scholarly journals HIV/AIDS Preventive Practice and Associated Factors among Female Sex Workers in Afar Region, Ethiopia: A Community Based Study

2020 ◽  
Vol 30 (1) ◽  
Author(s):  
Abay Woday Tadesse ◽  
Wossen Chernet ◽  
Osman Ahmed ◽  
Woldemichael Tadesse
Keyword(s):  
Logistic Regression ◽  
Hiv Prevention ◽  
Sex Workers ◽  
Associated Factors ◽  
Female Sex Workers ◽  
Community Based ◽  
Preventive Practice ◽  
Female Sex ◽  
Afar Region ◽  
Hiv Aids

BACKGROUND: Female Sex Workers (FSWs) are a high-risk population for Human Immune Virus (HIV) infection. However, HIV related services for sex workers are given little attention in developing nations like Ethiopia. Thus, this study attempted to assess HIV preventive practice and associated factors among FSWs in the Afar region.METHODS: Community-based cross-sectional study was conducted on 419 FSWs from April 1st to May 2nd in 2018 in four hotspot towns (i.e. Logia, Mille, Gedamayitu and Awash) found in Afar region. The study participants were selected using snowball sampling technique. The sociodemographic and behavioral data were collected using face-toface interview. Logistic regression analyses were done to determine factors associated with HIV prevention practices. The statistically significant level was declared at a P-value < 0.05.RESULTS: The HIV/AIDS preventive practice among FSWs was 61.1% [95% CI 56.2% - 65.9%]. The multivariable logistic regression analysis showed that being single [AOR=2.57: 95% CI 1.06, 6.21:P<0.05] and urban residence before being FSWs [AOR= 3.26: 95% CI 1.25, 8.54: P<0.05] were found to be enhancing factors of the preventive practice of HIV/AIDS. However, being illiterate [AOR=0.133: 95% CI 0.032, 0.557: P<0.01], young age [AOR=0.065: 95% CI 0.021, 0.196:P<0.001], being alcohol drinker [AOR= 0.104: 95% CI 0.026, 0.417: P<0.01], being cigarette smoker [AOR= 0.096: 95% CI 0.022, 0.414:P<0.01] and lack of aware of HIV transmission [AOR= 0.08: 95% CI0.03, 0.22: P<0.001] were the hindering factors of the preventive practice of HIV among FSWs.CONCLUSION: The HIV/AIDS preventive practice among FSWs in Afar region hotspot towns (61.1%) is still very low compared to the country progress report on HIV response for FSWs (98%). The regional health bureau should design inclusive strategies to improve the HIV preventive practice among FSWs. These includes regular HIV testing campaigns, sustainable condom distribution in the hotspot towns. The region should encourage NGOs to work on inclusive HIV prevention upon FSWs. Female sex workers should be aware of the risky behaviors that lead to HIV. Additional qualitative methods are also recommended.

scholarly journals Successful integration of HIV pre-exposure prophylaxis into a community-based HIV prevention program for female sex workers in Kolkata, India

2021 ◽  
Vol 32 (7) ◽  
pp. 638-647
Author(s):  
Smarajit Jana ◽  
Protim Ray ◽  
Soma Roy ◽  
Abhijit Kadam ◽  
Raman R Gangakhedkar ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Sex Workers ◽  
Prevention Program ◽  
Female Sex Workers ◽  
Community Support ◽  
Final Visit ◽  
Community Based ◽  
Female Sex ◽  
Exposure Prophylaxis ◽  
The Impact

