Sexual risk behaviors, HIV, and syphilis among female sex workers in Nepal

Kakchapati, Sampurna; Singh, Dipendra Raman; Rawal, Bir; Lim, Apiradee

doi:10.2147/hiv.s123928

Cited by 25 publications

(55 citation statements)

References 27 publications

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“…22 We further report those with an RPR titer ≥1:8, which has been shown to be associated with untreated syphilis. 23, 24 For eight participants, severe vascular scarring prevented venipuncture for sample collection so a rapid finger-stick test for detection of Treponema Pallidum antibody (Alere Determine Syphilis TP, Alere, Waltham, Massachusetts, USA) was used. Transgender women provided 15 mL first-catch urine and cisgender women provided self-collected vaginal swab for C. trachomatis and N. gonorrhoeae nucleic acid amplification tests (NAAT).…”

Section: Methodsmentioning

confidence: 99%

Prevalence of Human Immunodeficiency Virus and Sexually Transmitted Infections Among Cisgender and Transgender Women Sex Workers in Greater Kuala Lumpur, Malaysia: Results From a Respondent-Driven Sampling Study

Wickersham¹,

Gibson

Bazazi

et al. 2017

Sexual Trans Dis

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Background Sex workers face a disproportionate burden of HIV and sexually transmitted infections (STI) worldwide. For cisgender women sex workers (CWSW), global HIV prevalence is over 10%, while transgender women sex workers (TWSW) face an HIV burden of 19%–27%. Methods We used respondent-driven sampling to recruit 492 sex workers, including CWSW (n=299) and TWSW (n=193) in Greater Kuala Lumpur, Malaysia. Participants completed an in-depth survey and were screened for HIV, syphilis, Chlamydia trachomatis, and Neisseria gonorrhoeae. Sample characteristics stratified by gender identity and interview site are presented. Bivariate analyses comparing CWSW and TWSW were conducted using independent samples t-tests for continuous variables and chi-squared tests for categorical variables. Results Pooled HIV prevalence was high (11.7%; 95%CI 8.8–14.5), and was similar for CWSW (11.1%) and TWSW (12.4%). Rates of syphilis 25.5% (95%CI 21.6–29.5), C. trachomatis (14.8%; 95%CI 11.6–18.0) and N. gonorrhoeae (5.8%; 95%CI 3.7–7.9) were also concerning. Both groups reported lifetime HIV testing (62.4%), but CWSW were less likely to have ever been HIV tested (54.5%) than TWSW (74.6%). Median time since last HIV test was 24 months. Previous screening for STI was low. Inconsistent condom use and drug use during sex work were not uncommon. Conclusions High HIV and STI prevalence, coupled with infrequent HIV and STI screening, inconsistent condom use, and occupational drug use, underscore the need for expanded HIV and STI prevention, screening, and treatment efforts among CWSW and TWSW in Malaysia.

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Section: Methodsmentioning

confidence: 99%

Prevalence of Human Immunodeficiency Virus and Sexually Transmitted Infections Among Cisgender and Transgender Women Sex Workers in Greater Kuala Lumpur, Malaysia: Results From a Respondent-Driven Sampling Study

Wickersham¹,

Gibson

Bazazi

et al. 2017

Sexual Trans Dis

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“…Similarly, unprotected sex can be influenced by alcohol use, as it predisposes users to have multiple sexual partners and dispense with condoms [23,24].…”

Section: Limitationsmentioning

confidence: 99%

Sociodemographic and Behavioral Factors Associated with HIV Vulnerability according to Sexual Orientation

Serra

Milhomem

Oliveira

et al. 2020

AIDS Research and Treatment

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Objective. To analyze sociodemographic and behavioral factors associated with vulnerability to HIV according to sexual orientation. Method. is is a cross-sectional study conducted using data on 3,818 people in the city of Imperatriz, Brazil, during 2015 and 2016. e survey's questionnaires addressed sociodemographic and behavioral variables. For the data analysis, association (chi-square test) and strength of association (odds ratio) were observed. A significance level of 푝 < 0.05 and adjustment for age and gender were taken into consideration. Results. A substantial portion of the sample stated they were heterosexual (88.8%). ese individuals demonstrated a lower chance of HIV infection (푝 < 0.001), sexually transmitted infections (푝 < 0.001), alcohol use (푝 < 0.001) and condom use (푝 < 0.001), compared to men who have sex with men and/or bisexuals. In this group, a er adjusting for confounding variables, the factors associated with HIV infection were being male (푝 < 0.001), unmarried (푝 < 0.001), having completed higher education (푝 < 0.001) and boasting multiple sexual partners (푝 < 0.001). Conclusion. Behavioral and sociodemographic factors of vulnerability to HIV are predominant among men who have sex with men and/or are bisexual.

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“…Study conducted by the Department of Sexually Transmitted Infections, AIDS and Viral Hepatitis in ten Brazilian cities in 2009, with 2,523 female sex workers (FSWs), recorded 4.9% (124) cases of AIDS in this group (2) . These women are considered vulnerable to sexually transmitted Infections (STIs), due to risky behavior, such as the use of licit and illicit drugs, sexual intercourse without condoms, difficult health services accessibility, enhanced by social exclusion (3) .…”

Section: Introductionmentioning

confidence: 99%

Knowledge of sex workers about HIV/AIDS and its influence on sexual practices

et al. 2019

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Objective: assess the knowledge of sex workers about HIV/AIDS and its influence on sexual practices. Method: Ninety women participated in the study. The Scientific Knowledge Test about HIV/AIDS and sexual practices was used. The Wald test was applied to verify the relationship between knowledge and sexual practices with statistical significance of p<0.05. Results: the score of 61.7% of correct answers in all three dimensions stands out; 72.2% have sexual intercourse without a condom in exchange for a large amount of money; 53.3% have sex during the menstrual period; 62.2% have sexual intercourse with drug users; 75.6% have sex with clients showing lesions on the penis or anus. The B coefficient (-0.19) showed that the higher the knowledge about HIV/AIDS, the lower the practice of risky sexual behaviors. Conclusion: the influence of knowledge about HIV/AIDS on sexual practices was not statistically significant, but the sexual practices and insufficient knowledge about prevention, physiological and behavioral attributes were observed.

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Sexual risk behaviors, HIV, and syphilis among female sex workers in Nepal

Cited by 25 publications

References 27 publications

Prevalence of Human Immunodeficiency Virus and Sexually Transmitted Infections Among Cisgender and Transgender Women Sex Workers in Greater Kuala Lumpur, Malaysia: Results From a Respondent-Driven Sampling Study

Prevalence of Human Immunodeficiency Virus and Sexually Transmitted Infections Among Cisgender and Transgender Women Sex Workers in Greater Kuala Lumpur, Malaysia: Results From a Respondent-Driven Sampling Study

Sociodemographic and Behavioral Factors Associated with HIV Vulnerability according to Sexual Orientation

Knowledge of sex workers about HIV/AIDS and its influence on sexual practices

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