A pilot study for an HIV prevention programme among commercial sex workers in Bulawayo, Zimbabwe

Wilson, David J.; Sibanda, Babusi; Mboyi, L.; Msimanga, S; Dube, Godwin

doi:10.1016/0277-9536(90)90097-c

Cited by 52 publications

(23 citation statements)

References 20 publications

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“…This may have excluded less rigorously evaluated but nevertheless important and potentially effective interventions (Wilson et al 1990;Chipfakacha 1993;AsamoahAdu et al 1994;Nairne 1999;Ganasinghe 2000;Campbell & Mzaidume 2001). However, self reported measures of, for example, condom use are unreliable and were therefore excluded from this review (Peterman et al 2000;Zenilman 2005).…”

Section: Potential Biases Of the Review Processmentioning

confidence: 99%

Effectiveness of interventions for the prevention of HIV and other sexually transmitted infections in female sex workers in resource poor setting: a systematic review

Shahmanesh

Patel

Mabey

et al. 2008

Tropical Med Int Health

214

156

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Summaryobjective To systematically review the evidence for effectiveness of HIV and sexually transmitted infection (STI) prevention interventions in female sex workers in resource poor settings.method Published and unpublished studies were identified through electronic databases (Cochrane database, Medline, Embase, and Web of Science), hand searching and contacting experts. Randomizedcontrolled-trials and quasi-experimental studies were included if they were conducted in female sex workers from low and middle income settings; if the exposure was described; if the outcome was externally measurable, it was after the discovery of HIV, and if follow-up was longer than 6 months. A priori criteria were used to extract data. Meta-analysis was not performed due to the heterogeneity of studies.results Twenty-eight interventions were included. Despite methodological limitations, the evidence suggested that combining sexual risk reduction, condom promotion and improved access to STI treatment reduces HIV and STI acquisition in sex workers receiving the intervention. Strong evidence that regular STI screening or periodic treatment of STIs confers additional protection against HIV was lacking. It appears that structural interventions, policy change or empowerment of sex workers, reduce the prevalence of STIs and HIV.conclusion Rigorous evaluation of HIV ⁄ STI prevention interventions in sex workers is challenging. There is some evidence for the efficacy of multi-component interventions, and ⁄ or structural interventions. The effect of these interventions on the wider population has rarely been evaluated.

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Section: Potential Biases Of the Review Processmentioning

confidence: 99%

Effectiveness of interventions for the prevention of HIV and other sexually transmitted infections in female sex workers in resource poor setting: a systematic review

Shahmanesh

Patel

Mabey

et al. 2008

Tropical Med Int Health

214

156

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“…As pesquisas disponíveis mostram que, apesar das características singulares de cada epidemia local de HIV/AIDS, as mesmas estruturas e processos podem ser encontrados na Áfri-ca (Schoepf, 1988(Schoepf, , 1992a(Schoepf, , 1992bWilson et al, 1990;Bond & Vincent, 1991;Jochelson et al, 1991;Anarfi, 1993;Bassett, 1993;Akeroyd, 1994;Decosas, 1996;Decosas et al, 1995;Webb, 1997;Romero-Daza & Himmelgreen, 1998;Turshen, 1998), assim como na Ásia (Tan, 1993;Archavanitkul & Guest, 1994;Kammerer et al, 1995;Symonds, 1998) e na América Latina e Caribe (Daniel & Parker, 1991Farmer, 1992Farmer et al, 1993;Lurie et al, 1995;Ayres, 1996;Paiva, 1996Paiva, , 1999Kreniske, 1997;Susser & Krenishe, 1997), da mesma forma que em certos grupos e comunidades na América do Nor-te (Des Jarlais et al, 1992;Lindenbaum, 1998;Singer, 1998).…”

Section: Pobreza E (Sub)desenvolvimento Na Literatura Internacionalunclassified

“…Um número significativo de pesquisas tem associado a pobreza à migração e à mobilidade, sugerindo que a migração, em resposta a imperativos econômicos, está associada a maiores incidências de vulnerabilidade ao HIV em uma variedade de contextos e lugares, aí incluindose: trabalhadores sazonais, no sul da África (Romero-Daza & Himmelgreen, 1998) e na Áfri-ca Ocidental (Decosas et al, 1995); migrantes da República Dominicana, nos EUA (Kreniske, 1997); migrantes de áreas rurais para urbanas, no Haiti (Farmer, 1992(Farmer, , 1999 e Zaire (Schoepf, 1992a); filipinos, trabalhando por empreitada no exterior (Tan, 1993); trabalhadoras do sexo, na Tailândia (Archavanitkul & Guest, 1994), em Gana (Anarfi, 1993), no Zimbabwe (Wilson et al, 1990) e nas Filipinas (Tan, 1993), assim como trabalhadores do sexo e outros homens que fazem sexo com homens no Brasil (Larvie, 1997;Parker, 1993Parker, , 1997.…”

