scholarly journals EUROPAP: Promoting the health and wellbeing of sex workers in Europe

2002 ◽  
Vol 6 (41) ◽  
Author(s):  
H Ward ◽  
R Mak

Sexually transmitted infections (STI) are an occupational risk for people who sell sex, but most are very keen to keep themselves and their partners safe. Many people believe that sex workers have a high risk of and play an important role in transmission of STIs. Research in Europe over the past two decades has been important in countering this belief (1-3). Studies consistently show a high rate of condom use in commercial sex, and relatively low risks of HIV and other STI for women sex workers (2,3). A survey of 945 women sex workers in nine European cities in 1990-1 found an overall HIV-1 prevalence of 5.3%, associated with sharing injecting equipment, coming from a high prevalence area, and use of incompatible lubricants during sex. Women who did not inject drugs had a prevalence of 1.5% (1). Two cohort studies in Europe have shown a relatively low incidence of HIV infection (0.2 and 0.9 cases per 100 person years respectively in the United Kingdom and Spain) (2,4). Higher risks have been found in more stigmatised sex workers, including men who sell sex, transgenders, and injecting drug users (5,6).

2010 ◽  
Vol 26 (5) ◽  
pp. 605-608 ◽  
Author(s):  
Eric Sanders-Buell ◽  
Meera Bose ◽  
Abdul Nasir ◽  
Catherine S. Todd ◽  
M. Raza Stanekzai ◽  
...  

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A332-A333
Author(s):  
G J Urquhart ◽  
A P Spira ◽  
J N Park ◽  
S G Sherman

Abstract Introduction Sleep quality is understudied among street-based female sex workers (FSW), a population characterized by high rates of structural vulnerability. FSW may be at higher risk for poor sleep due to food and housing insecurity, violence, substance use and irregular work hours. We studied correlates of restless sleep in an urban, street-based risk environment. Methods Data are from a year-long observational prospective cohort study of street-based FSW (n=250) in Baltimore, MD. Baseline survey data, collected April 2016 to February 2017, included topics such as structural vulnerability, mental and physical health, substance use and lifetime violence. Sleep was measured with item 7 on the CES-D-10 Scale; respondents indicated how many days in the past week their sleep was restless (< 1 day, 1-2 days, 3-4 days, 5-7 days). We conducted bivariate and multivariable logistic analysis to identify correlates of experiencing 5-7 days of restless sleep vs. fewer. Results Median age was 35 years. Most (66%) were Non-Hispanic White, 62% were homeless, 61% reported food insecurity, and 65% injected heroin. We documented a high prevalence of trauma; 81% reported lifetime sexual or physical violence by family members, intimate partners, paying clients, or police officers, and 62% screened positive for PTSD on the PCL-5 Checklist. 54% reported 5-7 days of restless sleep in the past week. Independent associations with frequent restless sleep included older age (age 35+ aOR: 2.67 [1.64-4.36]), food insecurity (aOR: 2.02 [1.42-2.88]), self-reported poor health (aOR: 3.98 [1.99-7.96]), and lifetime violence: a greater number of violent experiences corresponded with higher odds of restless sleep (1-2 vs. 0 experiences aOR: 2.38 [1.43-3.99], 3-4 vs. 0 experiences aOR: 3.67 [2.22-6.05]). Conclusion These data demonstrate high prevalence of restless sleep among street-based FSW with higher risk among those who experience intersecting vulnerabilities and multiple exposures to violence. Trauma-informed structural interventions may improve sleep quality among this population. Support This work was supported by the National Institute of Drug Research (R01DA038499-01).


1996 ◽  
Vol 7 (5) ◽  
pp. 365-369 ◽  
Author(s):  
N. Broutet ◽  
A. de Queiroz Sousa ◽  
F. Placido Basilio ◽  
H. Luis Sa ◽  
F. Simon

To evaluate the respective part of HIV-1, HIV-2 and human T lymphotropic virus (HTLV) infection in Fortaleza, the principal city of the Ceara state (Northeast of Brazil), a cross-sectional seroepidemiological survey was conducted from July 1993 to February 1994 in 6 selected groups: pregnant women, tuberculosis (Tb) patients, sexually transmitted disease (STD) patients, female and male commercial sex workers (CSWs) and prisoners. Sera were screened by Mixt HIV-1/HIV-2 commercial enzyme immunoassay and ELISA HTLV I/II. Each serum found positive by ELISA was confirmed by Western blot. A total of 2917 persons were interviewed, of whom 2754 (94.4%) agreed to participate and gave a blood sample. Twenty-eight were found to be HIV-1 antibody positive. The prevalence ranged from 0.25% in pregnant women to 2.9% in male CSWs. The prevalence was 1% in STD patients and 0.44% in Tb patients. None of the sera was found positive for HIV-2. The prevalence of antibodies to HTLV-I varied from 0.12% in pregnant women to 1.21% in female CSWs. Five sera were positive for HTLV-II. These results confirm the hypothesis that the HIV epidemic in Northeastern Brazil is still limited to high risk groups. Repeated cross-sectional surveys of this type should be performed as a surveillance tool to study the dynamics of this epidemic in low prevalence areas. Defining risk factors should allow targeting of intervention strategies.


AIDS Care ◽  
2009 ◽  
Vol 22 (1) ◽  
pp. 112-118 ◽  
Author(s):  
Stefan Baral ◽  
Darya Kizub ◽  
Nicole Franck Masenior ◽  
Alena Peryskina ◽  
Julie Stachowiak ◽  
...  

2005 ◽  
Vol 32 (12) ◽  
pp. 745-751 ◽  
Author(s):  
Andrea A. Kim ◽  
Ly Penh Sun ◽  
Chhea Chhorvann ◽  
Christina Lindan ◽  
Frits Van Griensven ◽  
...  

2010 ◽  
Vol 86 (7) ◽  
pp. 500-505 ◽  
Author(s):  
A. Znazen ◽  
O. Frikha-Gargouri ◽  
L. Berrajah ◽  
S. Bellalouna ◽  
H. Hakim ◽  
...  

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