HIV Prevalence Varies Between Female Sex Workers From Different Types of Venues in Southern China

Chen, Xiang-Sheng; Liang, Guanzhao; Wang, Qianqiu; Yin, Yue-Ping; Jiang, Ning; Zhou, Yu-Jiao; Yang, Ligang; Li, Qiao; Wang, Hongchun; Wang, Baoxi

doi:10.1097/olq.0b013e318264c3ba

Cited by 44 publications

(42 citation statements)

References 11 publications

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“…The comparatively higher levels of risk behaviours and HIV prevalence observed among SSWs are in line with previous studies and reinforce the idea that prevention interventions should take into consideration the structure of commercial sex work with regard to different subpopulations of FSWs. [9][10][11][12][13][14][15][16][17][18] Among various risk behaviours, injecting drug use was found in this study to be most strongly associated with HIV infection among FSWs, regardless of sex work venue, as has been reported previously in multiple settings. 15,17,[24][25][26][27][28][29][30] The finding is worrisome and highlights the importance of strategies to address this behaviour in HIV prevention activities targeting FSWs.…”

Section: Discussionsupporting

confidence: 63%

Correlates of HIV infection among street-based and venue-based sex workers in Vietnam

Nguyen²,

Tran³

et al. 2016

Int J STD AIDS

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Commercial sex work is one of the driving forces of the HIV epidemic across the world. In Vietnam, although female sex workers (FSWs) carry a disproportionate burden of HIV, little is known about the risk profile and associated factors for HIV infection among this population. There is a need for large-scale research to obtain reliable and representative estimates of the measures of association. This study involved secondary data analysis of the 'HIV/STI Integrated Biological and Behavioral Surveillance' study in Vietnam in 2009-2010 to examine the correlates of HIV among FSWs. Data collected from 5298 FSWs, including 2530 street-based sex workers and 2768 venue-based sex workers from 10 provinces in Vietnam, were analyzed using descriptive statistics and bivariate and multivariate logistic regression analyses. HIV prevalence among the overall FSW population was 8.6% (n = 453). However, when stratified by FSW subpopulations, HIV prevalence was 10.6% (n = 267) for street-based sex workers and 6.7% (n = 186) for venue-based sex workers. Factors independently associated with HIV infection in the multivariate analysis, regardless of sex work types, were injecting drug use, high self-perceived HIV risk, and age ≥ 25 years. Additional factors independently associated with HIV risk within each FSW subpopulation included having ever been married among street-based sex workers and inconsistent condom use with clients and having sex partners who injected drugs among venue-based sex workers. Apart from strategies addressing modifiable risk behaviours among all FSWs, targeted strategies to address specific risk behaviours within each FSW subpopulation should be adopted.

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Section: Discussionsupporting

confidence: 63%

Correlates of HIV infection among street-based and venue-based sex workers in Vietnam

Nguyen²,

Tran³

et al. 2016

Int J STD AIDS

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“…[404142] Furthermore, Wang et al . [43] has showed illegal drug use, particularly with injection drugs, is the single greatest risk factor for HIV infection among FSWs in China.…”

Section: Discussionmentioning

confidence: 99%

High prevalence of syphilis among street-based female sex workers in Nanchang, China

