Rapid Assessment of HIV Risk Behavior in Drug Using Sex Workers in Three Cities in South Africa
A rapid assessment was undertaken with drug using commercial sex workers (CSWs) to investigate practices putting them at risk for contracting HIV. It included key informant (KI) (N = 67) and focus group (N = 10) interviews in locations with a high prevalence of drug use in Cape Town, Durban and Pret...
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| Veröffentlicht in: | AIDS and behavior 2009-10, Vol.13 (5), p.849-859 |
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| creator | Parry, Charles D. H. Dewing, Sarah Petersen, Petal Carney, Tara Needle, Richard Kroeger, Karen Treger, Latasha |
| description | A rapid assessment was undertaken with drug using commercial sex workers (CSWs) to investigate practices putting them at risk for contracting HIV. It included key informant (KI) (N = 67) and focus group (N = 10) interviews in locations with a high prevalence of drug use in Cape Town, Durban and Pretoria, South Africa. HIV testing of KIs was conducted. Cocaine, Ecstasy, heroin and methaqualone are used by CSWs prior to, during and after sex. Drugs enhance the sexual experience and prolong sex sessions. Interviews revealed inconsistent condom use among CSWs together with other risky sexual practices such as needle sharing. Among CSWs who agreed to HIV testing, 34% tested positive. Barriers to accessing drug treatment and HIV treatment and preventive services were identified. Interventions recognizing the role of drug abuse in HIV transmission should be prioritized, and issues of access to services, stigma and power relations must be considered. |
| doi_str_mv | 10.1007/s10461-008-9367-3 |
| format | Article |
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H. ; Dewing, Sarah ; Petersen, Petal ; Carney, Tara ; Needle, Richard ; Kroeger, Karen ; Treger, Latasha</creator><creatorcontrib>Parry, Charles D. H. ; Dewing, Sarah ; Petersen, Petal ; Carney, Tara ; Needle, Richard ; Kroeger, Karen ; Treger, Latasha</creatorcontrib><description>A rapid assessment was undertaken with drug using commercial sex workers (CSWs) to investigate practices putting them at risk for contracting HIV. It included key informant (KI) (N = 67) and focus group (N = 10) interviews in locations with a high prevalence of drug use in Cape Town, Durban and Pretoria, South Africa. HIV testing of KIs was conducted. Cocaine, Ecstasy, heroin and methaqualone are used by CSWs prior to, during and after sex. Drugs enhance the sexual experience and prolong sex sessions. Interviews revealed inconsistent condom use among CSWs together with other risky sexual practices such as needle sharing. Among CSWs who agreed to HIV testing, 34% tested positive. Barriers to accessing drug treatment and HIV treatment and preventive services were identified. 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H.</creatorcontrib><creatorcontrib>Dewing, Sarah</creatorcontrib><creatorcontrib>Petersen, Petal</creatorcontrib><creatorcontrib>Carney, Tara</creatorcontrib><creatorcontrib>Needle, Richard</creatorcontrib><creatorcontrib>Kroeger, Karen</creatorcontrib><creatorcontrib>Treger, Latasha</creatorcontrib><title>Rapid Assessment of HIV Risk Behavior in Drug Using Sex Workers in Three Cities in South Africa</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><addtitle>AIDS Behav</addtitle><description>A rapid assessment was undertaken with drug using commercial sex workers (CSWs) to investigate practices putting them at risk for contracting HIV. It included key informant (KI) (N = 67) and focus group (N = 10) interviews in locations with a high prevalence of drug use in Cape Town, Durban and Pretoria, South Africa. HIV testing of KIs was conducted. Cocaine, Ecstasy, heroin and methaqualone are used by CSWs prior to, during and after sex. Drugs enhance the sexual experience and prolong sex sessions. Interviews revealed inconsistent condom use among CSWs together with other risky sexual practices such as needle sharing. Among CSWs who agreed to HIV testing, 34% tested positive. Barriers to accessing drug treatment and HIV treatment and preventive services were identified. Interventions recognizing the role of drug abuse in HIV transmission should be prioritized, and issues of access to services, stigma and power relations must be considered.