Prevalence and predictors of HIV infection among female sex workers in Kaiyuan City, Yunnan Province, China

An article in the International Journal of Infectious Diseases (2009) 13, 162—169.

Background: Sexual transmission is the fastest growing route of HIV transmission in China. We undertook this study to describe the risk factors for HIV infection in female sex workers (FSWs), and to determine the commercial sex venues where FSWs are most at risk of being infected with or infecting others with HIV.

Methods: This was a cross-sectional study of 737 FSWs in Kaiyuan City, Yunnan Province in southern China, which took place from March to May 2006.

Factors Associated With HIV Testing History and HIV-Test Result Follow-up Among Female Sex Workers in Two Cities in Yunnan, China

An article in Sexually Transmitted Diseases, Volume 38, Number 2, February 2011.

Background: The majority of people living with HIV/AIDS in China are unaware of their serostatus, and increasing the utilization of HIV testing may help to control the epidemic.

The potential impact of an HIV vaccine with limited protection on HIV incidence in Thailand: A modeling study

The following is an abstract about the potential benefits of a HIV vaccine. It mentions 'risk compensation' which means abandoning condoms. It points out that mathmatical modelling shows that a partially effective vaccine may lead to increased HIV among sex workers if sex workers are less able to persuade clients to use condoms. The same is true of Prep and microbicides.

Evaluation of a targeted HIV prevention programme among female commercial sex workers in the south of Thailand

An article in Sex Transm Inf 1998; 74: 54-58.  

Objective: To evaluate a targeted HIV prevention programme among female commercial sex workers (CSWs) in the south of Thailand.

Bridging Populations—Sexual Risk Behaviors and HIV Prevalence in Clients and Partners of Female Sex Workers, Bangkok, Thailand 2007

Artcile in the Journal of Urban Health: Bulletin of the New York Academy of Medicine, Vol. 88, No. 3.
The aim of this study is to estimate HIV prevalence and assess sexual behaviors in a high-risk and difficult-to-reach population of clients of female sex workers (FSWs). A modified variation of respondent-driven sampling was conducted among FSWs in Bangkok, where FSWs recruited 3 FSW peers, 1 client, and 1 nonpaying partner.

Access to HIV testing for sex workers in Bangkok, Thailand: A high prevalence of HIV among street-based sex workers

Article in the South East Asian Journal of Tropical Medicine and Public Health, Vol 41 No. 1 January 2010.

HIV Prevalence and Risk Behaviors Among Male Clients of Female Sex Workers in Yunnan, China

Yunnan Province is one of the epicenters of the HIV
epidemic in China.8 HIV in Yunnan has primarily spread through injection drug use which is prevalent in the region due to its proximity to Southeast Asia’s Golden Triangle region of high opium production.9,10 Economic development has also led to a flourishing commercial sex industry. A number of studies have been conducted among female sex workers   in China, but little is known about their male clients due to the difficulty of identifying and recruiting them into studies.

HIV and STIs in Clients and Female Sex Workers in Mining Regions of Gejiu City, China

An article in Sexually Transmitted Diseases, June 2008, Vol. 35, No. 6, p.558–565.

This study aims to estimate HIV/STI prevalence and to identify HIV risk factors among FSWs and miner clients. It found among sex workers prevalences for HIV of 8.3%, Herpes simplex virus-2 70.8%, Syphilis 12.5%, Neisseria gonorrhoeae 36.8%, Chlamydia Trachomatis 46.3%, Trichomonas vaginalis 22.1%. 90.6% were infected with any STI. Illegal drug use was associated with HIV and 45.8% reported no condom use with the last client. In miner clients, HIV prevalence was 1.8%.

Condom Use Among Female Sex Workers in China: Role of Gatekeepers

Objective: The objective of this study was to assess the potential role of gatekeepers of establishments in promoting condom use among female sex workers (FSWs) in China.

The goals of this study were to explore FSWs’ perceptions of gatekeeper attitudes and support for condom use, and to assess their association with FSWs’ practice, communication, intention, proper use, knowledge of correct use, and perceptions related to condom use.

Study: The authors conducted a cross-sectional study among 454 establishment-based FSWs in one Chinese county. 

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