Behavioral interventions to reduce the transmission of HIV infection among sex workers and their clients in low-income and middle-income countries

Wariki, Windy Mariane Virenia; Ota, Erika; Hori, Narumi; Mori, Rintaro; Shibuya, Kenji

doi:10.1002/14651858.cd005272.pub2

Cited by 25 publications

(33 citation statements)

References 32 publications

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“…Depression found to be associated with increased rates of substance use amongst FSWs. Moreover, substance use is also associated with increased risk taking behavior, such as reduced condom use, amongst FSWs in India and globally [53][54][55][56][57].…”

Section: Substance Usementioning

confidence: 99%

Depression and Its Relation with HIV Risk and Social Well-Being among the Brothel-Based Female Sex Workers in Kolkata, India

Jana¹

2017

CMPH

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Section: Substance Usementioning

confidence: 99%

Depression and Its Relation with HIV Risk and Social Well-Being among the Brothel-Based Female Sex Workers in Kolkata, India

Jana¹

2017

CMPH

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“…1 Although behavioral interventions have improved FSWs' condom use with male clients, [2][3][4][5][6] research from diverse settings suggests that 25-95 % of FSWs have non-commercial male partners with whom they are two to five times more likely to have unprotected sex compared with clients. [7][8][9][10][11][12][13][14][15][16][17] As in other intimate relationship contexts, unprotected sex is a normative part of FSWs' relationships despite FSWs' knowledge of their intimate male partners' sexual and drug-related risk behaviors for HIV/STIs.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Correlates of HIV and Sexually Transmitted Infections among Female Sex Workers and Their Non-commercial Male Partners in Two Mexico-USA Border Cities

et al. 2014

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Female sex workers (FSWs) acquire HIVand other sexually transmitted infections (STIs) through unprotected sex with commercial and non-commercial (intimate) male partners. Little research has focused on FSWs' intimate relationships, within which condom use is rare. We sought to determine the prevalence and correlates of HIV/STIs within FSWs' intimate relationships in Northern Mexico. From 2010 to 2011, we conducted a crosssectional survey of FSWs and their non-commercial male partners in Tijuana and Ciudad Juárez, Mexico. Eligible FSWs and their verified male partners were aged ≥18 years; FSWs reported lifetime use of heroin, cocaine, crack, or methamphetamine and recently exchanged sex (past month). Participants completed baseline questionnaires and testing for HIV, chlamydia, gonorrhea, and syphilis. We determined the prevalence and correlates of individuals' HIV/STI positivity using bivariate probit regression. Among 212 couples (n=424), prevalence of HIV was 2.6 % (n=11). Forty-two (9.9 %) tested positive for any HIV/STIs, which was more prevalent among women than men (12.7 % vs. 7.1 %, pG0.05). FSWs with regular sex work clients were less likely to test positive for HIV/STIs than those without regular clients. Similarly, male partners of FSWs who had regular clients were 9 % less likely to have HIV/STIs. Higher sexual decision-making power was protective against HIV/STIs for women. Men who recently used methamphetamine or reported perpetrating any conflict within steady relationships were more likely to test positive for HIV/STIs. Within FSWs' intimate relationships in two Mexican-US border cities, nearly one in ten partners tested positive for HIV/STIs. Couple-based prevention interventions should recognize how intimate relationship factors and social contexts influence HIV/STI vulnerability.

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“…The discrepancy in this respect among the above related studies indicate that the use of condoms is not very effective for protection against M. genitalium infections. Nonetheless, considering that the use of condoms has been identified as an important protective factor against other STIs in a number of studies (25)(26)(27), sexually active individuals should be encouraged to use condoms consistently, particularly those individuals identified as having high risk sexual behaviors.…”

Section: Discussionmentioning

confidence: 99%

An Epidemiological Study of Mycoplasma genitalium Infections among Males Attending a Sexually Transmitted Disease Clinic in Guangxi, China

et al. 2014

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SUMMARY:The objective of this study was to determine the prevalence of urethral Mycoplasma genitalium infections among male patients attending a sexually transmitted disease (STD) clinic in China and identify risk factors associated with this disease. A total of 423 patients were recruited in Hezhou City, Guangxi Province, China, and each was requested to complete a questionnaire regarding sociological and sexual behaviors. First-void urine samples were collected for M. genitalium analysis by polymerase chain reaction. Of the 406 urine samples collected, 114 were M. genitalium-positive, giving a prevalence rate of 28.1z. Univariate logistic regression analysis showed that M. genitalium infection was associated with younger age, having received at least senior high school education, and single marital status. In both univariate and multivariate logistic regression analyses, M. genitalium infection was found to be associated with lack of symptoms for STD in the past year (adjusted odds ratio [AOR] ＝ 2.839; 95z CI ＝ 1.495-5.392; P ＝ 0.001), no use of condoms with steady partners in the past year (AOR ＝ 2.830; 95z CI ＝ 1.468-5.455; P ＝ 0.002), and having sexual encounters with female sexual workers within the past 3 months (AOR ＝ 2.955; 95z CI ＝ 1.637-5.336; P º 0.0003). The observed high rate of M. genitalium infection among male STD patients in Hezhou City indicates an M. genitalium epidemic in the study population; thus, the national surveillance program and clinical health providers in China should more closely monitor this disease. INTROUDCTIONMycoplasma genitalium was first isolated from 2 of 13 men with non-gonococcal urethritis (NGU) in 1981 (1). By molecular assays, many studies have associated M. genitalium infection with acute NGU, particularly non-chlamydial NGU (NCNGU) in men (2-5), with a prevalence ranging from 5z to 42z (6). M. genitalium also plays an etiological role in both persistent and recurrent NGU with an estimated prevalence of 19z-41z in men with persistent or recurrent urethritis (4,6). Although M. genitalium is an emerging pathogen of NGU, a limited number of studies have observed an M. genitalium prevalence of 10z-24z among men with NGU in China (7-9). Moreover, the National Sentinel Surveillance Program of China reported that the prevalence of NGU since 2008 has been equivalent to that of genital Chlamydia trachomatis infection (10), without including the rate of M. genitalium-positive NGU. Thus, the actual rate of NGU in China may have been grossly underestimated. Furthermore, most healthcare providers often neglect M. genitalium-positive NGU; therefore, very little information is available regarding the disease burden of this pathogen. A study conducted by our group recently reported the prevalence of C. trachomatis and Neisseria gonorrhoeae infections among male patients attending a sexually transmitted disease (STD) clinic (MSP) in China (11); however, this study did not include M. genitalium infection. Therefore, as a supplementary study, our objective of the present study was to d...

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Behavioral interventions to reduce the transmission of HIV infection among sex workers and their clients in low-income and middle-income countries

Cited by 25 publications

References 32 publications

Depression and Its Relation with HIV Risk and Social Well-Being among the Brothel-Based Female Sex Workers in Kolkata, India

Depression and Its Relation with HIV Risk and Social Well-Being among the Brothel-Based Female Sex Workers in Kolkata, India

Prevalence and Correlates of HIV and Sexually Transmitted Infections among Female Sex Workers and Their Non-commercial Male Partners in Two Mexico-USA Border Cities

An Epidemiological Study of Mycoplasma genitalium Infections among Males Attending a Sexually Transmitted Disease Clinic in Guangxi, China

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