Tao

Jiang

Shao

et al. 2014

Indian Dermatol Online J

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Background:Female sex workers (FSWs) play a critical role in the heterosexual transmission of human immunodeficiency virus (HIV)/sexually transmitted infections (STIs) in China. Several studies reported that street-based FSWs have higher risk behaviors than establishment-based FSWs. Therefore, street-based FSWs should be specifically targeted for HIV and STIs intervention programs.Objectives:This study aims to investigate the prevalence rates and risk factors of HIV and syphilis among FSWs in Nanchang, China.Materials and Methods:Using convenience sampling methods, 361 street-based FSWs were recruited from August 2011 to February 2012. All participants completed an anonymous questionnaire on socioeconomic and sex behavioral information and were tested for HIV and syphilis. Risk for HIV and syphilis infection was assessed using univariate and multivariate logistic regression analyses.Results:No HIV infections were found. The prevalence rate of syphilis was 43.5%. Nearly 46.1% of street-based FSWs reported having education for no more than 6 years. Having reproductive tract infections at current visit, duration of sex work more than 5 years, indulgence in unprotected sex trade in the last time, unprotected sex trade in the last month, and unprotected sex with boyfriend or spouse in the last month were reported by 35.2%, 43.5%, 33.8%, 60.4%, and 93.1% street-based FSWs, respectively. In multivariate logistic regression analysis, having reproductive tract infections at current visit [odds ratio (OR), 12.10; 95% confidence interval (CI), 6.01-24.37], duration of sex work more than five years (OR, 4.26; 95% CI, 2.40-7.54), and unprotected sex trade in the last month (OR, 1.85; 95% CI, 1.06-3.22) were independently associated with syphilis infection.Conclusion:The prevalence rate of syphilis among street-based FSWs is very high. Most street-based FSWs in our survey had low education, long experience of commercial sex, and high rate of inconsistent condom use. Comprehensive interventions targeting this high-risk group, especially scaling up screening and ensuring consistent use of condoms during sex are needed.

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“…HIV and syphilis seroprevalence surveys generally report higher HIV and syphilis rates among low-fee FSW in China compared with higher-fee FSW, with low-fee FSW reporting less consistent condom use than their higher fee counterparts 9 12–15. Published survey data suggests that low-fee FSW have very limited perception and understanding of their risk for HIV/STI 11 12 16–18.…”

Section: Introductionmentioning

confidence: 99%

Differences in risk behaviours and HIV/STI prevalence between low-fee and medium-fee female sex workers in three provinces in China

Han¹,

Zhou²,

et al. 2015

Sex Transm Infect

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Objectives To better understand risk behaviours and factors associated with low-fee female sex workers (FSW) and support HIV/sexually transmitted infections (STI) epidemic control among this key population in China. Methods A cross-sectional study using convenience sampling to recruit 1487 eligible low-fee and medium-fee FSW was conducted in 2012 in three provinces. The participants were interviewed using a structured questionnaire and tested for HIV-1, herpes simplex virus (HSV)-2 and syphilis antibody. Log-binomial modelling was used to estimate prevalence ratios (PR) and examine factors associated with low-fee sex work. Results Prevalence of HIV-1, syphilis and HSV-2 antibody positive were 0.5%, 4.8% and 27.8%, respectively. Low-fee FSW were more likely to have HSV-2 infection (adjusted prevalence ratio (APR)=1.3, 95% CI 1.1 to 1.7), but not more likely to have HIV-1 and syphilis infection compared with medium-fee FSW. Compared with medium-fee FSW, low-fee FSW were more likely to be ≥35 years of age (APR=2.1, 95% CI 1.3 to 3.6), engage in sex work ≥6 days/per week (APR=1.7, 95% CI 1.2 to 2.6), have ≥3 clients per day (APR=2.2, 95% CI 1.5 to 3.3), have clients decide condom use (APR=1.6, 95% CI 1.1 to 2.3), fail to persuade clients to use condoms (APR=1.6, 95% CI 1.1 to 2.6), express willingness to have unprotected sex in return for receipt of a higher fee (APR=1.8, 95% CI 1.2 to 2.8), have had genital symptoms in the past year (APR=1.4, 95% CI 1.1 to 1.8) and have migrated from another city. Conclusions Low-fee FSW in China have unique risks for acquiring HIV/STI, in part due to greater economic pressures. Tailored interventions targeting low-fee FSW and incorporating their prevailing perception of HIV/STI risks and condom use negotiation challenges that they face are urgently needed.

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HIV Prevalence Varies Between Female Sex Workers From Different Types of Venues in Southern China

Cited by 44 publications

References 11 publications

Correlates of HIV infection among street-based and venue-based sex workers in Vietnam

Correlates of HIV infection among street-based and venue-based sex workers in Vietnam

High prevalence of syphilis among street-based female sex workers in Nanchang, China

Differences in risk behaviours and HIV/STI prevalence between low-fee and medium-fee female sex workers in three provinces in China

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