Details:

Alternative Title:
Sex Transm Infect
Publisher's site:
http://dx.doi.org/10.1136/sextrans-2015-052173
Personal Author:
Han, Lifeng ; Zhou, Chu ; Li, Zhijun ; Poon, Adrienne N ; Rou, Keming ; ... More +
Han, Lifeng ; Zhou, Chu ; Li, Zhijun ; Poon, Adrienne N ; Rou, Keming ; Fuller, Serena ; Li, Yan ; Shen, Limei ; Kang, Dianmin ; Huang, Lu ; Liao, Meizhen ; Fu, Xiaobing ; Shepard, Colin ; Wu, Zunyou ; Bulterys, Marc Less -
Description:
Objectives

To better understand risk behaviours and factors associated with low-fee female sex workers (FSW) and support HIV/sexually transmitted infections (STI) epidemic control among this key population in China.

Methods

A cross-sectional study using convenience sampling to recruit 1487 eligible low-fee and medium-fee FSW was conducted in 2012 in three provinces. The participants were interviewed using a structured questionnaire and tested for HIV-1, herpes simplex virus (HSV)-2 and syphilis antibody. Log-binomial modelling was used to estimate prevalence ratios (PR) and examine factors associated with low-fee sex work.

Results

Prevalence of HIV-1, syphilis and HSV-2 antibody positive were 0.5%, 4.8% and 27.8%, respectively. Low-fee FSW were more likely to have HSV-2 infection (adjusted prevalence ratio (APR)=1.3, 95% CI 1.1 to 1.7), but not more likely to have HIV-1 and syphilis infection compared with medium-fee FSW. Compared with medium-fee FSW, low-fee FSW were more likely to be ≥35 years of age (APR=2.1, 95% CI 1.3 to 3.6), engage in sex work ≥6 days/per week (APR=1.7, 95% CI 1.2 to 2.6), have ≥3 clients per day (APR=2.2, 95% CI 1.5 to 3.3), have clients decide condom use (APR=1.6, 95% CI 1.1 to 2.3), fail to persuade clients to use condoms (APR=1.6, 95% CI 1.1 to 2.6), express willingness to have unprotected sex in return for receipt of a higher fee (APR=1.8, 95% CI 1.2 to 2.8), have had genital symptoms in the past year (APR=1.4, 95% CI 1.1 to 1.8) and have migrated from another city.

Conclusions

Low-fee FSW in China have unique risks for acquiring HIV/STI, in part due to greater economic pressures. Tailored interventions targeting low-fee FSW and incorporating their prevailing perception of HIV/STI risks and condom use negotiation challenges that they face are urgently needed.


Subjects:
[+]
Adolescent Adult Age Factors Article China Coinfection Condoms Cross-Sectional Studies Female HIV Infections Humans Middle Aged Prevalence Risk Factors Sexually Transmitted Diseases Sex Workers Socioeconomic Factors Young Adult
Source:
Sex Transm Infect. 92(4):309-315
Pubmed ID:
26474599
Pubmed Central ID:
PMC5991977
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHSUnited States/ ; U2G PS001188/PS/NCHHSTP CDC HHSUnited States/ ; PEPFAR/PEPFARUnited States/
CC999999/Intramural CDC HHSUnited States/ ; U2G PS001188/PS/NCHHSTP CDC HHSUnited States/ ; PEPFAR/PEPFARUnited States/ Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:a84edf206e0de07cfaf17c899a5a072f727dbe7c66baef9bab8175c6df213d41
Download URL:
https://stacks.cdc.gov/view/cdc/55686/cdc_55686_DS1.pdf
File Type:

Supporting Files

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