HIV Prevalence and Risk Behaviors Among Female Sex Workers in Botswana: Results from the 2012 HIV/STI Bio-Behavioral Study

Merrigan, Mike; Tafuma, Taurayi A.; Okui, Lillian; Lebelonyane, Refeletswe; Bolebantswe, Jerry; Makhaola, Kgomotso; Mine, Madisa; Adhikary, Rajatashuvra; Chabikuli, Nzapfurundi

doi:10.1007/s10461-014-0858-0

Cited by 14 publications

(18 citation statements)

References 10 publications

(12 reference statements)

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“… 32 33 Also, as is indicated by our findings, age and duration of sex work were not significantly associated with recent syphilitic infection. The prevalence of prevalent syphilis reported in our study is much higher than that reported among FSWs in other developing countries, for example, 4–15% in Botswana, 34 and 2–9% in Sudan. 35 The low HIV prevalence may be due to relatively short duration of sex work as the study participants entered sex work only in their mid-30s and had been in sex work for a time period ranging from 1 to 6 years.…”

Section: Discussioncontrasting

confidence: 80%

“…The prevalence is even higher than it is in the most economically-devastated countries (eg, Botswana and Sudan). 34 35 As the epidemics of STIs spread among both middle-aged FSWs and younger FSWs, intervention priority should be placed on both groups. Combined intervention programmes that integrate both behavioural component (promotion of condom use) and biomedical component (treatment of STIs) need to be developed and evaluated among middle-aged FSWs as well as their clients.…”

Section: Discussionmentioning

confidence: 99%

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Syphilis among middle-aged female sex workers in China: a three-site cross-sectional study

et al. 2016

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ObjectivesThis study addresses the lack of empirical studies about the epidemic of syphilis among middle-aged female sex workers (FSWs). The objectives of this study were to investigate prevalence of syphilis, and its potential risk factors among middle-aged FSWs in China.DesignA cross-sectional study with respondent-driven sampling (RDS).SettingA multisite study conducted at three Chinese cites (Nanning, Hefei, and Qingdao) with different levels of sexually transmitted diseases in 2014.Participants1245 middle-aged female sex workers who were over 35 years old (about 400 per study site).Main outcome measuresUnprotected commercial sex, and syphilis and HIV infection were biologically tested and measured.ResultsThe RDS-adjusted prevalence of active syphilis was 17.3% in Hefei, 9.9% in Qingdao, and 5.4% in Nanning. The RDS-adjusted prevalence of prevalent syphilis was between 6.8% and 33.6% in the three cities. The proportion of unprotected sex in the past 48 h verified by the prostate-specific antigen test (PSA) was between 27.8% and 42.4%. Multiple log-binomial regression analyses indicate that middle-aged FSWs who had 5 or more clients in the past week prior to interviews and engaged in unprotected sex were more likely to be active syphilitic cases. Middle-aged FSWs who had rural residency were less likely to be active syphilitic cases.ConclusionsIn contrast with previous studies that reported low prevalence of syphilis and high prevalence of protected sex among FSWs in China, both the prevalence of syphilis and unprotected sex were high among middle-aged FSWs. Evidence-based intervention programmes should be developed and evaluated among this vulnerable population in China and other countries with similar settings.

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Section: Discussioncontrasting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Syphilis among middle-aged female sex workers in China: a three-site cross-sectional study

et al. 2016

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“…Heterosexual transmission is the main mode of HIV transmission in sub-Saharan Africa, and sex work is a driver of the epidemic. [1][2][3][4] Female sex workers (FSW) in sub-Saharan Africa have a very high burden of HIV, [5] with HIV prevalence estimated to be at least three times that of general population [6][7][8][9][10]. Recent years have seen increased research in this key population in various sub-Saharan African countries.…”

Section: Introductionmentioning

confidence: 99%

“…Only two published studies have focused on FSW in Botswana. [7,28] One of the studies showed that, although most FSW had been tested for HIV at least once (and had HIV prevalence of 60%), regular HIV testing was infrequent. [7] The other study was conducted amongst 17 FSW in a mine town in Botswana: two focus groups and five in-depth interviews were conducted, and participants expressed negative attitudes towards HIV self-testing due to lack of knowledge and confidence to perform the testing independently.…”

Section: Introductionmentioning

confidence: 99%

Acceptability of oral HIV self-testing among female sex workers in Gaborone, Botswana

et al. 2020

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“…[24][25][26] Ultimately, relationship dynamics and the other perceived benefits of PrEPthose beyond HIV prevention-must be taken into consideration when providing HIV risk-reduction counseling for individuals using PrEP. This approach will allow programs to provide better support of PrEP users' overall sexual health and well-being.…”

Section: Discussionmentioning

confidence: 99%

Motivations for Reducing Other HIV Risk-Reduction Practices if Taking Pre-Exposure Prophylaxis: Findings from a Qualitative Study Among Women in Kenya and South Africa

Corneli

Namey

Ahmed

et al. 2015

AIDS Patient Care and STDs

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Findings from a survey conducted among women at high risk for HIV in Bondo, Kenya, and Pretoria, South Africa, demonstrated that a substantial proportion would be inclined to reduce their use of other HIV riskreduction practices if they were taking pre-exposure prophylaxis (PrEP). To explore the motivations for their anticipated behavior change, we conducted qualitative interviews with 60 women whose survey responses suggested they would be more likely to reduce condom use or have sex with a new partner if they were taking PrEP compared to if they were not taking PrEP. Three interrelated themes were identified: (1) ''PrEP protects''-PrEP was perceived as an effective HIV prevention method that replaced the need for condoms; (2) condoms were a source of conflict in relationships, and PrEP would provide an opportunity to resolve or avoid this conflict; and (3) having sex without a condom or having sex with a new partner was necessary for receiving material goods and financial assistance-PrEP would provide reassurance in these situations. Many believed that PrEP alone would be a sufficient HIV risk-reduction strategy. These findings suggest that participants' HIV risk-reduction intentions, if they were to use PrEP, were based predominately on their understanding of the high efficacy of PrEP and their experiences with the limitations of condoms. Enhanced counseling is needed to promote informed decision making and to ensure overall sexual health for women using PrEP for HIV prevention, particularly with respect to the prevention of pregnancy and other sexually transmitted infections when PrEP is used alone.

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HIV Prevalence and Risk Behaviors Among Female Sex Workers in Botswana: Results from the 2012 HIV/STI Bio-Behavioral Study

Cited by 14 publications

References 10 publications

Syphilis among middle-aged female sex workers in China: a three-site cross-sectional study

Syphilis among middle-aged female sex workers in China: a three-site cross-sectional study

Acceptability of oral HIV self-testing among female sex workers in Gaborone, Botswana

Motivations for Reducing Other HIV Risk-Reduction Practices if Taking Pre-Exposure Prophylaxis: Findings from a Qualitative Study Among Women in Kenya and South Africa

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