HIV Risk Behaviors among Female Sex Workers Using Cell Phone for Client Solicitation in India
- *Corresponding Author:
- Bidhubhusan Mahapatra
HIV & AIDS Program
142, Golf Links, 1st floor
New Delhi, India-110003
E-mail: [email protected], [email protected]
Received Date: May 23, 2012; Accepted Date: July 11, 2012; Published Date: July 14, 2012
Citation: Mahapatra B, Saggurti N, Halli SS, Jain AK (2012) HIV Risk Behaviors among Female Sex Workers Using Cell Phone for Client Solicitation in India. J AIDS Clinic Res S1:014. doi:10.4172/2155-6113.S1-014
Copyright: © 2012 Mahapatra B, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: With the emerging technological revolution in India, the use of cell phone among female sex workers (FSWs) for client solicitation has increased rapidly in the recent past. This study examines the association between FSWs’ cell phone use and their HIV risk behaviors. Methods: Data were drawn from a cross-sectional behavioral survey conducted across 22 districts of southern and western India during 2007-08. The analytical sample consisted of 3028 FSWs. Bivariate and multivariate methods were used to examine the association between use of cell phone and HIV risk behaviors. Results: One-fourth (25%) FSWs used cell phones to solicit clients. Results from the multivariate analyses suggest that FSWs who use cell phones than those who do not use cell phones, were more likely to report inconsistent condom use with occasional clients (Adjusted Odds Ratio (AOR):1.9, 95% confidence interval (CI):1.5- 2.3), inconsistent condom use with regular clients (AOR:1.6, 95% CI:1.3-2.0), experience of STI-related symptoms (AOR:2.4, 95% CI:1.9-3.1), consumption of alcohol prior to sex (AOR:1.7, 95% CI:1.4-2.0) and difficulty in negotiating condom use with clients (AOR:2.1, 95% CI:1.7-2.6). Except for home-based, the use of cell phone had a multifold effect on FSWs’ HIV risk behaviors in other typologies of sex work. Conclusion: Use of cell phone is associated with increased HIV risk behaviors among FSWs, independent of their place of solicitation. These findings document the need for developing new strategies to reach FSWs, particularly those who use cell phones or newer technologies for client solicitation.