Vietnamese female sex workers in rural cross-border areas of Guangxi, China: migration and HIV/STI risk behaviors

Yu, Jun; Nehl, Eric J.; Dinh, Van Phu; Liang, Bingyu; Sơn, Nguyễn Văn; Donghua, Meng; Zhang, Yi; Jiang, Junjun; Huang, Jiegang; Ning, Chuanyi; Liao, Yulin; Chen, Hui; Zang, Ning; Chen, Rongfeng; Liu, Deping; Li, Ye; Liang, Hao

doi:10.1080/09540121.2020.1719968

Cited by 14 publications

(20 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The prevalence of syphilis infection among LCFSWs and CMFSWs in this study showed no signi cant difference. However, higher prevalence of HIV-1 infection was observed among CMFSWs (3.13%) than LCFSWs (0.72%) [21,22]. The prevalence of HIV-1 infection among LCFSWs in our study was higher than the national average in FSWs (0.60%) in China [11] as well as the general population (0.36%) [23].…”

Section: Discussioncontrasting

confidence: 66%

See 1 more Smart Citation

HIV-1 and Syphilis Prevalence Among Local Chinese and Cross-Border Migrant Female Sex Workers in Sino-Vietnam Border Cities in Guangxi, China: A Nine-Year Consecutive Cross-Sectional Study

Liang

Zhang

Wei³

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

Background To analyze the trends of HIV-1 and syphilis prevalence as well as associated factors among local Chinese female sex workers (LCFSWs) and cross-border migrant female sex workers (CMFSWs) in Sino-Vietnam border cities in Guangxi, China. Methods A consecutive cross-sectional study was conducted from 2010 to 2018 in three border cities in Guangxi. The survey was conducted through face-to-face interview with a structured questionnaire. HIV-1 and syphilis infections were tested simultaneously. Cochran-Armitage analysis was used to assess the trends of HIV-1, syphilis and HCV prevalence, as well as the trend of risk behaviors, HIV/AIDS knowledge and prevention services. Multivariate logistics regression analysis was used to identify factors associated with HIV-1 and syphilis infection.Results Totally, 19873 LCFSWs and 1723 CMFSWs were enrolled. The overall prevalence of HIV-1 and syphilis infection was 0.91% and 5.14%, respectively. The HIV-1 prevalence among CMFSWs was higher than that among LCFSWs, without a declined trend. However, a downward trend was observed among LCFSWs. Overall, the main associated factors of HIV-1 infection among CMFSWs shifted from age >35 years old, staying in current residence for >12 months, self-reporting of STIs in the last year during 2010-2015 to inconsistent condoms use in commercial sex in the past month, HCV infection, self-reporting of STIs in the last year during 2016-2018. The main correlated factors of syphilis infection among CMFSWs changed from staying in current residence for 6~12 months, self-reporting of STIs in the last year, HCV infection during 2010-2015 to low-tier working venues, self-reporting of STIs in the last year, sexing with commercial male clients who used aphrodisiac drugs during 2016-2018. For LCFSWs, the relative strong associated factors of HIV-1 infection shifted from primary school or illiterate education background, illicit drugs use during 2010-2015 to the marital status of unmarried/divorced/widowed, sexing with commercial male clients who use aphrodisiac drugs during 2016-2018, while the main factors of syphilis infection changed from self-reporting of STIs in the last year, illicit drug use during 2010-2015 to self-reporting of STIs in the last year, HCV infection during 2016-2018.Conclusions The relatively higher prevalence of HIV-1 infection and frequent risk behaviours among CMFSWs in border cities in Guangxi, indicating that CMFSWs is the high-risk population for HIV-1 infection and transmission in the region, and is the key population of HIV/AIDS prevention and control. Meanwhile, the change of HIV infection-associated risk factors over time suggests that HIV intervention strategies need to be changed accordingly.

