scholarly journals A thematic analysis of experiences of HIV risks among female sex workers in the Yunnan-Vietnam Chinese border region

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Amanda Wilson ◽  
Yuan Yuan Wang ◽  
Runsen Chen ◽  
Ping Cen ◽  
Yuehui Wang ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Hiv Infection ◽  
Thematic Analysis ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Yunnan Province ◽  
Border Region ◽  
Tailored Interventions ◽  
Female Sex ◽  
Hiv Prevention Strategies

Abstract Background The Yunnan province is located near the “Golden Triangle” border region between China, Myanmar and Thailand, which has the highest HIV/AIDS prevalence in China. Female sex workers (FSWs) in the Yunnan province are highly vulnerable to HIV infection. The objective of this study was to examine the experiences of FSWs in the Yunnan to better understand the risk of infection and the potential for transmission of HIV. Methods Semi-structured interviews were conducted between May 2018 and June 2018 with 20 FSWs recruited in Hekou County, Yunnan Province, China. Thematic analysis was conducted to identify themes that highlighted increased exposure of FSWs to the risk of HIV infection and transmission. Results The findings showed that FSWs’ primary source for HIV information was gynecologists, with few visiting the local HIV charity Red Ribbon. FSWs reported infrequent visits for check-ups with some seeing a gynecologist once a year. FSWs felt that the onus was on them to prevent STI/HIV infection by using a condom during sex, regardless of their ability to negotiate use. FSWs were also reluctant to see a gynecologists for treatment. Instead, they resorted to douching as a way of preventing HIV/STIs and treating vaginal health problems, such as leucorrhea. Most FSWs worked without the influence of alcohol and drugs. A small number of FSWs reported heroin addiction and injecting drug use. Conclusion The findings suggest a need for innovative HIV prevention strategies among FSWs and their clients in the Chinese border region. Governmental agencies should continue to implement practical strategies in terms of HIV prevention education and condom use through tailored interventions that are localized. Such strategies should include localized tailored interventions that dispel myths about douching as a method of HIV/STI prevention and incorporate a mobile outreach approach, similar to the ‘roadside restaurant’ outreach that has been successful in rural China.

HIV prevalence and correlated factors of female sex workers and male clients in a border region of Yunnan Province, China

2017 ◽  
Vol 29 (5) ◽  
pp. 424-434 ◽  
Author(s):  
Jing Zhu ◽  
Rui Yuan ◽  
Dan Hu ◽  
Zhibin Zhu ◽  
Ning Wang ◽  
...  
Keyword(s):  
Drug Use ◽  
Hiv Infection ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Yunnan Province ◽  
Border Region ◽  
High Risk Population ◽  
Risk Population ◽  
Female Sex ◽  
Male Clients

Female sex workers (FSWs) and their male clients are vulnerable to HIV infection and serve as a bridge in HIV transmission from the high-risk population to the general, low-risk population. To examine the factors of FSWs and male clients that correlate with the prevalence of HIV infection in the Chinese–Vietnamese border region, a cross-sectional survey was conducted in 2014 in the Hekou county of the Yunnan province of China. We performed a questionnaire survey to collect data on demographics, sexual behavior, and drug use. Blood and urine samples were collected for testing of HIV/sexually transmitted infections and drug use. We found that the prevalence of HIV infection among FSWs was 2.74%, and 15 male clients (2.62%) were HIV-positive. Multivariate logistic regression analysis revealed that herpes simplex virus type 2 infection was a risk factor for HIV infection in FSWs and male clients, suggesting the increased role of sexual transmission in the HIV epidemic in the Chinese–Vietnamese border region. Positive urinalysis result for amphetamine-type stimulants was observed in FSWs with HIV infection. History of drug use was correlated with HIV infection, which increased the HIV infection risk of male clients, confirming that drug use is an important target in future interventions for HIV prevention.

scholarly journals “The Drug Will Help Protect My Tomorrow”: Perceptions of Integrating PrEP into HIV Prevention Behaviors Among Female Sex Workers in Lilongwe, Malawi

2019 ◽  
Vol 31 (5) ◽  
pp. 421-432
Author(s):  
Jaclyn Shea ◽  
Agatha Bula ◽  
Wezzie Dunda ◽  
Mina C. Hosseinipour ◽  
Carol E. Golin ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Sexual Behaviors ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Economic Effects ◽  
Sub Saharan Africa ◽  
Prevention Strategies ◽  
Female Sex ◽  
Hiv Prevention Strategies ◽  
Hiv Acquisition

Female sex workers (FSW) are disproportionately at risk for HIV. Pre-exposure prophylaxis (PrEP) is an effective HIV prevention method, yet approaches for incorporating PrEP within prevention strategies used by FSW are lacking. Semistructured focus group discussions were conducted with 44 HIV-negative FSW in Lilongwe, Malawi to explore perceptions of PrEP: acceptability, integration within HIV prevention behaviors, and barriers to use. Acceptability of PrEP was high. Motivation to use PrEP was rooted in love for one's life, anticipated negative economic effects associated with HIV acquisition. PrEP was viewed as complementary to existing norms for engaging in healthy sexual behaviors. Many felt PrEP may provide extra protection from HIV, along with condoms and frequent STI testing. Unpredictable daily lives, stigma, and side effects were barriers that could affect PrEP use. Leveraging existing HIV prevention strategies and social norms surrounding HIV prevention behaviors may positively impact PrEP uptake among FSW in Malawi and sub-Saharan Africa.

