Trends in risk behaviors among female sex workers in south India: Priorities for sustaining the reversal of HIV epidemic

Charles, Bimal; Jeyaseelan, Lakshmanan; Sam, Asirvatham Edwin; Pandian, Arvind Kumar; Mani, Thenmozhi; Jeyaseelan, Visalakshi

doi:10.1080/09540121.2012.752562

Cited by 8 publications

(6 citation statements)

References 22 publications

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“…A study from India assessing risk behaviors among sex workers suggested that illiterate sex workers were 1.6 times more likely to have STI symptoms and be involved in risky sexual behaviors compared to literate sex workers. 23 Another study from Tanzania found condom use was positively associated with increasing education levels. 24 Regarding self-reported reasons for not using condoms, all KP groups indicated high rates to the categories of "I trust the client", "Condoms were not available", and "Under the influence of drugs/alcohol".…”

Section: Discussionmentioning

confidence: 99%

“…6,9,17 Studies suggest that condom use among FSWs may differ between consistent partners and shorter-term paying clients. 6,9,23,25,26 In a study from South Africa, FSW avoided condoms with personal sex partners due to the negative symbolism of condoms representing disease, infidelity, and mistrust. 26 Another study assessing partner type and condom use among FSW reported that romance facilitates poor condom use, as condom use was perceived as unattractive.…”

Section: Discussionmentioning

confidence: 99%

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Barriers to condom use among key populations in Namibia

et al. 2019

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Key populations (KPs), particularly female sex workers (FSWs) and men who have sex with men (MSM), are at increased risk for HIV. Namibia is a global priority for HIV prevention interventions. Marginalized communities must be provided effective and culturally appropriate means to prevent HIV, namely condom use. This cross-sectional analysis of data collected by The Society for Family Health was conducted from 2016 to 2017 in Namibia. Demographics and consistent condom use (CCU) barriers were analyzed among 621 FSWs, MSM, and Other KPs. From the data, 37% FSWs, 24% MSM, and 28% Other KPs were HIV-positive. One-quarter of FSWs and Other KPs reported CCU, while 46% MSM reported CCU. Consistent condom users were more likely to be HIV-negative, have achieved a higher education and use condom-compatible lubricant (CCL). In a multivariate model, higher education, being HIV-negative, and always using CCL remained independent correlates of CCU. Substance use and condom unavailability were the most commonly identified barriers to CCU. FSWs reported client-focused reasons for not using condoms. To the best of our knowledge, this is the first peer-reviewed study assessing condom use behavior and associated factors among FSWs and MSM in Namibia.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Barriers to condom use among key populations in Namibia

et al. 2019

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“…Alternatively, living with intimate partners may add to sex workers' debt burdens and economic insecurity and increase the violence in their lives (Reed et al 2010), constraining their capacity to practice condom use with clients. The secret or hidden condition of some women's sex work and the need to prevent intimate partners from discovering it contribute to the importance of separating work and private relations (Charles et al 2013), constraining condom use practice with those intimate partners. At the same time, many sex workers' private partnerships begin through their sex work, and distinguishing these relations from commercial relations takes on more importance as they evolve, also constraining condom use practice (Shaw and Pillai 2012).…”

Section: Structural Relations Of Domestic Settings Instituted In Housmentioning

confidence: 99%

Gender and Sexual Practice in Structural Context: Condom Use among Women Doing Sex Work in Southern India

Danner

Fort²,

Blankenship

2018

Gender & Society

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condom use among Women doing sex Work in southern india Gay younG american university, uSa Mona j. E. DannEr old Dominion university, uSa Lucía fort Independent Gender & Development consultant, uSa KIM M. BLanKEnShIp american university, uSa In this study, we elaborate connections among gender, structure, and practice to suggest how social structural relations shape social sexual practice and, in the process, reshape gender relations. using survey data from a study of a community mobilization intervention, we investigate the connection between institutional arrangements and condom use practice in sexual encounters with commercial clients and intimate partners among 410 women engaged in sex trade in a semiurban town in southern India. Multinomial logistic regression analysis uncovers the effects of 16 measures of gendered structural relations in three contexts-livelihood resources, household circumstances, and community mobilization intervention priorities. We compare women who practice either consistent or inconsistent condom use with both clients and partners with a reference group of women who practice consistent condom use with clients but not with partners. results reveal the importance of household and community relations for consistent safer sex practice over and above the organization of sex trade. our analysis advances gender theory in two interrelated ways: We contribute to gender theorizing in the implementation of health AUTHORS' NOTE: this work was supported by the Bill & Melinda Gates foundation (BMGf) (Grant no. opp30183; pI K. Blankenship). the views expressed herein are those of the authors and do not necessarily reflect official policy or position of BMGf. correspondence concerning this article should be addressed to Gay young, american university,

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“…4,5 However, as women of reproductive age, FSWs also have reproductive needs, fertility intentions and children. The same behaviors that place FSWs at risk for HIV and STIs can also place them at risk for unwanted pregnancy, but only a small body of literature has considered their reproductive health such as pregnancy histories and contraceptive use.…”

Section: Introductionmentioning

confidence: 99%

Motherhood and Risk for Human Immunodeficiency Virus/Sexually Transmitted Infections Among Female Sex Workers in the Mexico-US Border Region

Servin¹,

Reed

Brouwer³

et al. 2017

Sexual Trans Dis

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Background Globally, female sex workers (FSWs) have been identified as a high-risk group for HIV and sexually transmitted infections (STIs). However, as women of reproductive age, FSWs also have children. Few studies have investigated if financial responsibilities associated with motherhood increase women’s vulnerability to HIV and STIs among FSWs. Methods From March 2013 to March 2014, 603 FSWs ≥18 years of age were recruited from Tijuana and Ciudad Juarez (Mexico) to participate in a study assessing HIV/STI risk environments. Results Findings from logistic regression models indicate that FSWs who reported motherhood were more likely to report (in the past 30 days): a higher client volume (>30 clients) (adjusted odds ratio [AOR]= 1.91; 95% confidence interval (CI) 1.27–2.87) and always using alcohol right before or during sex with clients in the past 30 days (AOR=1.77; 95%CI 1.19–2.61). In contrast, they were more likely to report consistent condom use for vaginal or anal sex with clients (AOR-1.68; 95% CI 1.10–2.55), less likely to report using drugs right before or during sex with clients (AOR=0.38; 95%CI 0.26–0.56) and less likely to have tested positive for STIs at baseline (AOR=0.63; 95% CI: 0.43–0.91). Conclusions These results provide a glimpse of the complex relationship between motherhood and women who are sex workers. Understanding the convergence of motherhood and sex work and how this can influence a woman’s decision when engaging in sex work and affect her health, is essential to designing effective programs addressing reduce risk for HIV and STIs among FSWs in this region and elsewhere.

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Trends in risk behaviors among female sex workers in south India: Priorities for sustaining the reversal of HIV epidemic

Cited by 8 publications

References 22 publications

Barriers to condom use among key populations in Namibia

Barriers to condom use among key populations in Namibia

Gender and Sexual Practice in Structural Context: Condom Use among Women Doing Sex Work in Southern India

Motherhood and Risk for Human Immunodeficiency Virus/Sexually Transmitted Infections Among Female Sex Workers in the Mexico-US Border Region

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