The Socio-Demographic Characteristics of the Clients of Female Sex Workers and their Perspectives, Behaviours and Attitude on HIV and AIDS: A Questionnaire Based Survey from Pokhara, Nepal

Rana, Manu; Nepali, Bobin; Sathian, Brijesh; Aryal, Ram Prasad; Thapalia, Madav; Bhatta, Dharm Raj

doi:10.7860/jcdr/2012/4391.2683

Cited by 4 publications

(4 citation statements)

References 12 publications

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“…As already confirmed by literature studies a high level of education has been observed among study group and the result also confirmed that high education trend to have a high perception and have a low risk of HIV/AIDs infection [32] [33] [34]. Previous studies also confirmed that CFSWs with high HIV knowledge perceived themselves at lower risk for HIV infection [35] [36].…”

Section: Discussionsupporting

confidence: 83%

HIV/AIDs Risk Perception and Sexual Behavior among Commercial Female Sex Worker in Thailand

Surit¹,

Yasothornsrikul²,

Mitkitti³

2022

WJA

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Background: Commercial female sex workers (CFSWs) are considered a high-risk group for HIV/AIDs. The prevalence of HIV/AIDs trends to increase among those groups also in Thailand. An adequate perception of the degree to which one is at risk of having HIV is necessary for behavioral change and of safe behaviors. HIV/AIDs risk perception among CFSWs was needed to reduce HIV/AIDs infection. Methods: A cross-sectional study was conducted among 141 CFSWs in Bangkok, Thailand. Participants were selected using convenient and purposive sampling methods for January to October 2019. Self-access questionnaire was used for collecting data with the reliability testing of 0.82. Logistic regression employed to identify adjusted odd ratio between demographic data, sexual behaviors and HIV/AIDs risk perception, p-value less than 0.05 was considered statistically significant. Results: 51.77% of CFSWs perceived themselves at high risk for HIV/AIDs infection. Most CFSWs reported that they did not consistently use condom (57.45%), factors associated with perception risk of HIV/AIDs including education level (adjusted OR = 2.23, 95% CI = 1.07 -4.54), knowledge of HIV and STDs (adjusted OR = 3.65 and 3.22. 95% CI = 1.89 -3.91), Condom use (adjusted OR = 2.56, 95% CI = 1.05 -2.90) years engaged in sex work, age of initiating in sex work, frequency of sex work in the last month and unplanned sex work were significant with risk perception of HIV/AIDs (adjusted OR = 3.33, 2.71, 2.67,, and had HIV/STDs test (adjusted OR = 3.22, 95% CI = 2.11 -3.95). Other used illicit drugs by injection, smoking and alcohol consumption had a strong association with the high perception of HIV/AIDs among CFSWs. Conclusion: Majority of CFSWs with risky sexual behaviors had a How to cite this paper: Surit, P., Yasothornsrikul, S. and Mitkitti, R.

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Section: Discussionsupporting

confidence: 83%

HIV/AIDs Risk Perception and Sexual Behavior among Commercial Female Sex Worker in Thailand

Surit¹,

Yasothornsrikul²,

Mitkitti³

2022

WJA

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“…Consistent with prior reports, 15 , 25 Nepali men’s use of FSWs varied considerably across educational, economic, and marital status categories: men with higher educational and better economic status, and divorced men reported higher rates of sexual contact with FSWs. Although the overall prevalence of Nepali men’s use of FSWs was low, it was concentrated among these specific groups, signifying the potential effectiveness of specifically tailored interventions.…”

Section: Discussionsupporting

confidence: 82%

“…Research to date has revealed that the use of FSWs in Nepal may be common among truck drivers and migrant workers, and often involves young men. 15 – 17 These studies were focused primarily among higher risk groups (eg, transport workers, construction workers, and returnee migrant workers). 9 , 15 , 17 Hence, the degree to which this issue persists in the general population remains unclear.…”

Section: Introductionmentioning

confidence: 99%

“… 15 – 17 These studies were focused primarily among higher risk groups (eg, transport workers, construction workers, and returnee migrant workers). 9 , 15 , 17 Hence, the degree to which this issue persists in the general population remains unclear. Furthermore, no population-based studies conducted till date have investigated either the prevalence or correlates of Nepali men’s use of FSWs and its link with gender ideologies and STIs/HIV-related risk behaviors.…”

Section: Introductionmentioning

confidence: 99%

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The Use of Female Sex Workers Among Men in Nepal: Prevalence, STIs/HIV-Related Risk Behaviors, and Gender Ideology

Shrestha

Karki

Copenhaver

2016

Primary Prevention Insights

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Heterosexual sex involving female sex workers (FSWs) is widely documented for its role in facilitating the spread of sexually transmitted infections (STIs)/HIV. Critical to such studies, and increasingly considered essential to HIV prevention efforts, is the gender constructs and power dynamics within relationships. However, little efforts have been made, which focus on male clients of FSWs, particularly on the relationship between gender ideologies and men’s sexual contact with FSWs, within the Nepali context. The present study aims to fill this critical gap by assessing the prevalence of use of FSWs and its association with STIs/HIV-related risk behaviors and gender ideologies among Nepali men. We used data from the nationally representative Nepal Demographic Health Survey (NDHS) 2011. For the purpose of analyses, we included a sample of 4,121 men, aged 15–49 years. During data analyses, we used multivariate logistic regression models, adjusted for the following variables: age, region, residence, religion, educational level, wealth index, employment status, and cigarette smoking status. Of the total sample, approximately 5% reported the use of FSWs in their lifetime. In regression models, men who had sex with FSWs were more likely to report a history of STIs [adjusted odds ratio (aOR): 3.03; 95% confidence interval (CI): 1.69–5.43; P < 0.001], not using condom all the time (aOR: 1.31; 95% CI: 1.05–2.12; P = 0.010), more than one sexual partner (aOR: 3.75; 95% CI: 2.18–5.23; P < 0.001), and have had early sexual debut (aOR: 2.60; 95% CI: 1.85–3.67; P < 0.001). Respondents reporting the endorsement of violence against wives (aOR: 1.65; 95% CI: 1.01–2.84; P = 0.04) and male sexual entitlement (aOR: 1.63; 95% CI: 1.21–2.32; P = 0.001) were significantly more likely to report sexual contact with FSWs. Our findings highlight the need to develop and implement specifically tailored interventions toward male clients of FSWs, with a particular emphasis on promoting equitable gender roles and beliefs.

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Sharing Culture and Management of Sex Work Information on Mobile Phones by Female Sex Workers in Nepal: Implications for mHealth Practice and Research

Ranjit,

Basnyat,

Joshi

et al. 2024

Health Communication

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The Socio-Demographic Characteristics of the Clients of Female Sex Workers and their Perspectives, Behaviours and Attitude on HIV and AIDS: A Questionnaire Based Survey from Pokhara, Nepal

Cited by 4 publications

References 12 publications

HIV/AIDs Risk Perception and Sexual Behavior among Commercial Female Sex Worker in Thailand

HIV/AIDs Risk Perception and Sexual Behavior among Commercial Female Sex Worker in Thailand

The Use of Female Sex Workers Among Men in Nepal: Prevalence, STIs/HIV-Related Risk Behaviors, and Gender Ideology

Sharing Culture and Management of Sex Work Information on Mobile Phones by Female Sex Workers in Nepal: Implications for mHealth Practice and Research

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