Prevalence and Correlates of Human Immunodeficiency Virus Infection Among Female Sex Workers in Tashkent, Uzbekistan

Todd, Catherine S.; Khakimov, Mumtaz M.; Alibayeva, Gulchaekra; Abdullaeva, Mukhabat; Giyasova, G M; Saad, Magdi D.; Botros, Boulos A.; Bautista, Christian T.; Sánchez, José L.; Carr, Jean K.; Earhart, Kenneth C.

doi:10.1097/01.olq.0000204624.26219.6a

Cited by 20 publications

(26 citation statements)

References 25 publications

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“…HIV infection was present in only 10% of participants and was not related to consistent condom use with clients, as previously reported (Todd et al, 2006). In a separate analysis, drug use was common within this group of FSW and drug-related behaviors, particularly injecting drug use, were strong predictors of HIV infection (Todd et al, 2006). Of the drug use behaviors assessed, only sharing drugs with clients was negatively associated with consistent client condom use.…”

Section: Discussionsupporting

confidence: 52%

“…However, our study is limited by inability to validate self-reported condom use as we did not test for any STI other than HIV. HIV infection was present in only 10% of participants and was not related to consistent condom use with clients, as previously reported (Todd et al, 2006). In a separate analysis, drug use was common within this group of FSW and drug-related behaviors, particularly injecting drug use, were strong predictors of HIV infection (Todd et al, 2006).…”

Section: Discussionsupporting

confidence: 52%

“…Recent STI outbreaks in Uzbekistan and another Central Asian Republic, Kyrgyzstan, have been linked to sex work (Buckley et al, 2004;Nurgazieva, 1999). We have reported a 10% HIV prevalence among this group of FSW in Tashkent, indicating their potential role in extending the HIV epidemic in Uzbekistan (Todd et al, 2006). The purpose of this paper is to examine condom use and HIV testing utilization among FSW in Tashkent, Uzbekistan.…”

Section: Introductionmentioning

confidence: 97%

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Prevalence and Correlates of Condom Use and HIV Testing Among Female Sex Workers in Tashkent, Uzbekistan: Implications for HIV Transmission

et al. 2006

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Little is known about sex work in Tashkent, Uzbekistan, despite rapid increases in HIV infection. Consistent client condom use and prior HIV testing are described among 448 female sex workers (FSW) completing a self-administered questionnaire, health provider interview, and HIV testing between April 2003 and March 2004. Participants were recruited through outreach workers using modified snowball sampling. Consistent client condom use was more likely for FSW who were married, knew condoms prevent HIV, and from countries in south Central Asia. Prior HIV testing was less likely for FSW younger than 21 years, who shared drugs with clients, initiated sex work at 18 years or less and had engaged in sex work less than 2 years. Low rates of condom use, particularly by those with risky drug behaviors, indicate that targeted risk-reduction interventions are urgently needed.

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Section: Discussionsupporting

confidence: 52%

Section: Discussionsupporting

confidence: 52%

Section: Introductionmentioning

confidence: 97%

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Prevalence and Correlates of Condom Use and HIV Testing Among Female Sex Workers in Tashkent, Uzbekistan: Implications for HIV Transmission

et al. 2006

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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: 62%

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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“…One of the gender effects associated with IDU is indirect sex work associated with "sex for drugs" a particularly high risk activity (32,42). Indeed there is good evidence that it is often the injecting behaviour that is the predominant risk for HIV among CSW who are also IDU (29).…”

Section: Injection Drug Usementioning

confidence: 99%

The Social Determinants of HIV: A Review

Reidpath

Moyer

2008

SSRN Journal

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Prevalence and Correlates of Human Immunodeficiency Virus Infection Among Female Sex Workers in Tashkent, Uzbekistan

Abstract: Although injection drug use is the strongest correlate to HIV infection, sexual risk behaviors are independently related and should receive focus in prevention efforts targeted to this population.

Cited by 20 publications

References 25 publications

Prevalence and Correlates of Condom Use and HIV Testing Among Female Sex Workers in Tashkent, Uzbekistan: Implications for HIV Transmission

Prevalence and Correlates of Condom Use and HIV Testing Among Female Sex Workers in Tashkent, Uzbekistan: Implications for HIV Transmission

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

The Social Determinants of HIV: A Review

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