scholarly journals HIV-1 and Syphilis Prevalence Among Local Chinese and Cross-border Migrant Female Sex Workers in Sino-Vietnam Border Cities in Guangxi, China: a Nine-year Consecutive Cross-sectional Study

2021 ◽  
Author(s):  
Bingyu Liang ◽  
Fei Zhang ◽  
Dongmei Wei ◽  
Peidong Zhang ◽  
Guangwu Wei ◽  
...  
Keyword(s):  
Sex Workers ◽  
Associated Factors ◽  
Female Sex Workers ◽  
Illicit Drugs ◽  
Syphilis Infection ◽  
Cross Sectional ◽  
Female Sex ◽  
Male Clients ◽  
History Of ◽  
Hiv 1

Abstract Background To analyze the trends of HIV-1 and syphilis prevalence as well as associated factors among local Chinese female sex workers (LCFSWs) and cross-border migrant female sex workers (CMFSWs) in Sino-Vietnam border cities in Guangxi, China. Methods A consecutive cross-sectional study was conducted from 2010 to 2018 in three border cities in Guangxi. The survey was conducted through face-to-face interview with a structured questionnaire. HIV-1 and syphilis infections were tested simultaneously. Cochran-Armitage analysis was used to assess the trends of HIV-1, syphilis and HCV prevalence, as well as the trend of risk behaviors, HIV/AIDS knowledge and prevention services. Multivariate logistics regression analysis was used to identify factors associated with HIV-1 and syphilis infection.Results Totally, 19873 LCFSWs and 1723 CMFSWs were enrolled. The overall prevalence of HIV-1 and syphilis infection was 0.91% and 5.14%, respectively. The HIV-1 prevalence among CMFSWs was higher than that among LCFSWs, without a declined trend. However, a downward trend was observed among LCFSWs. Overall, the main associated factors of HIV-1 infection among CMFSWs shifted from age >35 years old, staying in current residence for >12 months, self-reporting sexually transmitted infections (STIs) in the last year during 2010-2015 to inconsistent condoms use in commercial sex in last month, not receiving peer education and self-reporting STIs in the last year during 2016-2018. The main correlated factors of syphilis infection among CMFSWs changed from history of illicit drug use, staying in current residence for more than 12 months, self-reporting of STIs and inconsistent condoms use in commercial sex in the past month during 2010-2015 to working in low-tier venues, self-reporting of STIs in the last year, and sexing with commercial male clients who used aphrodisiac drugs during 2016-2018. For LCFSWs, the relative strong associated factors of HIV-1 infection shifted from receiving less than 6 years of education, illicit drugs use, and self-reporting STIs in the last year during 2010-2015 to sexing with commercial male clients who use aphrodisiac drugs and self-reporting of STIs during 2016-2018, while the main factors of syphilis infection changed from self-reporting STIs in the last year, history of illicit drug use and receiving less than 9 years of education during 2010-2015 to self-reporting of STIs in the last year, sexing with commercial male clients who use aphrodisiac drugs, and history of illicit drugs use during 2016-2018.Conclusions The relatively higher prevalence of HIV-1 infection and frequent risk behaviours among CMFSWs in border cities in Guangxi, indicating that CMFSWs is the high-risk population for HIV-1 infection and transmission in the region, and is the key population of HIV/AIDS prevention and control. Meanwhile, the change of HIV infection-associated risk factors over time suggests that HIV intervention strategies need to be changed accordingly.

scholarly journals HIV-1 and Syphilis Prevalence Among Local Chinese and Cross-Border Migrant Female Sex Workers in Sino-Vietnam Border Cities in Guangxi, China: A Nine-Year Consecutive Cross-Sectional Study

2021 ◽  
Author(s):  
Bingyu Liang ◽  
Fei Zhang ◽  
Dongmei Wei ◽  
Peidong Zhang ◽  
Guangwu Wei ◽  
...  
Keyword(s):  
Sex Workers ◽  
Associated Factors ◽  
Female Sex Workers ◽  
Cross Sectional Study ◽  
Hcv Infection ◽  
Syphilis Infection ◽  
Cross Sectional ◽  
Female Sex ◽  
Male Clients ◽  
Hiv 1

