scholarly journals PREDICTORS OF UNDERREPORTING OF UNPROTECTED SEX WITH CLIENTS AS MEASURED BY SEMEN DETECTION AMONG FEMALE SEX WORKERS UNDER HIV TREATMENT AS PREVENTION OR PRE-EXPOSURE PROPHYLAXIS IN BENIN

2018 ◽  
Author(s):  
Katia Giguère ◽  
Francois A Leblond
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Treatment ◽  
Unprotected Sex ◽  
Treatment As Prevention ◽  
Female Sex ◽  
Hiv Treatment As Prevention ◽  
Exposure Prophylaxis ◽  
Semen Detection

scholarly journals HIV treatment response among female sex workers participating in a treatment as prevention demonstration project in Cotonou, Benin

PLoS ONE ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. e0227184
Author(s):  
Mamadou Diallo ◽  
Luc Béhanzin ◽  
Fernand A. Guédou ◽  
Nassirou Geraldo ◽  
Ella Goma-Matsétsé ◽  
...  
Keyword(s):  
Treatment Response ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Treatment ◽  
Demonstration Project ◽  
Treatment As Prevention ◽  
Female Sex

scholarly journals Understanding Issues Around Use of Oral Pre-Exposure Prophylaxis Among Female Sex Workers in India.

2021 ◽  
Author(s):  
Seema Sahay ◽  
Archana Verma ◽  
Suhas Shewale ◽  
Sampada Dipak Bangar ◽  
Athokpam Bijeshkumar ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Treatment ◽  
Theory Approach ◽  
Female Sex ◽  
Long Acting ◽  
Willingness To Use ◽  
Exposure Prophylaxis ◽  
Oral Prep

Abstract BackgroundEmpowering female sex workers (FSWs) through women controlled HIV prevention option has been in focus globally. FSWs are important target for oral PrEP (Pre Exposure Prophylaxis). A multi-centric qualitative study was conducted to explore the FSWs’ willingness to use oral PrEP in India.MethodsSeventy three qualitative interviews and 02 focus group discussions were conducted at 3 high HIV prevalent states in India during 2013-14. Study explored issues around willingness to use oral PrEP. The study was approved by the respective institutional ethics committee of the study sites. Thematic analysis using grounded theory approach was used to analyze the data in N-VIVO version 8.0. ResultsThematic analysis showed events of forced condom-less sex. FSW believed that oral PrEP could provide independence, financial gains, and privacy and therefore hoped to use it as an alternative to male condom. However, any impact on physical/ aesthetic attributes and reproductive system were not acceptable and could become a barrier. Provider initiated oral PrEP was not preferred. Providers voiced safety monitoring concerns. Adherence emerged as a challenge because of: 1) alcohol use; 2) taking PrEP tablet each day being too mundane; 3) Stigma because Oral PrEP is ARV based. Alcohol use and dread of repetitive dose brings forth the need for long acting oral PrEP. ConclusionOral PrEP is acceptable among FSWs; it should be rolled out alongside strong messages on STI protection and PrEP as compliment to condoms. PrEP roll out requires educating communities about HIV treatment versus prevention. Long-acting oral PrEP could address both ‘mundane’ and alcoholism and sustain adherence.

scholarly journals Biological Validation of Self-Reported Unprotected Sex and Comparison of Underreporting Over Two Different Recall Periods Among Female Sex Workers in Benin

2019 ◽  
Vol 6 (2) ◽  
Author(s):  
Katia Giguère ◽  
Luc Béhanzin ◽  
Fernand A Guédou ◽  
François A Leblond ◽  
Ella Goma-Matsétsé ◽  
...  
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Deoxyribonucleic Acid ◽  
Specific Antigen ◽  
Unprotected Sex ◽  
Recall Period ◽  
Self Report ◽  
Female Sex ◽  
Binomial Regression ◽  
Exposure Prophylaxis

Abstract Background Self-reported unprotected sex validity is questionable and is thought to decline with longer recall periods. We used biomarkers of semen to validate self-reported unprotected sex and to compare underreporting of unprotected sex between 2 recall periods among female sex workers (FSW). Methods At baseline of an early antiretroviral therapy and pre-exposure prophylaxis demonstration study conducted among FSW in Cotonou, Benin, unprotected sex was assessed with retrospective questionnaires, and with vaginal detection of prostate-specific antigen (PSA) and Y-chromosomal deoxyribonucleic acid (Yc-DNA). Underreporting in the last 2 or 14 days was defined as having reported no unprotected sex in the recall period while testing positive for PSA or Yc-DNA, respectively. Log-binomial regression was used to compare underreporting over the 2 recall periods. Results Unprotected sex prevalence among 334 participants was 25.8% (50.3%) according to self-report in the last 2 (or 14) days, 32.0% according to PSA, and 44.3% according to Yc-DNA. The proportion of participants underreporting unprotected sex was similar when considering the last 2 (18.9%) or 14 days (21.0%; proportion ratio = 0.90; 95% confidence interval, 0.72–1.13). Among the 107 participants who tested positive for PSA, 19 (17.8%) tested negative for Yc-DNA. Conclusions Underreporting of unprotected sex was high among FSW but did not seem to be influenced by the recall period length. Reasons for discrepancies between PSA and Yc-DNA detection, where women tested positive for PSA but negative for Yc-DNA, should be further investigated.

