female sex workers attending the SSHC or seen on outreach. Results: In all, 488 surveys were distributed, of which 435 were returned; 43% in Chinese and 57% in Thai. Most women did not plan on sex work before their arrival in Australia. Compared with Chinese-speaking women, Thai-speaking women rated themselves higher on English language literacy, had better knowledge of the transmission of HIV and sexually transmissible infections (STIs) and were more likely to practice 100% condom use. Overall, 72% of the sex workers surveyed reported consistent condom use for vaginal sex at work. Conclusions: Consistent condom use for vaginal sex at work among Chinese- and Thai-speaking female sex workers has decreased slightly from that reported in a similar survey conducted by the SSHC in 2003, when 85% of sex workers reported consistent condom use. There are significant differences between Chinese- and Thai-speaking sex workers in terms of both knowledge and safer sex practices. Ongoing health promotion efforts should focus on providing culturally appropriate education around STIs and safe sex practices not only to workers, but also to parlour owners, managers and consumers.

scholarly journals Characterizing the Influence of Structural Determinants of HIV Risk on Consistent Condom Use Among Female Sex Workers in Senegal

2019 ◽  
Vol 81 (1) ◽  
pp. 63-71 ◽  
Author(s):  
Jean Olivier Twahirwa Rwema ◽  
Carrie E. Lyons ◽  
Sosthenes Ketende ◽  
Anna L. Bowring ◽  
Amrita Rao ◽  
...  
Keyword(s):  
Condom Use ◽  
Hiv Risk ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Consistent Condom ◽  
Structural Determinants ◽  
Consistent Condom Use ◽  
Female Sex

scholarly journals Condom Access: Associations with Consistent Condom Use among Female Sex Workers in Two Northern Border Cities of Mexico

2010 ◽  
Vol 22 (5) ◽  
pp. 455-465 ◽  
Author(s):  
Fátima A. Muñoz ◽  
Robin A. Pollini ◽  
María Luisa Zúñiga ◽  
Steffanie A. Strathdee ◽  
Remedios Lozada ◽  
...  
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Consistent Condom ◽  
Consistent Condom Use ◽  
Female Sex ◽  
Northern Border ◽  
Condom Access

scholarly journals HIV prevalence, AIDS knowledge, and condom use among female sex workers in Santiago, Chile

2007 ◽  
Vol 23 (8) ◽  
pp. 1777-1784 ◽  
Author(s):  
Jaime E. Barrientos ◽  
Michel Bozon ◽  
Edith Ortiz ◽  
Anabella Arredondo
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Positive Impact ◽  
Transmitted Disease ◽  
Hiv Prevalence ◽  
Consistent Condom ◽  
Hiv Seroprevalence ◽  
Female Sex ◽  
Aids Knowledge

This paper describes HIV seroprevalence, knowledge of HIV transmission, and condom use among female sex workers (FSW) attending five specialized sexually transmitted disease (STD) clinics in Santiago, Chile. A short questionnaire with socio-demographic, AIDS knowledge, and condom-use variables was administered to 626 FSW. HIV seroprevalence was estimated with a blood test sent to the Chilean Public Health Institute. ELISA was used to confirm HIV in suspected cases. HIV prevalence was 0%. FSW showed adequate overall knowledge of HIV, even better than reported for the Chilean general population on some items. Condom use with clients was high ("always" = 93.4%), although regular use with steady partners was low ("always" = 9.9%). The zero HIV seroprevalence and consistent condom use with clients confirms the positive impact of intervention strategies for FSW, increasing both correct knowledge of AIDS and condom use with clients and helping decrease these women's HIV/AIDS vulnerability.

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