We assessed the impact of pre-exposure prophylaxis (PrEP) in the context of a community-based HIV program among female sex workers (FSWs) in Kolkata, India. This was an open-label, uncontrolled demonstration trial. HIV seronegative FSWs over 18 years were eligible. Participants were administered daily tenofovir/emtricitabine (TDF-FTC) with follow-up visits at months 1, 3, 6, 9, 12, and 15. Drug adherence was monitored by self-report, and a random subset of participants underwent plasma TDF testing. 843 women were screened and 678 enrolled and started on PrEP. Seventy-nine women (11%) did not complete all scheduled visits: four women died of reasons unrelated to PrEP and 75 withdrew, for a 15-month retention rate of 89%. Self-reported daily adherence was over 70%. Among those tested for TDF, the percentage of women whose level reached ≥40 ng/mL was 65% by their final visit. There were no HIV seroconversions, and no evidence of significant changes in sexual behavior. This study demonstrated the feasibility and effectiveness of PrEP for FSWs in Kolkata, with very high levels of adherence to PrEP and no HIV seroconversions. The integration of PrEP into an existing community-based HIV prevention program ensured community support and facilitated adherence.

scholarly journals Facilitators and Barriers to Linkage to HIV Care and Treatment among Female Sex Workers in a Community-based HIV Prevention Intervention in Tanzania: a qualitative study

2019 ◽  
Author(s):  
Daniel Nyato ◽  
Soori Nnko ◽  
Albert Komba ◽  
Evodius Kuringe ◽  
Marya Plotkin ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Sex Workers ◽  
Female Sex Workers ◽  
System Level ◽  
Hiv Care ◽  
Care Providers ◽  
Community Based ◽  
Infected Female ◽  
Female Sex ◽  
Linkage To Hiv Care

AbstractBackgroundHIV-infected female sex workers (FSWs) have poor linkage to HIV care in sub-Sahara Africa.MethodsWe conducted 21 focus group discussions (FGDs) to explore factors influencing linkage to HIV care among FSWs tested for HIV through a comprehensive community-based HIV prevention project in Tanzania.ResultsInfluences on linkage to care were present at the system, societal and individual levels. System-level factors included unfriendly service delivery environment, including lengthy pre-enrolment sessions, concerns about confidentiality, stigmatising attitudes of health providers. Societal-level factors included myths and misconceptions about ART and stigma. On the individual level, most notable was fear of not being able to continue to have a livelihood if one’s status were to be known. Facilitators were noted, including the availability of transport to services, friendly health care providers and peer-support referral and networks.ConclusionFindings of this study underscore the importance of peer-supported linkages to HIV care and the need for respectful, high-quality care.

scholarly journals HIV prevention and care services for female sex workers: efficacy of a targeted community-based intervention in Burkina Faso

2015 ◽  
Vol 18 (1) ◽  
pp. 20088 ◽  
Author(s):  
Isidore T Traore ◽  
Nicolas Meda ◽  
Noelie M Hema ◽  
Djeneba Ouedraogo ◽  
Felicien Some ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Burkina Faso ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Community Based ◽  
Female Sex ◽  
Care Services

scholarly journals Depressive symptoms and condom use with clients among female sex workers in China

Sexual Health ◽  
2007 ◽  
Vol 4 (2) ◽  
pp. 99 ◽  
Author(s):  
Yan Hong ◽  
Xiaoming Li ◽  
Xiaoyi Fang ◽  
Ran Zhao
Keyword(s):  
Logistic Regression ◽  
Depressive Symptoms ◽  
Hiv Prevention ◽  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Multiple Logistic Regression ◽  
Regression Analyses ◽  
Female Sex ◽  
High Level

This study examines the association between depressive symptoms and condom use with clients among 278 female sex workers (FSW) in Guangxi, China. About 62% of these FSW had a high level of depressive symptoms (CES-D total score ≥16). Multiple logistic regression analyses indicated that FSW with high level of depressive symptoms were less likely to use condoms consistently (aOR = 0.50, 95% CI: 0.28–0.89) or use condoms properly (aOR = 0.44, 95% CI: 0.20–0.99). The findings suggested that HIV prevention programs targeted at FSW should take into consideration the level of depression they experience.

