Young women who sell sex in Bangui, Central African Republic: a neglected group highly vulnerable to HIV

Abstract Background The objectives of this study were to determine the association between the vulnerability factors linked to human immunodeficiency virus (HIV) and other sexually transmitted infection among the young women who sell sex (YWSS) group (15–24 years) and adult sex workers, engaged in c...

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Veröffentlicht in:Journal of public health (Oxford, England) England), 2023-11, Vol.45 (4), p.e630-e638
Hauptverfasser: Longo, Jean de Dieu, Woromogo, Sylvain Honoré, Diemer, Henri Saint-Calvaire, Tekpa, Gaspard, Nambei, Wilfrid Sylvain, Grésenguet, Gérard
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container_end_page e638
container_issue 4
container_start_page e630
container_title Journal of public health (Oxford, England)
container_volume 45
creator Longo, Jean de Dieu
Woromogo, Sylvain Honoré
Diemer, Henri Saint-Calvaire
Tekpa, Gaspard
Nambei, Wilfrid Sylvain
Grésenguet, Gérard
description Abstract Background The objectives of this study were to determine the association between the vulnerability factors linked to human immunodeficiency virus (HIV) and other sexually transmitted infection among the young women who sell sex (YWSS) group (15–24 years) and adult sex workers, engaged in consensual sex for money (AFSW). Methods A cross-sectional study was conducted among AFSW involved in commercial sex transactions. Prevalence ratios (PR) analysis was carried out using log-binomial regression model. Results The prevalence of HIV-1 was 29.4% among YWSS compared to 19.6% among female sex worker (PR = 1.43 [1.07–1.91]). Consistent condoms use last 3 months were very low at 22.3% and 41.2%, respectively (PR = 0.52 [0.37–0.74]), the low education level among YWSS versus AFSW (PR = 0.55 [0.40–0.76]); YWSS having been a victim of sexual violence in the last 12 months (PR = 2.00 [1.52–2.63]), were also more likely to be HIV positive. Conclusions The YWSS had a high prevalence of HIV, experienced other socioeconomic vulnerabilities and remain a key population for comprehensive HIV programs. To reach all YWSS, programs need to consider many outreach programs and address the shared determinants of HIV risk.
doi_str_mv 10.1093/pubmed/fdad130
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Methods A cross-sectional study was conducted among AFSW involved in commercial sex transactions. Prevalence ratios (PR) analysis was carried out using log-binomial regression model. Results The prevalence of HIV-1 was 29.4% among YWSS compared to 19.6% among female sex worker (PR = 1.43 [1.07–1.91]). Consistent condoms use last 3 months were very low at 22.3% and 41.2%, respectively (PR = 0.52 [0.37–0.74]), the low education level among YWSS versus AFSW (PR = 0.55 [0.40–0.76]); YWSS having been a victim of sexual violence in the last 12 months (PR = 2.00 [1.52–2.63]), were also more likely to be HIV positive. Conclusions The YWSS had a high prevalence of HIV, experienced other socioeconomic vulnerabilities and remain a key population for comprehensive HIV programs. To reach all YWSS, programs need to consider many outreach programs and address the shared determinants of HIV risk.</description><identifier>ISSN: 1741-3842</identifier><identifier>ISSN: 1741-3850</identifier><identifier>EISSN: 1741-3850</identifier><identifier>DOI: 10.1093/pubmed/fdad130</identifier><identifier>PMID: 37477242</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Adult ; Central African Republic - epidemiology ; Condoms ; Cross-Sectional Studies ; Female ; HIV ; HIV Infections - epidemiology ; Humans ; Sex Work ; Sex Workers ; Sexual Behavior</subject><ispartof>Journal of public health (Oxford, England), 2023-11, Vol.45 (4), p.e630-e638</ispartof><rights>The Author(s) 2023. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2023</rights><rights>The Author(s) 2023. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. 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Methods A cross-sectional study was conducted among AFSW involved in commercial sex transactions. Prevalence ratios (PR) analysis was carried out using log-binomial regression model. Results The prevalence of HIV-1 was 29.4% among YWSS compared to 19.6% among female sex worker (PR = 1.43 [1.07–1.91]). Consistent condoms use last 3 months were very low at 22.3% and 41.2%, respectively (PR = 0.52 [0.37–0.74]), the low education level among YWSS versus AFSW (PR = 0.55 [0.40–0.76]); YWSS having been a victim of sexual violence in the last 12 months (PR = 2.00 [1.52–2.63]), were also more likely to be HIV positive. Conclusions The YWSS had a high prevalence of HIV, experienced other socioeconomic vulnerabilities and remain a key population for comprehensive HIV programs. 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Methods A cross-sectional study was conducted among AFSW involved in commercial sex transactions. Prevalence ratios (PR) analysis was carried out using log-binomial regression model. Results The prevalence of HIV-1 was 29.4% among YWSS compared to 19.6% among female sex worker (PR = 1.43 [1.07–1.91]). Consistent condoms use last 3 months were very low at 22.3% and 41.2%, respectively (PR = 0.52 [0.37–0.74]), the low education level among YWSS versus AFSW (PR = 0.55 [0.40–0.76]); YWSS having been a victim of sexual violence in the last 12 months (PR = 2.00 [1.52–2.63]), were also more likely to be HIV positive. Conclusions The YWSS had a high prevalence of HIV, experienced other socioeconomic vulnerabilities and remain a key population for comprehensive HIV programs. To reach all YWSS, programs need to consider many outreach programs and address the shared determinants of HIV risk.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>37477242</pmid><doi>10.1093/pubmed/fdad130</doi><orcidid>https://orcid.org/0000-0002-4459-0597</orcidid></addata></record>
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subjects Adult
Central African Republic - epidemiology
Condoms
Cross-Sectional Studies
Female
HIV
HIV Infections - epidemiology
Humans
Sex Work
Sex Workers
Sexual Behavior
title Young women who sell sex in Bangui, Central African Republic: a neglected group highly vulnerable to HIV
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