HIV prevalence varies between female sex workers from different types of venues in southern China

Sex Transm Dis. 2012 Nov;39(11):868-70. doi: 10.1097/OLQ.0b013e318264c3ba.

Abstract

We conducted a cross-sectional study on prevalence of human immunodeficiency virus (HIV) and syphilis among female sex workers (FSWs) recruited from different types of venues in 6 cities in China. Among 5322 FSWs (1379 were from high-tier venues, 2482 from middle-tier venues, and 1461 from low-tier venues, respectively), overall HIV prevalence was 0.54% (95% confidence interval [CI], 0.37%- 0.76%). By typology of venues where FSWs solicited clients, the prevalence was 1.37% (95% CI, 0.89%-2.11%) in low-tier venues, 0.28% (95% CI, 0.14%- 0.58%) in middle-tier venues, and 0.07% (95% CI, 0.01%-0.41%) in high-tier venues. The final logistic regression model showed an association of having had HIV infection with working in low-tier venues (adjusted odds ratio 2.73; 95% CI, 1.12-6.67) and coming from Guangxi Province (adjusted odds ratio, 7.89; 95% CI, 1.65-37.64). It can be concluded that FSWs working in low-tier venues (on the streets or public outdoor places) had higher risk of HIV infection than other venues. Such subgroup of FSWs should be efficiently covered by the current HIV/STD surveillance and intervention programs in China.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • China / epidemiology
  • Cross-Sectional Studies
  • Drug Users / statistics & numerical data*
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • HIV Seropositivity / epidemiology*
  • HIV Seropositivity / transmission
  • Humans
  • Logistic Models
  • Middle Aged
  • Prevalence
  • Risk Factors
  • Sex Workers / statistics & numerical data*
  • Sexual Behavior / statistics & numerical data*
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Syphilis / epidemiology*
  • Syphilis / prevention & control
  • Syphilis / transmission
  • Unsafe Sex
  • Urban Population
  • Young Adult