Abstract Background To analyze the trends of HIV-1 and syphilis prevalence as well as associated factors among local Chinese female sex workers (LCFSWs) and cross-border migrant female sex workers (CMFSWs) in Sino-Vietnam border cities in Guangxi, China. Methods A consecutive cross-sectional study was conducted from 2010 to 2018 in three border cities in Guangxi. The survey was conducted through face-to-face interview with a structured questionnaire. HIV-1 and syphilis infections were tested simultaneously. Cochran-Armitage analysis was used to assess the trends of HIV-1, syphilis and HCV prevalence, as well as the trend of risk behaviors, HIV/AIDS knowledge and prevention services. Multivariate logistics regression analysis was used to identify factors associated with HIV-1 and syphilis infection.Results Totally, 19873 LCFSWs and 1723 CMFSWs were enrolled. The overall prevalence of HIV-1 and syphilis infection was 0.91% and 5.14%, respectively. The HIV-1 prevalence among CMFSWs was higher than that among LCFSWs, without a declined trend. However, a downward trend was observed among LCFSWs. Overall, the main associated factors of HIV-1 infection among CMFSWs shifted from age >35 years old, staying in current residence for >12 months, self-reporting of STIs in the last year during 2010-2015 to inconsistent condoms use in commercial sex in the past month, HCV infection, self-reporting of STIs in the last year during 2016-2018. The main correlated factors of syphilis infection among CMFSWs changed from staying in current residence for 6~12 months, self-reporting of STIs in the last year, HCV infection during 2010-2015 to low-tier working venues, self-reporting of STIs in the last year, sexing with commercial male clients who used aphrodisiac drugs during 2016-2018. For LCFSWs, the relative strong associated factors of HIV-1 infection shifted from primary school or illiterate education background, illicit drugs use during 2010-2015 to the marital status of unmarried/divorced/widowed, sexing with commercial male clients who use aphrodisiac drugs during 2016-2018, while the main factors of syphilis infection changed from self-reporting of STIs in the last year, illicit drug use during 2010-2015 to self-reporting of STIs in the last year, HCV infection during 2016-2018.Conclusions The relatively higher prevalence of HIV-1 infection and frequent risk behaviours among CMFSWs in border cities in Guangxi, indicating that CMFSWs is the high-risk population for HIV-1 infection and transmission in the region, and is the key population of HIV/AIDS prevention and control. Meanwhile, the change of HIV infection-associated risk factors over time suggests that HIV intervention strategies need to be changed accordingly.

Aphrodisiac Use and Associated Factors Among Older Male Clients of Low-Cost Female Sex Workers in Southwestern Rural Areas of China

2016 ◽  
Vol 14 (1) ◽  
pp. 71-80 ◽  
Author(s):  
Xinghua Wu ◽  
Huiling Huang ◽  
Zhenzhu Tang ◽  
Zhiyong Shen ◽  
Huaxiang Lu ◽  
...  
Keyword(s):  
Rural Areas ◽  
Sex Workers ◽  
Associated Factors ◽  
Female Sex Workers ◽  
Low Cost ◽  
Female Sex ◽  
Male Clients ◽  
Older Male Clients

scholarly journals HIV-1 viraemia and drug resistance amongst female sex workers in Soweto, South Africa: A cross sectional study

PLoS ONE ◽  
2017 ◽  
Vol 12 (12) ◽  
pp. e0188606 ◽  
Author(s):  
Jenny Coetzee ◽  
Gillian Hunt ◽  
Maya Jaffer ◽  
Kennedy Otwombe ◽  
Lesley Scott ◽  
...  
Keyword(s):  
South Africa ◽  
Drug Resistance ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Female Sex ◽  
Hiv 1

Sexual and physical violence and associated factors among female sex workers in Rwanda: a cross-sectional survey

2018 ◽  
Vol 30 (3) ◽  
pp. 241-248 ◽  
Author(s):  
Mwumvaneza Mutagoma ◽  
Laetitia Nyirazinyoye ◽  
Dieudonné Sebuhoro ◽  
David J Riedel ◽  
Joseph Ntaganira
Keyword(s):  
Sexual Violence ◽  
Sex Workers ◽  
Associated Factors ◽  
Female Sex Workers ◽  
Social Protection ◽  
Physical Violence ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Female Sex