show abstract

Section: Discussioncontrasting

confidence: 66%

“…Inconsistency in condoms use was common in CMFSWs from lowtier working venues who had insu cient HIV/AIDS-related knowledge [15]. High mobility in CMFSWs was independently associated with HIV-1 infection [21].…”

Section: Discussionmentioning

confidence: 99%

HIV-1 and Syphilis Prevalence Among Local Chinese and Cross-Border Migrant Female Sex Workers in Sino-Vietnam Border Cities in Guangxi, China: A Nine-Year Consecutive Cross-Sectional Study

Liang

Zhang

Wei³

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…The prevalence of syphilis infection among LCFSWs and CMFSWs in this study showed no signi cant difference. However, higher prevalence of HIV-1 infection was observed among CMFSWs (3.13%) than LCFSWs (0.72%) [22,23]. The prevalence of HIV-1 infection among LCFSWs in our study was higher than the national average in FSWs (0.60%) in China [11] as well as the general population (0.36%) [24].…”

Section: Discussioncontrasting

confidence: 66%

“…Inconsistency in condoms use was common in CMFSWs from low-tier working venues who had insu cient HIV/AIDS-related knowledge [15]. High mobility in CMFSWs was independently associated with HIV-1 infection [22].…”

Section: Discussionmentioning

confidence: 99%

HIV-1 and Syphilis Prevalence Among Local Chinese and Cross-border Migrant Female Sex Workers in Sino-Vietnam Border Cities in Guangxi, China: a Nine-year Consecutive Cross-sectional Study

Liang

Zhang

Wei³

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

Background To analyze the trends of HIV-1 and syphilis prevalence as well as associated factors among local Chinese female sex workers (LCFSWs) and cross-border migrant female sex workers (CMFSWs) in Sino-Vietnam border cities in Guangxi, China. Methods A consecutive cross-sectional study was conducted from 2010 to 2018 in three border cities in Guangxi. The survey was conducted through face-to-face interview with a structured questionnaire. HIV-1 and syphilis infections were tested simultaneously. Cochran-Armitage analysis was used to assess the trends of HIV-1, syphilis and HCV prevalence, as well as the trend of risk behaviors, HIV/AIDS knowledge and prevention services. Multivariate logistics regression analysis was used to identify factors associated with HIV-1 and syphilis infection.Results Totally, 19873 LCFSWs and 1723 CMFSWs were enrolled. The overall prevalence of HIV-1 and syphilis infection was 0.91% and 5.14%, respectively. The HIV-1 prevalence among CMFSWs was higher than that among LCFSWs, without a declined trend. However, a downward trend was observed among LCFSWs. Overall, the main associated factors of HIV-1 infection among CMFSWs shifted from age >35 years old, staying in current residence for >12 months, self-reporting sexually transmitted infections (STIs) in the last year during 2010-2015 to inconsistent condoms use in commercial sex in last month, not receiving peer education and self-reporting STIs in the last year during 2016-2018. The main correlated factors of syphilis infection among CMFSWs changed from history of illicit drug use, staying in current residence for more than 12 months, self-reporting of STIs and inconsistent condoms use in commercial sex in the past month during 2010-2015 to working in low-tier venues, self-reporting of STIs in the last year, and sexing with commercial male clients who used aphrodisiac drugs during 2016-2018. For LCFSWs, the relative strong associated factors of HIV-1 infection shifted from receiving less than 6 years of education, illicit drugs use, and self-reporting STIs in the last year during 2010-2015 to sexing with commercial male clients who use aphrodisiac drugs and self-reporting of STIs during 2016-2018, while the main factors of syphilis infection changed from self-reporting STIs in the last year, history of illicit drug use and receiving less than 9 years of education during 2010-2015 to self-reporting of STIs in the last year, sexing with commercial male clients who use aphrodisiac drugs, and history of illicit drugs use during 2016-2018.Conclusions The relatively higher prevalence of HIV-1 infection and frequent risk behaviours among CMFSWs in border cities in Guangxi, indicating that CMFSWs is the high-risk population for HIV-1 infection and transmission in the region, and is the key population of HIV/AIDS prevention and control. Meanwhile, the change of HIV infection-associated risk factors over time suggests that HIV intervention strategies need to be changed accordingly.