Section: Pobreza E (Sub)desenvolvimento Na Literatura Internacionalunclassified

Pobreza e HIV/AIDS: aspectos antropológicos e sociológicos

2000

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“…32 En otro estudio de Wilson y colaboradores, entre 100 trabajadoras sexuales y 100 clientes en Harare, Zimbabwe, los autores encontraron que las trabajadoras sexuales laboraban 4.6 noches por semana en promedio, con 2.2 clientes por noche. 17 En un estudio realizado entre 62 trabajadoras de 22 burdeles en Colombia, 79% tenían 2-3 clientes por noche en una "buena" noche.…”

Section: Frecuencia De Las Prácticas Sexuales Con Clientesunclassified

Afecto, besos y condones: el ABC de las prácticas sexuales de las trabajadoras sexuales de la Ciudad de México

Allen¹,

Cruz-Valdéz²,

Rivera-Rivera³

et al. 2003

Salud pública Méx

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Objective. To describe and explore the meanings of sexual practices among female sex workers (FSW) in Mexico City. Material and Methods. A qualitative and quantitative study was carried out. The qualitative approach was conducted in 1992 and the latter from 1991 to 1992. The study population was a representative sample of FSW (n=335) who completed a questionnaire; 52 of them also participated in six focal groups. Simple frequencies, central trend, and dispersion measures were calculated. Qualitative data were interpreted using Grounded Theory and a feminist perspective. Results. Female sex workers accepted vaginal penetration with clients and oral penetration to a lesser extent, while anal penetration and kissing were rejected. All sexual modalities were accepted with personal partners. In their practice, FSW use psychophysical dissociation as a psychological defense mechanism and to construct their identities. Services requested by their latest clients were: 98.4% vaginal, 39.1% oral, and 7.7% anal sex. Condom use was reported by 94%. With their personal partner, 72.6% of FSW never used condoms. The week before the study, FSW worked 3.7±1.5 days on average and had sexual intercourse with 8.6±8.1 clients. Conclusions. Interventions are needed to promote safe sex among FSW in their private and professional lives. ResumenObjetivo. Describir las prácticas sexuales de las trabajadoras sexuales de la Ciudad de México y explorar qué significan para ellas. Material y métodos. Se trata de un estudio de abordaje cualitativo y cuantitativo llevado a cabo, el primero, en 1992 y, el segundo, de 1991 a 1992. Una muestra representativa de trabajadoras sexuales (n=335) de un marco muestral respondió a un cuestionario y 52 de ellas participaron en seis grupos focales. Se calcularon frecuencias simples, medidas de tendencia central y de dispersión. Los datos cualitativos se interpretaron a la luz de la teoría fundamentada y la perspectiva feminista. Resultados. Con clientes las trabajadoras sexuales aceptan la penetración vaginal y (menos) la oral, mientras rechazan la penetración anal y los besos. Con parejas personales todas las prácticas sexuales son aceptadas. En su vida profesional las trabajadoras sexuales usan la disociación psico-corporal como una estrategia de defensa psicológica y para construir su identidad. Los servicios solicitados por el último cliente fueron: 98.4% vaginal, 39.1% oral, 7.7% anal y se reportó uso del condón con 94%. Con la pareja personal, 72.6% de las trabajadoras sexuales reportaron nunca usar el condón. La semana anterior al estudio las trabajadoras sexuales laboraron, en promedio, 3.7±1.5 días y tuvieron relaciones

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A pilot study for an HIV prevention programme among commercial sex workers in Bulawayo, Zimbabwe

Cited by 52 publications

References 20 publications

Effectiveness of interventions for the prevention of HIV and other sexually transmitted infections in female sex workers in resource poor setting: a systematic review

Effectiveness of interventions for the prevention of HIV and other sexually transmitted infections in female sex workers in resource poor setting: a systematic review

Pobreza e HIV/AIDS: aspectos antropológicos e sociológicos

Afecto, besos y condones: el ABC de las prácticas sexuales de las trabajadoras sexuales de la Ciudad de México

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