Constituting the Unsafe: Nigerian Sex Workers' Notions of Unsafe Sexual Conduct

2007 ◽  
Vol 50 (3) ◽  
pp. 29-49 ◽  
Author(s):  
Chimaraoke O. Izugbara
Keyword(s):  
Sexual Behavior ◽  
Sexual Health ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Qualitative Inquiry ◽  
Unprotected Sex ◽  
Female Sex ◽  
The Face ◽  
Sexual Conduct

Abstract:This article reports findings of a qualitative inquiry on representations of unsafe sexual conduct among female sex workers in Aba, Nigeria. Participating sex workers viewed their work as a form of business, a survival imperative in the face of poverty, and they generally considered it both risky and disgraceful. However, they frequently framed unsafe sexual behavior in terms of poorly remunerated unprotected sex with clients. Sex workers in the study were not only generally willing to grant, but also confirmed regularly granting, unprotected sex to clients offering to pay a premium for it. Receiving “good money” for unprotected sex made higher degrees of risk acceptable to these women and was considered an effective way to avoid clients assumed to be carriers of infections. In their struggle for sexual health, sex workers in Nigeria are hindered by poverty, powerlessness, and marginality. Future programs must aim, inter alia, at supporting sex workers' willingness to insist on condoms no matter what clients offer them to do otherwise.

scholarly journals Correlates of unprotected sex with male clients among female sex workers in 13 Mexican cities

2016 ◽  
Vol 12 (12) ◽  
pp. 1538-1552 ◽  
Author(s):  
Shirley J Semple ◽  
Eileen V Pitpitan ◽  
Claudia V Chavarin ◽  
Steffanie A Strathdee ◽  
Doroteo V Mendoza ◽  
...  
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Unprotected Sex ◽  
Female Sex ◽  
Male Clients

scholarly journals Do female sex workers have lower uptake of HIV treatment services than non-sex workers? A cross-sectional study from east Zimbabwe

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e018751 ◽  
Author(s):  
Rebecca Rhead ◽  
Jocelyn Elmes ◽  
Eloghene Otobo ◽  
Kundai Nhongo ◽  
Albert Takaruza ◽  
...  
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Household Survey ◽  
Hiv Treatment ◽  
Sample Survey ◽  
Physical And Mental Health ◽  
Hiv Knowledge ◽  
Cross Sectional ◽  
Female Sex ◽  
Treatment Services

ObjectiveGlobally, HIV disproportionately affects female sex workers (FSWs) yet HIV treatment coverage is suboptimal. To improve uptake of HIV services by FSWs, it is important to identify potential inequalities in access and use of care and their determinants. Our aim is to investigate HIV treatment cascades for FSWs and non-sex workers (NSWs) in Manicaland province, Zimbabwe, and to examine the socio-demographic characteristics and intermediate determinants that might explain differences in service uptake.MethodsData from a household survey conducted in 2009–2011 and a parallel snowball sample survey of FSWs were matched using probability methods to reduce under-reporting of FSWs. HIV treatment cascades were constructed and compared for FSWs (n=174) and NSWs (n=2555). Determinants of service uptake were identified a priori in a theoretical framework and tested using logistic regression.ResultsHIV prevalence was higher in FSWs than in NSWs (52.6% vs 19.8%; age-adjusted OR (AOR) 4.0; 95% CI 2.9 to 5.5). In HIV-positive women, FSWs were more likely to have been diagnosed (58.2% vs 42.6%; AOR 1.62; 1.02–2.59) and HIV-diagnosed FSWs were more likely to initiate ART (84.9% vs 64.0%; AOR 2.33; 1.03–5.28). No difference was found for antiretroviral treatment (ART) adherence (91.1% vs 90.5%; P=0.9). FSWs’ greater uptake of HIV treatment services became non-significant after adjusting for intermediate factors including HIV knowledge and risk perception, travel time to services, physical and mental health, and recent pregnancy.ConclusionFSWs are more likely to take up testing and treatment services and were closer to achieving optimal outcomes along the cascade compared with NSWs. However, ART coverage was low in all women at the time of the survey. FSWs’ need for, knowledge of and proximity to HIV testing and treatment facilities appear to increase uptake.

scholarly journals HIV Testing and Engagement in Care among Highly Vulnerable Female Sex Workers: Implications for Treatment as Prevention Models

2014 ◽  
Vol 25 (3) ◽  
pp. 1360-1378 ◽  
Author(s):  
Hilary L. Surratt ◽  
Catherine L. O’Grady ◽  
Steven P. Kurtz ◽  
Mance E. Buttram ◽  
Maria A. Levi-Minzi
Keyword(s):  
Hiv Testing ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Treatment As Prevention ◽  
Engagement In Care ◽  
Female Sex
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