show abstract

“…The responses exhibit the torture and suffering these Tanzanian female commercial sex workers went through in their business regimen from their customers, intimate partners as well as community at large, this goes in line with so many published researches which depict hardship these commercial sex-workers pass through 1,13,25,37 . But at the same instance, other studies revealed number of reasons to which project these FCSW into suffering sexual assault which were not assessed in this study which is the status of immigration, majority of the assaulted commercial sex workers under the study done in China showed that is the state of not being inhabitant of a particular area 8,38 . Hence, the prevalence of sexual assault in Tanzania is very high which call for a serious attention as progression of these acts might further lead into violation of human rights, these assaults being the rst in East Africa followed by Kenya which is going behind other East Africa member countries 20 .…”

Section: Discussionmentioning

confidence: 65%

Prevalence of Sexual Assault and Use of Emergency Contraceptives Among Female Commercial Sex Workers in Dodoma city, Central Tanzania: A Cross-Sectional Study.

Eliufoo

Masubho²,

Moshi

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Female Commercial Sex Workers (FCSW) are in a constant risk of being abused by their customers or community. With the increased rate of unwanted pregnancies signify the problem in preventive measures and emergency contraception. This study aimed on assessing prevalence of sexual assault and use of emergency contraceptives among female commercial sex workers in Dodoma city, Tanzania. Methods A descriptive cross-sectional study was conducted to 326 female commercial sex workers with a snow ball sampling technique in 10 administrative wards of Dodoma city where by selection of 10 wards from 41 total wards was performed systematically through excel. Results Majority of study respondents 58% were aged between 21 to 31 years. More than a half (51.8%) had experienced sexual assault and majority (64.4%) had never used emergency contraceptives. There was significant relationship between use of emergency contraceptives with variable like ever being pregnant (p = 0.002), ever used drug (p < 0.001), level of education (p = 0.009) and ever heard about emergency contraceptives (p < 0.001). After adjusting for the confounders, the determinants of emergency contraceptives use among female commercial sex workers were level of education; ordinary secondary education (AOR = 0.373 at 95% CI = 0.158–0.878, p = 0.024), College level of education (AOR = 0.131 at 95% CI = 0.036–0.469, p = 0.002), ever used drug (AOR = 0.197 at 95% CI = 0.197–0.608, p < 0.001) and ever heard about emergency contraceptives (AOR = 6.2 at 95% CI = 3.443–11.17,p < 0.001). Conclusion FCSW suffer a significant sexual assault which most of them are afraid to report these assaults basing on the nature of worker being illegal. Most of them heard about emergency contraceptives but few of them are consuming them in their protection against unwanted and unplanned pregnancy.

show abstract

Vietnamese female sex workers in rural cross-border areas of Guangxi, China: migration and HIV/STI risk behaviors

Cited by 14 publications

References 44 publications

HIV-1 and Syphilis Prevalence Among Local Chinese and Cross-Border Migrant Female Sex Workers in Sino-Vietnam Border Cities in Guangxi, China: A Nine-Year Consecutive Cross-Sectional Study

HIV-1 and Syphilis Prevalence Among Local Chinese and Cross-Border Migrant Female Sex Workers in Sino-Vietnam Border Cities in Guangxi, China: A Nine-Year Consecutive Cross-Sectional Study

HIV-1 and Syphilis Prevalence Among Local Chinese and Cross-border Migrant Female Sex Workers in Sino-Vietnam Border Cities in Guangxi, China: a Nine-year Consecutive Cross-sectional Study

Prevalence of Sexual Assault and Use of Emergency Contraceptives Among Female Commercial Sex Workers in Dodoma city, Central Tanzania: A Cross-Sectional Study.

Contact Info

Product

Resources

About