Author(s): Folch C, Casabona J, Sanclemente C, Esteve A, Gonzlez V Grupo HIVI
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Abstract OBJECTIVES: To describe trends in HIV prevalence, sexual risk behaviors and other sexual health indicators in female sex workers (SW) from 2005 to 2011. METHODS: Cross-sectional studies were conducted biennially among SW recruited in Catalonia (Spain) in the street, flats and clubs (n = 400). In addition to an anonymous questionnaire, oral fluid samples were collected to estimate HIV prevalence. Linear trends in proportions were assessed by the Mantel test. RESULTS: The percentage of SW who used condoms inconsistently with clients (past 6 months) increased from 5.1\% in 2005 to 9.9\% in 2011 (p = 0.005); this percentage also increased with steady partners (86.2\% in 2005 to 94.4\% in 2011, p = 0.002). The prevalence of self-reported sexually transmitted infections (STI) increased from 14\% in 2005 to 20.6\% in 2011 (p = 0.001). The prevalence of HIV held constant over the years (about 2\%), being higher in Spanish women (14.7\% in 2011). DISCUSSION: The prevalence of HIV in SW remained stable over the years, being higher in Spanish SW. The increase in unprotected sex and in the prevalence of self-reported STI among SW from 2005 to 2011 highlights a possible relaxation in preventive behaviors in this group. Interventions to reduce the transmission of these infections, as well as unwanted pregnancies, should continue in Catalonia in SW. Copyright © 2013 SESPAS. Published by Elsevier Espana. All rights reserved.
This article was published in Gac Sanit
and referenced in Health Care : Current Reviews