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Introduction

The objectives of this study are to develop a summary measure of risky sexual practice and examine the factors associated with this among female sex workers FSWs in Karnataka, India.

Materials and Methods

Data were drawn from special behavioral surveys SBS conducted in 2007 among 577 FSWs in two districts of Karnataka, India: Belgaum and Bangalore.
FSWs were recruited using the two-stage probability sampling design.
FSWs- sexual practice was considered risky if they reported inconsistent condom use with any sexual partner and reported experience of one of the following vulnerabilities to HIV risk: anal sex, alcohol consumption prior to sex and concurrent sexual relationships.

Results

About 51% of FSWs had engaged in risky sexual practice.
The odds of engaging in risky sex were higher among FSWs who were older 35+ years than younger 18–25 years 58% vs.
45%, Adjusted Odds Ratio AOR: 2.0, 95% confidence interval CI: 1.2–3.4, who were currently married than never married 61% vs.
51%, AOR: 4.8, 95% CI: 2.5–9.3, who were in sex work for 10+ years than those who were in sex work for less than five years 66% vs.
39%, AOR: 2.6, 95% CI: 1.6–4.2, and who had sex with 3+ clients-day than those who had sex with fewer clients 67% vs.
38%, AOR: 3.7, 95% CI:2.5–5.5.

Conclusion

FSWs who are older, currently married, practicing sex work for longer duration and with higher clientele were more likely to engage in risky sexual practices.
HIV prevention programs should develop strategies to reach these most-at risk group of FSWs to optimize the effectiveness of such programs.



Autor: Bidhubhusan Mahapatra , Catherine M.
Lowndes, Sanjay Kumar Mohanty, Kaveri Gurav, Banadakoppa M.
Ramesh, Stephen Moses, Reynold W


Fuente: http://plos.srce.hr/





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