HIV, sexually transmitted infections and sexual behaviour of male clients of female sex workers in Andhra Pradesh, Tamil Nadu and Maharashtra, India: results of a cross-sectional survey

Subramanian, Thilakavathi; Gupte, M. D.; Paranjape, Ramesh; Brahmam, G. N. V.; Ramakrishnan, Lakshmi; Adhikary, Rajatashuvra; Kangusamy, Boopathi; Thomas, Beena; Kallam, Srinivasan; Girish, Cpk

doi:10.1097/01.aids.0000343765.00573.ce

Cited by 55 publications

(57 citation statements)

References 20 publications

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“…17,18 In addition, studies of men purchasing sex suggest that they are at increased risk of HIV and other STIs. [19][20][21] Studies of women purchasing sex appear to be very rare, 22 as there do not appear to be any quantitative studies in the literature of risk behaviors or HIV and other STIs among women purchasing sex.…”

Section: Introductionmentioning

confidence: 99%

“…32,37,38 Moreover, prevalence of HIV and other STIs is substantially higher among men who purchase sex from women than among men who do not purchase sex. [19][20][21] Individuals who sell sex are more likely to engage in high-risk sex with their primary partners 39 ; however, some may engage in unprotected sex with clients as well. 32 Victimization, forced sex, and sexual and physical abuse are associated with transactional sex both historically and in conjunction with engaging in transactional sex.…”

Section: Introductionmentioning

confidence: 99%

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Transactional Sex among Men and Women in the South at High Risk for HIV and Other STIs

et al. 2009

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Transactional sex refers to selling sex (exchanging sex for money, drugs, food, shelter, or other items) or purchasing sex (exchanging money, drugs, food, shelter, or other items for sex). These activities have been associated with a higher risk for HIV and other sexually transmitted infections in a variety of populations and settings. This paper examines correlates of purchasing and selling sex in a large sample of drug users, men who have sex with men, and sex partners of these groups. Using respondent-driven sampling, participants were recruited between 2005 and 2008 in two urban and two rural counties in North Carolina. We used multiple logistic regressions to examine separate models for selling and purchasing sex in men and women. In addition, we estimated direct and indirect associations among independent variables in the logistic regression models and transactional sex using structural equation models. The analysis shows that factors associated with women selling and buying sex include being homeless, use of stimulants, bisexual behavior, and neighborhood disorder. There was also a significant difference by race. For men, the factors associated with selling and buying sex include being homeless, bisexual behavior, and not being in a relationship. Although neighborhood violence and disorder show significance in bivariate associations with the outcome, these associations disappear in the structural equation models.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Transactional Sex among Men and Women in the South at High Risk for HIV and Other STIs

et al. 2009

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“…Other papers in the supplement present methodological and design strategies related to key components of the Avahan evaluation framework, results from a first round of surveys conducted among core and bridge populations as part of Avahan evaluation activities, and results from additional studies [7][8][9][10][11][12][13][14][15][16][17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

Evaluation design for large-scale HIV prevention programmes: the case of Avahan, the India AIDS initiative

Chandrasekaran¹,

Dallabetta²,

Loo³

et al. 2008

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“…Behavioral factors may increase a young sex worker's risk of acquiring HIV infection, including professional immaturity with clients, which might lead to more unprotected sex [20]. Clients of FSWs constitute a significant bridge group for HIV and other STIs [21]. Men who drink alcohol when visiting FSWs engage in riskier behavior and are more likely to have HIV and STIs [22].…”

Section: Discussionmentioning

confidence: 99%

Health risks among female sex workers of Agra, India: Implications for HIV/AIDS/STDs prevention

et al. 2012

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a b s t r a c tBackground: The present study, spanning over 15 years from 1994 to 2008, was undertaken to assess the prevalence of HIV and STIs among FSWs attending an Integrated Counseling & Testing Centre (ICTC) in Agra. The FSWs came for HIV testing either referred by Govt. Protective Home or NGOs at Agra. Materials and methods: The sociodemographic features and profile of STDs were recorded. They were interviewed using a questionnaire which elicited detailed information about the reasons for entering into the profession, period in the trade, client attendance, contraceptive choices, STIs and treatmentseeking behavior in the context of participant's lives. 670 FSWs were screened for HIV-1/2 antibodies and VDRL infections. Results: The seroprevalence of HIV infection among the FSWs in Agra is 11.9% (80/670) and VDRL is 8.9% (60/670). 76.2% of the Indian and 23.7% of the Nepali FSWs were HIV-positive. 73.5% of the FSWs in the age group, 15-34 years, and 77.5% having STIs were HIV-positive. The major concern is that about 45% of the HIV-positive sex workers were having the maximum number of clients. They were independent in their dealings with the clients, preferred to negotiate and also insisted on condom use and if the client did not comply, they refused to have sex. Conclusion: The behavioral change among FSWs, in terms of consistent condom use, was mainly due to easy availability of condoms and the concern/fear of contracting any STIs/STDs and HIV/AIDS. This is the first report of the HIV and VDRL screening among FSWs in this region of the country.

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HIV, sexually transmitted infections and sexual behaviour of male clients of female sex workers in Andhra Pradesh, Tamil Nadu and Maharashtra, India: results of a cross-sectional survey

Abstract: Clients of FSW studied here constitute a significant bridge group for HIV and other STI, because of their high volume of different sexual partners and very low consistent condom use. HIV prevention programmes need to address male clients.

Cited by 55 publications

References 20 publications

Transactional Sex among Men and Women in the South at High Risk for HIV and Other STIs

Transactional Sex among Men and Women in the South at High Risk for HIV and Other STIs

Evaluation design for large-scale HIV prevention programmes: the case of Avahan, the India AIDS initiative

Health risks among female sex workers of Agra, India: Implications for HIV/AIDS/STDs prevention

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