</description><subject>Acquired Immune Deficiency Syndrome</subject><subject>Addictive behaviors</subject><subject>Adolescent</subject><subject>Adult</subject><subject>AIDS</subject><subject>Cities</subject><subject>Cocaine</subject><subject>Disease transmission</subject><subject>Drug Abuse</subject><subject>Drug Users - statistics & numerical data</subject><subject>Female</subject><subject>Focus Groups</subject><subject>Health Care Utilization</subject><subject>Health Psychology</subject><subject>Health risks</subject><subject>Heroin</subject><subject>HIV</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - transmission</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious Diseases</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Prostitution</subject><subject>Public Health</subject><subject>Risk</subject><subject>Risk Factors</subject><subject>Risk taking</subject><subject>Sex industry</subject><subject>Sex Work - statistics & numerical data</subject><subject>Sexual behavior</subject><subject>Sexually transmitted diseases</subject><subject>South Africa</subject><subject>South Africa - epidemiology</subject><subject>STD</subject><subject>Surveys and Questionnaires</subject><subject>Treatment</subject><subject>Unsafe Sex</subject><subject>Young Adult</subject><issn>1090-7165</issn><issn>1573-3254</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkU1vEzEQhi1ERUvhB3BBFgc4LYy_7WNIgVaqhNQGOFrr3dnEbbKb2rsV_HscEqkSUuHkseaZdzR6CHnF4D0DMB8yA6lZBWArJ7SpxBNywpQRleBKPi01OKgM0-qYPM_5BgCcNu4ZOWZWcCkNnBB_VW9jS2c5Y84b7Ec6dPT84ju9ivmWfsRVfR-HRGNPz9K0pN9y7Jf0Gn_SH0O6xZR3ncUqIdJ5HCP--V8P07iisy7Fpn5Bjrp6nfHl4T0li8-fFvPz6vLrl4v57LJqpBBjFXRom2A7a5V0odZc86ZjzCmJWrV1wNAoo5k2QQVnW4AWoWmDaqFzTrfilLzbx27TcDdhHv0m5gbX67rHYcreSOWAc2f_TwoJ2mjLC_n2n6RmwmpndAHf_AXeDFPqy7meM8aVBQUFYnuoSUPOCTu_TXFTp1-egd_Z9Hubvtj0O5telJnXh-ApbLB9mDjoKwDfA7m0-iWmh82Pp_4GlpWoSg</recordid><startdate>20091001</startdate><enddate>20091001</enddate><creator>Parry, Charles D. 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Cocaine, Ecstasy, heroin and methaqualone are used by CSWs prior to, during and after sex. Drugs enhance the sexual experience and prolong sex sessions. Interviews revealed inconsistent condom use among CSWs together with other risky sexual practices such as needle sharing. Among CSWs who agreed to HIV testing, 34% tested positive. Barriers to accessing drug treatment and HIV treatment and preventive services were identified. Interventions recognizing the role of drug abuse in HIV transmission should be prioritized, and issues of access to services, stigma and power relations must be considered.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>18324470</pmid><doi>10.1007/s10461-008-9367-3</doi><tpages>11</tpages></addata></record> |
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| subjects | Acquired Immune Deficiency Syndrome Addictive behaviors Adolescent Adult AIDS Cities Cocaine Disease transmission Drug Abuse Drug Users - statistics & numerical data Female Focus Groups Health Care Utilization Health Psychology Health risks Heroin HIV HIV Infections - epidemiology HIV Infections - transmission Human immunodeficiency virus Humans Infectious Diseases Male Medicine Medicine & Public Health Middle Aged Original Paper Prostitution Public Health Risk Risk Factors Risk taking Sex industry Sex Work - statistics & numerical data Sexual behavior Sexually transmitted diseases South Africa South Africa - epidemiology STD Surveys and Questionnaires Treatment Unsafe Sex Young Adult |
| title | Rapid Assessment of HIV Risk Behavior in Drug Using Sex Workers in Three Cities in South Africa |
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