Long-term follow-up of a comprehensive HIV and sexually transmitted infection prevention program for female sex workers in Ningbo, China

Hong, Hang; Xu, Guozhang; Zhang, Dandan

doi:10.1016/j.ijgo.2010.06.010

Cited by 7 publications

(7 citation statements)

References 3 publications

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“…64 The rapidly expanding 100% condom use programme in China is consistent with the stabilizing trend in the HIV epidemic among FSWs. To achieve the best outcomes in terms of population impact, HIV prevention strategies should focus on the highest-risk subgroups of FSWs, such as drugusing and low-tier FSWs.…”

Section: Discussionmentioning

confidence: 79%

A systematic review and meta-analysis of the prevalence, trends, and geographical distribution of HIV among Chinese female sex workers (2000–2011): implications for preventing sexually transmitted HIV

Zhang

Chow

et al. 2015

International Journal of Infectious Diseases

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Section: Discussionmentioning

confidence: 79%

A systematic review and meta-analysis of the prevalence, trends, and geographical distribution of HIV among Chinese female sex workers (2000–2011): implications for preventing sexually transmitted HIV

Zhang

Chow

et al. 2015

International Journal of Infectious Diseases

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“…HIV prevalence according to 15 studies ranged from 0Á10.3% (median 00.6%), with highest in Yunnan (i.e., 8.3Á10.3%) (Chen et al, 2005;Chen et al, 2008;Ding et al, 2005;Duan et al, 2010;Hong, Xu, & Zhang, 2010;Li et al, 2010;Lu et al, 2009;Ngo et al, 2008;Qu et al, 2002;Ruan et al, 2006;van den Hoek et al, 2001;H. Wang et al, 2008H.…”

Section: Human Immunodeficiency Syndrome (Hiv) Infectionsmentioning

confidence: 99%

Review of HIV and other sexually transmitted infections among female sex workers in China

Poon

Li²,

Wang³

et al. 2011

AIDS Care

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Female sex workers (FSW) are at greater risk for HIV and STIs. A systematic literature review of HIV and STI prevalence and incidence data for FSW in China was conducted to assess current trends. Studies between 1996 and 2010 detailing seroprevalence or incidence data, other laboratory-based tests, and clinical diagnoses of infections among FSW were reviewed. Select articles from Chinese literature around street-based and drug-abusing FSW were also reviewed. Results revealed high median prevalence for a variety of STIs among FSW: active syphilis range 0.8-12.5% (median = 6.9%), herpes range 29.7-70.8% (median = 56.2%), chlamydia range 3.9-58.6% (median = 25.7%), gonorrhea range 2.0-85.4% (median = 16.4%), and trichomoniasis range 7.1-43.2% (median = 12.5%). HIV prevalence has remained relatively low and stable with a range of 0-10.3% (median = 0.6%), with the exception of higher prevalence in several areas of Yunnan and some areas of Guangxi. The FSW who are injecting drug users may be at even greater risk for HIV infection with 12-49% found to be HIV positive and 7-25% self-reporting positive status. A number of gaps in the literature remain, especially in the number of studies that detail prevalence confirmed by laboratory testing or that collect incidence data. Assessment of incidence and prevalence according to sampling methodology appropriate for the population, behavioral risks such as injecting drug use, and diverse venues especially those at the lower end are needed. Theory-based interventions to reduce the incidence and prevalence of HIV/STIs need to be piloted with successful models scaled-up.

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“…Chlamydia prevalence in FSWs varied from 3% to 46% [9-12, 15, 16] and was highest in some studies in Yunnan Province [8,9]. Finally, syphilis prevalence was higher than in Shanghai in almost all other studies examined, from 3% to 16% [8][9][10][11][12][13][16][17][18][19][20][21][22][23][24]. Interestingly, a repeated cross-sectional study from neighbouring Zhejiang found a marked decrease in syphilis prevalence over the four years examined: 2006, 13·5%; 2007, 0·8%; 2008, 0·0%; 2009, 0·5% [24], and found no HIV infections and a syphilis prevalence of 4·5%.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and correlates of HIV infection and sexually transmitted infections in female sex workers (FSWs) in Shanghai, China

et al. 2014

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In 2009, we examined HIV and sexually transmitted infections (STIs) in 750 female sex workers (FSWs) in Shanghai using a cross-sectional survey. Participants (mean age 27 years) were interviewed and tested for HIV and selected STIs. Prevalence was: HIV 0·13%, chlamydia 14·7%, gonorrhoea 3·5% and syphilis 1·3%. In a demographic multivariate model, younger age, higher income and originating from provinces other than Zhejiang and Shanghai were independently associated with STI. In a social and sexual behavioural model, women working in small venues with fewer clients per week, use of drugs, and higher price charged per sex act indicated a greater risk for STI. Although HIV appears rare in Shanghai FSWs, chlamydial infection is common, especially in women aged <25 years (prevalence 19·6%). Since STI and HIV share similar risk factors, preventive intervention measures should be implemented immediately based on the venues and characteristics of FSWs to prevent future spread of HIV.

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Long-term follow-up of a comprehensive HIV and sexually transmitted infection prevention program for female sex workers in Ningbo, China

Cited by 7 publications

References 3 publications

A systematic review and meta-analysis of the prevalence, trends, and geographical distribution of HIV among Chinese female sex workers (2000–2011): implications for preventing sexually transmitted HIV

A systematic review and meta-analysis of the prevalence, trends, and geographical distribution of HIV among Chinese female sex workers (2000–2011): implications for preventing sexually transmitted HIV

Review of HIV and other sexually transmitted infections among female sex workers in China

Prevalence and correlates of HIV infection and sexually transmitted infections in female sex workers (FSWs) in Shanghai, China

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