Are Truckers Being over Stigmatized as  HIV Carriers in India? Evidences from  Behavioral and Biological Cross-Sectional Surveys among Clients of Female Sex  Workers

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.

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The Risk Factors Analysis Occurrence of Chlamydia Infection to Direct Female Seks Workers (DFSW) in Indonesia

E3S Web of Conferences ◽

10.1051/e3sconf/20186801024 ◽

2018 ◽

Vol 68 ◽

pp. 01024

Author(s):

Masayu Gemala Rabiah ◽

Rini Mutahar ◽

Rico Januar Sitorus

Keyword(s):

Risk Factors ◽

Sex Workers ◽

Female Sex Workers ◽

Cross Sectional Study ◽

Chlamydia Infection ◽

Female Sex Worker ◽

Cross Sectional ◽

Sex Worker ◽

Female Sex ◽

The Government

Chlamydia infection is one of the most common sexually transmitted infections worldwide. Based on data of IBBS 2015 in Indonesia, the highest prevalence of chlamydia occurred in direct female sex worker group (32.21%). This study a STIs to determine the risk factors for chlamydia infection in direct sex workers. This research uses Cross-Sectional study design. The population of this study were all direct female sex workers as many as 3,789 people with samples in accordance with inclusion and exclusion criteria as many as 3.114 people. The prevalence of direct female sex workers with chlamydia infection was 1.018 (32.4%). The result of the analysis showed that there was a relationship between age (PR: 0.541 95% CI: 0.456-0.643) and length of work as FDSW (PR: 1,.60, 95% CI: 1.087-1.512) chlamydia infection in female sex workers in Indonesia. most dominant variable has an effect on the incidence of chlamydia infection that is long working as FDSW after controlled by age (PR 1.282 95% CI: 1.087-1,.12). It is expected for the government to improve the implementation of prevention program of chlamydia not only among female sex worker but also proactive to customer.

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PIH77 SOCIOECONOMIC INEQUALITY IN HIV PREVENTION AMONGST FEMALE SEX WORKERS: A CROSS-SECTIONAL ANALYSIS OF ORAL PRE-EXPOSURE PROPHYLAXIS IN RURAL KENYA

Value in Health ◽

10.1016/j.jval.2020.04.471 ◽

2020 ◽

Vol 23 ◽

pp. S166

Author(s):

A.E. Achieng' ◽

E. Owiti

Keyword(s):

Hiv Prevention ◽

Sex Workers ◽

Female Sex Workers ◽

Socioeconomic Inequality ◽

Cross Sectional ◽

Female Sex ◽

Cross Sectional Analysis ◽

Rural Kenya ◽

Exposure Prophylaxis ◽

Sectional Analysis

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Sexual violence against female sex workers in The Gambia: a cross-sectional examination of the associations between victimization and reproductive, sexual and mental health

BMC Public Health ◽

10.1186/s12889-015-1583-y ◽

2015 ◽

Vol 15 (1) ◽

Cited By ~ 20

Author(s):

Jennifer A Sherwood ◽

Ashley Grosso ◽

Michele R Decker ◽

Sarah Peitzmeier ◽

Erin Papworth ◽

...

Keyword(s):

Mental Health ◽

Sexual Violence ◽

Sex Workers ◽

Female Sex Workers ◽

The Gambia ◽

Cross Sectional ◽

Female Sex

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HIV prevalence among female sex workers in Guigang City, Guangxi, China: an 8-year consecutive cross-sectional study

BMC Public Health ◽

10.1186/s12889-018-5380-2 ◽

2018 ◽

Vol 18 (1) ◽

Cited By ~ 3

Author(s):

Jingzhen Lai ◽

Chunwei Qin ◽

Eric J. Nehl ◽

Junjun Jiang ◽

Yunxuan Huang ◽

...