Female sex workers (FSWs) frequently face violence in their working place. This study assessed the physical and sexual violence and associated factors among FSWs in Rwanda. A cross-sectional study was conducted among FSWs in Rwanda in 2015. Venue–Day–Time sampling method was used for recruitment. Descriptive analyses and logistic regression models were computed to assess factors associated with violence. In total, 1978 FSWs were recruited. A large proportion (18.3%) had been sexually abused outside of the family circle, and 37.8% had faced physical violence before 15 years of age. Clients were most often reported (67.0%) as perpetrators of physical violence in sex work. Being aged 25 years old and above, and having sexually transmitted infections (STIs) were positively associated with sexual violence (aOR = 2.1[95%CI: 1.80–2.39]) and (aOR = 3.0[95%CI: 1.01–2.14], respectively). Being aged 25 years old and above (aOR = 0.8[95%CI: 0.76–0.89]) and drinking alcohol every day (aOR = 0.6[95%CI: 0.42–0.87]) were negatively associated with physical violence. Sexual and physical violence was common among FSWs in Rwanda. Single FSWs are the most vulnerable to sexual violence. Alcohol consumption and having STIs are associated with violence against FSWs. Human rights and social protection as well as health promotion among FSWs is needed.

Client-Initiated Violence Against Zambian Female Sex Workers: Prevalence and Associations With Behavior, Environment, and Sexual History

2019 ◽  
pp. 088626051986008 ◽  
Author(s):  
Kalonde Malama ◽  
Luis Sagaon-Teyssier ◽  
Rachel Parker ◽  
Amanda Tichacek ◽  
Tyronza Sharkey ◽  
...  
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Physical Violence ◽  
Sexual Debut ◽  
Sexual History ◽  
Sub Saharan Africa ◽  
Gender Based Violence ◽  
Cross Sectional ◽  
Female Sex ◽  
Male Clients

Violence against women is a known risk factor for HIV and affects female sex workers (FSW) in sub-Saharan Africa. Little is known about the magnitude and determinants of violence against FSW in Zambia, where HIV and gender-based violence prevalence are high. We conducted a cross-sectional study, using multivariable logistic regression, to determine the prevalence and correlates of client-initiated physical violence among 419 FSW in Lusaka and Ndola. The prevalence of client-initiated physical violence was 39%. The odds of violence were higher for FSW who: lived in Lusaka, recruited clients from the street, serviced clients in the clients’ homes, had a physically forced sexual debut, and had a higher client volume. Our results call for safer working spaces for FSW and violence prevention interventions for their male clients.

scholarly journals Virologic suppression and associated factors in HIV infected Ugandan female sex workers: a cross-sectional study

2021 ◽  
Vol 21 (2) ◽  
pp. 603-613
Author(s):  
Darius Owachi ◽  
Godwin Anguzu ◽  
Joanita Kigozi ◽  
Janneke Cox ◽  
Barbara Castelnuovo ◽  
...  
Keyword(s):  
General Population ◽  
Sex Workers ◽  
Associated Factors ◽  
Female Sex Workers ◽  
Retention In Care ◽  
Cross Sectional Study ◽  
Virologic Suppression ◽  
Cross Sectional ◽  
Female Sex ◽  
Clinical Records

Introduction: Key populations have disproportionately higher HIV prevalence rates than the general population. Objective: To determine the level of virologic suppression and associated factors in female Commercial Sex Workers (CSW) who completed six months of ART and compare with the female general population (GP). Methods: Clinical records of CSW and GPs who initiated ART between December 2014 to December 2016 from seven urban clinics were analyzed to determine virologic suppression (viral load < 1000 copies/ml) and associated factors. Results: We identified 218 CSW and 182 female GPs. CSW had median age of 28 (IQR 25-31) vs 31 (IQR 26-37); median baseline CD4 446 (IQR 308-696) vs 352 (IQR 164–493) cells/microL; and optimal ART adherence levels at 70.6% vs 92.8% respectively, compared to GP. Virologic suppression in CSW and GPs was 85.7% and 89.6% respectively, P=0.28. Overall virologic suppression in CSW was 55% while Retention in care after 6 months of ART was 77.5%. Immediate ART initiation (<2weeks) and tuberculosis independently predicted virologic suppression in CSW with adjusted odds ratios 0.07 (95% C.I. 0.01-0.55, P=0.01) and 0.09 (95% C.I. 0.01-0.96, P=0.046) respectively. Conclusion: Virologic suppression in both groups is similar, however, intensified follow-up is needed to improve treatment outcomes. Keywoeds: HIV infected Ugandans; female sex workers.

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