Risky Behaviors among HIV-Positive Female Sex Workers in Northern Karnataka, India

Purpose. Little is known about the risky sexual behaviors of HIV-positive female sex workers (FSWs) in the developing world, which is critical for programmatic purposes. This study aims to shed light on their condom use with regular clients as well as husband/cohabiting partner, a first in India. Me...

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Main Authors: Apoorva Jadhav, Parinita Bhattacharjee, T. Raghavendra, James Blanchard, Stephen Moses, Shajy Isac, Shiva S. Halli
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:AIDS Research and Treatment
Online Access:http://dx.doi.org/10.1155/2013/878151
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author Apoorva Jadhav
Parinita Bhattacharjee
T. Raghavendra
James Blanchard
Stephen Moses
Shajy Isac
Shiva S. Halli
author_facet Apoorva Jadhav
Parinita Bhattacharjee
T. Raghavendra
James Blanchard
Stephen Moses
Shajy Isac
Shiva S. Halli
author_sort Apoorva Jadhav
collection DOAJ
description Purpose. Little is known about the risky sexual behaviors of HIV-positive female sex workers (FSWs) in the developing world, which is critical for programmatic purposes. This study aims to shed light on their condom use with regular clients as well as husband/cohabiting partner, a first in India. Methods. Multivariate logistic regression analyses for consistent condom use with regular clients and husband/cohabiting partner are conducted for the sample of 606 HIV-positive FSWs. Results. Older FSWs are 90% less likely and nonmobile FSWs are 70% less likely to consistently use condoms. FSWs on ART are 3.84 times more likely to use condoms. Additionally, FSWs who changed their occupation after HIV diagnosis are 70% less likely to use condoms. FSWs who are currently cohabiting are more likely to consistently use condoms with repeat clients and are 3.22 times more likely to do so if they have felt stigma associated with being HIV-positive. FSWs who have multiple repeat clients, and who do not know the sexual behavior of these clients, are more likely to use condoms consistently. Conclusion. This study would help inform programs to target the following particularly vulnerable HIV-positive FSWs: those who are older, those who changed their occupation post-HIV diagnosis, and those who are nonmobile.
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spelling doaj-art-084ce3a9fd3748ef8a4cdec14c9dd2aa2025-02-03T05:59:12ZengWileyAIDS Research and Treatment2090-12402090-12592013-01-01201310.1155/2013/878151878151Risky Behaviors among HIV-Positive Female Sex Workers in Northern Karnataka, IndiaApoorva Jadhav0Parinita Bhattacharjee1T. Raghavendra2James Blanchard3Stephen Moses4Shajy Isac5Shiva S. Halli6Population Studies Center, University of Pennsylvania, 3718 Locust Walk, 239 McNeil Building, Philadelphia, PA 19103, USAKarnataka Health Promotion Trust, Bangalore 560044, IndiaKarnataka Health Promotion Trust, Bangalore 560044, IndiaCentre for Global Public Health, University of Manitoba, Winnipeg MB, R3E 0T6, CanadaCentre for Global Public Health, University of Manitoba, Winnipeg MB, R3E 0T6, CanadaKarnataka Health Promotion Trust, Bangalore 560044, IndiaCentre for Global Public Health, University of Manitoba, Winnipeg MB, R3E 0T6, CanadaPurpose. Little is known about the risky sexual behaviors of HIV-positive female sex workers (FSWs) in the developing world, which is critical for programmatic purposes. This study aims to shed light on their condom use with regular clients as well as husband/cohabiting partner, a first in India. Methods. Multivariate logistic regression analyses for consistent condom use with regular clients and husband/cohabiting partner are conducted for the sample of 606 HIV-positive FSWs. Results. Older FSWs are 90% less likely and nonmobile FSWs are 70% less likely to consistently use condoms. FSWs on ART are 3.84 times more likely to use condoms. Additionally, FSWs who changed their occupation after HIV diagnosis are 70% less likely to use condoms. FSWs who are currently cohabiting are more likely to consistently use condoms with repeat clients and are 3.22 times more likely to do so if they have felt stigma associated with being HIV-positive. FSWs who have multiple repeat clients, and who do not know the sexual behavior of these clients, are more likely to use condoms consistently. Conclusion. This study would help inform programs to target the following particularly vulnerable HIV-positive FSWs: those who are older, those who changed their occupation post-HIV diagnosis, and those who are nonmobile.http://dx.doi.org/10.1155/2013/878151
spellingShingle Apoorva Jadhav
Parinita Bhattacharjee
T. Raghavendra
James Blanchard
Stephen Moses
Shajy Isac
Shiva S. Halli
Risky Behaviors among HIV-Positive Female Sex Workers in Northern Karnataka, India
AIDS Research and Treatment
title Risky Behaviors among HIV-Positive Female Sex Workers in Northern Karnataka, India
title_full Risky Behaviors among HIV-Positive Female Sex Workers in Northern Karnataka, India
title_fullStr Risky Behaviors among HIV-Positive Female Sex Workers in Northern Karnataka, India
title_full_unstemmed Risky Behaviors among HIV-Positive Female Sex Workers in Northern Karnataka, India
title_short Risky Behaviors among HIV-Positive Female Sex Workers in Northern Karnataka, India
title_sort risky behaviors among hiv positive female sex workers in northern karnataka india
url http://dx.doi.org/10.1155/2013/878151
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