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.

scholarly journals HIV testing and its associated factors among street-based female sex workers in Iran: results of a national rapid assessment and response survey

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Sina Ahmadi ◽  
Mehrdad Khezri ◽  
Payam Roshanfekr ◽  
Salah Eddin Karimi ◽  
Meroe Vameghi ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Sex Workers ◽  
Associated Factors ◽  
Female Sex Workers ◽  
Rapid Assessment ◽  
Evidence Based ◽  
Multivariable Model ◽  
Sexually Transmitted ◽  
Female Sex ◽  
Self Testing

Abstract Background Female sex workers (FSWs) are at a disproportionate risk of sexually transmitted infections and they may face significant barriers to HIV testing. This study aimed to examine HIV testing prevalence and its associated factors among street-based FSWs in Iran. Method A total of 898 FSWs were recruited from 414 venues across 19 major cities in Iran between October 2016 and March 2017. Eligible FSWs were women aged 18 years of age who had at least one commercial sexual intercourse in the previous year. HIV testing was defined as having tested for HIV in the lifetime. Bivariable and multivariable logistic regression were used to examine the correlates of HIV testing. We report adjusted odds ratios (aOR) and their 95% confidence intervals (CI). Result Overall, 57.8% (95%CI: 20.0, 88.0) of participants reported having tested for HIV, and HIV prevalence among FSWs who tested for HIV was 10.3% (95%CI: 7.5, 13.0). The multivariable model showed that unstable housing (aOR: 8.86, 95%CI: 2.68, 29.32) and drug use (aOR: 3.47, 95%CI: 1.33, 9.06) were associated with increased likelihood of HIV testing. However, FSWs with a higher level of income were less likely to be tested for HIV (aOR: 0.09, 95%CI: 0.02, 0.43). Conclusion Almost one in ten street-based FSWs had never tested for HIV. These findings suggest the need for evidence-based strategies such as outreach support and HIV self-testing to improve HIV testing in this marginalized population.

Risk and vulnerability of key populations to HIV infection in Iran; knowledge, attitude and practises of female sex workers, prison inmates and people who inject drugs

Sexual Health ◽  
2014 ◽  
Vol 11 (6) ◽  
pp. 568 ◽  
Author(s):  
Razieh Khajehkazemi ◽  
AliAkbar Haghdoost ◽  
Soodabeh Navadeh ◽  
Hamidreza Setayesh ◽  
Leily Sajadi ◽  
...  
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
People Who Inject Drugs ◽  
Sexual Transmission ◽  
Study Data ◽  
Prison Inmates ◽  
Female Sex ◽  
Comprehensive Knowledge ◽  
Sexual Transmission Of Hiv ◽  
Hiv Aids

Background In this study data of three national surveys conducted among female sex workers (FSW), prison inmates and people who inject drugs (PWID) were presented and compared in relation to knowledge, attitude, and practises. Methods: The surveys were conducted in 2009 and 2010 and included 2546 PWID, 872 FSW and 5530 prison inmates. Knowledge, attitude and practises towards HIV were measured through similar questions for each category. Results: Over 90% of all participants had ever heard of HIV/AIDS, although only approximately half of them perceived themselves at risk of contracting HIV. More than 80% were able to correctly identify the ways of preventing the sexual transmission of HIV; while more than two-thirds did not use condom in their last sexual contact. Approximately 20% of prisoners and FSW had a history of injecting drugs. Among all participants who have injected drugs, prisoners had the highest unsafe injecting behaviour at the last injection (61%), followed by FSW (11%) and PWID (3%). Conclusions: Despite major efforts to control the HIV epidemic in Iran, the level of risk and vulnerability among prisoners, FSW and PWID is still high. The level of comprehensive knowledge about HIV/AIDS is relatively good; however, their risk perception of contracting HIV is low and high-risk behaviours are prevalent. Therefore, HIV prevention programs should be redesigned in a more comprehensive way to identify the best venues to reach the largest number of people at a higher risk of contracting HIV and decrease their risk overlaps and vulnerability factors.

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