Keyword(s):

Sex Workers ◽

Female Sex Workers ◽

Cross Sectional Study ◽

Hiv Prevalence ◽

Sectional Study ◽

Cross Sectional ◽

Female Sex

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Social Capital and HIV Testing Uptake among Indirect Female Sex Workers in Bali, Indonesia

Tropical Medicine and Infectious Disease ◽

10.3390/tropicalmed5020073 ◽

2020 ◽

Vol 5 (2) ◽

pp. 73

Author(s):

I Gusti Ngurah Edi Putra ◽

Pande Putu Januraga

Keyword(s):

Social Capital ◽

Hiv Testing ◽

Peer Support ◽

Social Cohesion ◽

Social Participation ◽

Sex Workers ◽

Female Sex Workers ◽

Cross Sectional ◽

Female Sex ◽

Testing Uptake

Indirect female sex workers (FSWs), a type of FSW working under the cover of entertainment enterprises (e.g., karaoke lounge, bar, etc.), remain as an important key population for HIV transmission, signaling the need of appropriate interventions targeting HIV-related behaviors. This study aimed to investigate the association between social capital and HIV testing uptake. A cross-sectional study was conducted among 200 indirect FSWs in Denpasar, Bali. The dependent variable was HIV testing uptake in the last six months preceding the survey. The main independent variables were social capital constructs: social cohesion (perceived peer support and trust) and social participation. Variables of socio-demographic characteristics were controlled in this study to adjust the influence of social capital. Binary logistic regression was performed. The prevalence of HIV testing in the last six months was 72.50%. The multivariate analysis showed that only peer support from the social capital constructs was associated with HIV testing uptake. Indirect FSWs who perceived a high level of support within FSWs networks were 2.98-times (95% CI = 1.43–6.24) more likely to report for HIV testing. Meanwhile, perceived trust and social participation did not show significant associations in relation to HIV testing uptake. As social cohesion (support) within FSWs’ relationships can play an important role in HIV testing uptake, existing HIV prevention programs should consider support enhancement to develop a sense of belonging and solidarity.

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Psychosocial correlates of regular syphilis and HIV screening practices among female sex workers in Uganda: a cross-sectional survey

AIDS Research and Therapy ◽

10.1186/s12981-019-0244-0 ◽

2019 ◽

Vol 16 (1) ◽

Cited By ~ 1

Author(s):

Richard Muhindo ◽

Barbara Castelnuovo ◽

Andrew Mujugira ◽

Rosalind Parkes-Ratanshi ◽

Nelson K. Sewankambo ◽

...

Keyword(s):

Hiv Testing ◽

Sex Workers ◽

Self Efficacy ◽

Female Sex Workers ◽

Sub Saharan Africa ◽

Hiv Screening ◽

Cross Sectional ◽

Psychosocial Correlates ◽

Female Sex ◽

Syphilis Testing

Abstract Background Limited data are available regarding correlates of regular sexually transmitted infections (STIs) and HIV screening among female sex workers (FSW) in Sub-Saharan Africa. In this study, we aimed to assess the frequency of regular syphilis and HIV screening and the psychosocial correlates associated with screening among FSW in Uganda. Methods This cross-sectional correlational study was conducted among 441 FSW, aged 17–49 years. We enrolled FSW through peer referrals and ascertained self-reported data on number of serological tests for HIV, syphilis and other STIs in the prior 12 months using an interviewer-administered questionnaire. In addition, we assessed attitudes, norms, social influences and self-efficacy towards 3-monthly Syphilis and 6-monthly HIV testing. We estimated the correlates of regular STI and HIV testing using negative binomial regression. Results Of the respondents 420 (95.2%) reported to have ever taken an HIV test with 297 (67.4%) testing two or more times in the prior 12 months. Over half of the respondents (59%) reported ever taking a syphilis test with only 62 (14.1%) reporting testing three or more times in the prior 12 months. After adjusting for socio-demographics, attitude and norms, high perceived self-efficacy was associated with a 33% increase in the likelihood of repeated HIV testing [prevalence ratio (PR), 1.33, 95% confidence interval (CI) 1.15–1.53] while low perceived confidence was associated with a 25% decrease in the likelihood of repeated HIV testing (PR, 0.75, 95% CI 0.63–0.89). Similarly low attitudes and norms were associated with a decrease of 52.6% (PR, 0.47, 95% CI 0.37–0.61) and 47% (PR, 0.53, 95% CI 0.41–0.69) in the likelihood of repeated syphilis testing respectively. Conclusion Compared to HIV, uptake of repeated syphilis testing was very low. Correlates of HIV testing include; perceived self-efficacy amidst barriers and perceived confidence for HIV and low attitudes and accepting norms for syphilis. Health campaigns should emphasize overcoming barriers to HIV testing while promoting attitudes and norms including integration of serological syphilis testing and other STIs into HIV services.

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