Factors associated with history of drug use among female sex workers FSW in a high HIV prevalence state of IndiaReportar como inadecuado




Factors associated with history of drug use among female sex workers FSW in a high HIV prevalence state of India - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

BMC Public Health

, 12:273

First Online: 05 April 2012Received: 03 February 2012Accepted: 05 April 2012DOI: 10.1186-1471-2458-12-273

Cite this article as: Medhi, G.K., Mahanta, J., Kermode, M. et al. BMC Public Health 2012 12: 273. doi:10.1186-1471-2458-12-273

Abstract

BackgroundThe intersection between illicit drug use and female commercial sex work has been identified as an important factor responsible for rising HIV prevalence among female sex workers FSW in several northeastern states of India. But, little is know about the factors associated with the use of drugs among FSWs in this region. The objective of the paper was to describe the factors associated with history of drug use among FSWs in Dimapur, an important commercial hub of Nagaland, which is a high HIV prevalence state of India.

MethodsFSWs were recruited using respondent driven sampling RDS, and were interviewed to collect data on socio-demographic characteristics and HIV risk behaviours. Biological samples were tested for HIV, syphilis gonorrhea and Chlamydia. Logistic regression analysis was performed to identify factors associated with drug use.

ResultsAmong the 426 FSWs in the study, about 25% n = 107 reported having ever used illicit drugs. Among 107 illicit drug users, 83 77.6% were non-injecting and 24 22.4% were injecting drug users. Drug-using FSWs were significantly more likely to test positive for one or more STIs 59% vs. 33.5%, active syphilis 27.1% vs. 11.4% and Chlamydia infection 30% vs. 19.9% compared to their non-drug using peers. Drug-using FSWs were also significantly more likely to be currently married, widowed or separated compared with non-drug-using FSWs. In multiple logistic regression analysis, being an alcohol user, being married, having a larger volume of clients, and having sexual partners who have ever used or shared injecting drugs were found to be independently associated with illicit drug use.

ConclusionsDrug-using FSWs were more vulnerable to STIs including HIV compared to their non-drug using peers. Several important factors associated with being an FSW who uses drugs were identified in this study and this knowledge can be used to plan more effectively targeted harm reduction strategies and programs.

KeywordsFSW Drug Use HIV STIs Condom Use  Download fulltext PDF



Autor: Gajendra Kumar Medhi - Jagadish Mahanta - Michelle Kermode - Ramesh S Paranjape - Rajatashuvra Adhikary - Sanjib Kumar Ph

Fuente: https://link.springer.com/







Documentos relacionados