Migration/mobility and risk factors for HIV among female sex workers in Andhra Pradesh, India: implications for HIV prevention

International Journal of STD & AIDS
Elizabeth ReedKim M Blankenship

Abstract

We examined the relation between high mobility/migration (sex work in three or more villages/towns within the past year) and HIV risk factors among a sample of female sex workers (FSWs) in Andhra Pradesh, India. We recruited FSWs aged ≥18 years (n = 673) through respondent-driven sampling for a survey on HIV risk. Adjusted logistic and linear regression models assessed high mobility in relation to sexual and physical victimization, sexually transmitted infection (STI) symptoms and treatment, condom use and negotiation, number and/or types of sex trades, number of clients and number of days worked. Twelve percent (n = 82) of FSWs were highly mobile; those with high mobility were more likely to report recent HIV risk factors: sexual violence (adjusted odds ratio [AOR] = 5.2; 95% confidence interval [CI]: 3.0-8.9), physical violence (AOR = 1.7; 95% CI: 1.1-2.7), unprotected sex for more money (AOR = 1.7; 95% CI: 1.1-3.0), at least one STI symptom (AOR = 1.9; 95% CI: 1.1-3.1), a greater number of vaginal sex trades (β = 3.9, P = 0.003), a greater number of clients (β = 2.5, P = 0.02) and anal sex with clients (AOR = 2.4; 95% CI: 1.4-4.1). Findings from this study underscore the violence and HIV-related vulnerability faced by mobile...Continue Reading

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Citations

Feb 28, 2014·Journal of Empirical Research on Human Research Ethics : JERHRE·Celia B Fisher
Feb 28, 2014·Journal of Empirical Research on Human Research Ethics : JERHRE·Elizabeth ReedCelia B Fisher
Mar 15, 2014·American Journal of Public Health·Kathleen N DeeringKate Shannon
Feb 21, 2013·Women & Health·Stevan WeineSana Loue
Dec 30, 2016·AIDS Care·Elizabeth ReedKaveh Khoshnood
Dec 25, 2015·The Journal of Family Planning and Reproductive Health Care·Elizabeth ReedKim M Blankenship
May 31, 2017·Medical Anthropology·Sandya Hewamanne
Jan 31, 2017·International Journal of STD & AIDS·Alison H NorrisJeannette R Ickovics
Mar 23, 2019·Sexual and Relationship Therapy : Journal of the British Association for Sexual and Relationship Therapy·Danielle A SawickiAdrienne J Heinz

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