Experience of HIV Prevention Interventions among Female Sex Workers in Delhi, India

1994 ◽  
Vol 5 (1) ◽  
pp. 56-57 ◽  
Author(s):  
Yadu Nath Singh ◽  
Anand Narayan Malaviya
Keyword(s):  
Hiv Prevention ◽  
Hiv Infection ◽  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Seroprevalence ◽  
Hiv Prevention Intervention ◽  
Female Sex ◽  
Prevention Interventions ◽  
Hiv Prevention Interventions

This paper describes the effect of HIV prevention intervention among female sex workers in Delhi. Over a 2-year period we found a marked increase in condom use with little increase in HIV seroprevalence. The prevalence of HIV infection did not increase during the study period (1 positive among 701 in 1988 vs 1 positive in 600 in 1990).

scholarly journals Perspectives of Brothel Leaders and HIV Prevention Experts on the Role of Gatekeepers on Improving Condom Use by Female Sex Workers in Abuja, Nigeria

2017 ◽  
Vol 9 (10) ◽  
pp. 183
Author(s):  
Uchenna O. Okafor ◽  
Rik Crutzen ◽  
Egbe A. Awo ◽  
Bart Van Den Borne
Keyword(s):  
Hiv Prevention ◽  
Condom Use ◽  
Sex Work ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Consistent Condom ◽  
Sociocultural Factors ◽  
Access To Health Services ◽  
Female Sex ◽  
Hiv Prevention Strategies

A qualitative study using in-depth interviews explored the perceptions and views of brothel leaders and HIV program experts on the acceptability and adoptability of using gatekeepers in interventions aimed at improving Female Sex Workers’ (FSWs) condom use in Nigeria. Brothel leaders are an influential group within the FSWs’ social and physical environment and their attitudes, beliefs and actions can influence the immediate brothel environment and the adoption of interventions within the brothel. HIV prevention experts make key decisions on the content and strategies adopted for HIV prevention efforts and also influence the design and implementation of HIV prevention strategies within programs. Four themes illustrating the benefits and barriers of the inclusion of gatekeepers within the immediate environment of the FSW were identified. Results show that brothel leadership inclusion in HIV prevention efforts could exert potential positive influence on the immediate brothel environment. Brothel leaders can support the institution of establishment policies supporting consistent condom use by the FSWs, promotion of HIV awareness, resolution of conflicts and harassments, support to new entrants into sex work and the reinforcement of protective behaviors among the FSWs. The decriminalization of sex work and the inclusion of gatekeepers support into country HIV program guidelines may contribute to mitigating prevalent sociocultural factors limiting FSWs’ rights as well as their access to health services. The present study provides insights into the potential positive roles of brothel leaders in improving condom use and other HIV/AIDs related interventions for brothel based FSWs in Abuja, Nigeria from the perspective of brothel leaders and HIV prevention experts.

scholarly journals Vaginal washing and lubrication among female sex workers in the Mexico-US border region: implications for the development of vaginal PrEP for HIV prevention

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Heather A. Pines ◽  
Shirley J. Semple ◽  
Steffanie A. Strathdee ◽  
Craig W. Hendrix ◽  
Alicia Harvey-Vera ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Border Region ◽  
Female Sex ◽  
Vaginal Washing

scholarly journals Analysis of HIV Correlated Factors in Chinese and Vietnamese Female Sex Workers in Hekou, Yunnan Province, a Chinese Border Region

PLoS ONE ◽  
2015 ◽  
Vol 10 (6) ◽  
pp. e0129430 ◽  
Author(s):  
Junjie Wang ◽  
Guowei Ding ◽  
Zhibin Zhu ◽  
Chunlian Zhou ◽  
Ning Wang
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Yunnan Province ◽  
Border Region ◽  
Female Sex ◽  
Correlated Factors

scholarly journals Social and Structural Factors Associated with HIV Infection among Female Sex Workers Who Inject Drugs in the Mexico-US Border Region

PLoS ONE ◽  
2011 ◽  
Vol 6 (4) ◽  
pp. e19048 ◽  
Author(s):  
Steffanie A. Strathdee ◽  
Remedios Lozada ◽  
Gustavo Martinez ◽  
Alicia Vera ◽  
Melanie Rusch ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Border Region ◽  
Structural Factors ◽  
Factors Associated ◽  
Female Sex

scholarly journals HIV Risk in Female Sex Workers in the Chinese Border Region

2020 ◽  
Author(s):  
Yuan Yuan Wang ◽  
Amanda Wilson ◽  
Rusen Chen ◽  
Ping Cen ◽  
Yuehui Wang ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Vulnerable Population ◽  
Border Region ◽  
Border Regions ◽  
Golden Triangle ◽  
Female Sex ◽  
Hiv Virus ◽  
Hiv Aids

Abstract Background: Female sex workers (FSWs) in Yunnan are a highly vulnerable population to HIV virus. The HIV positive FSWs can then pass onward the HIV transmission via commercial sex. Yunnan is located near the “Golden Triangle” border region, which has the highest HIV/AIDS prevalence rates in China. Method: In order to understanding of the HIV burden and risk in FSWs in the border region of China, semi-structured interviews were conducted between May 2018 and June 2018 with 20 FSWs recruited in Hekou County, Yunnan province, China. Results: Thematic analysis was applied for the data analysis. There were four themes that were actively interpreted from the data, including: Desire for Condom Use, Poor Gynaecological Service Access, Low HIV/AIDS Literacy, and Working Without the Influence. Conclusion: There is an urgent demand for HIV prevention among FSWs and their clients in the Chinese border regions. It is essential for governmental infrastructures to implement practical strategies in terms of HIV prevention for FSWs in China. Keywords human immunodeficiency virus (HIV), female sex workers (FSWs), “Golden Triangle”, China A Brief Summary of Findings Female sex workers (FSWs) in Yunnan are a highly vulnerable population to HIV virus. There is an urgent demand for HIV prevention among FSWs in the Chinese border regions.

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