NDLI: Sexual HIV risk among substance-using female commercial sex workers in Durban, South Africa.

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Sexual HIV risk among substance-using female commercial sex workers in Durban, South Africa.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Carney, Tara Petersen Williams, Petal M. Plüddemann, Andreas Parry, Charles D. H.
Spatial Coverage	South Africa
Description	Country affiliation: South Africa Author Affiliation: Carney T ( a Alcohol and Drug Abuse Research Unit , Medical Research Council , Tygerberg , South Africa.)
Abstract	This study examined data collected from a sample of female sex workers (FSWs) during the first two years of a brief risk-reduction intervention for vulnerable populations that focused on substance use and HIV risk-related behaviours (2007-2009) as part of a rapid assessment and response evaluation study. In 2007, in collaboration with a local non-governmental organisation (NGO), an initiative was begun to roll out targeted harm reduction strategies for drug-using street based FSWs in Durban, South Africa. Data were collected on demographic characteristics, substance use and HIV risk behaviours to tailor these harm reduction strategies with participants. Over the first two years of the intervention, data were collected from 646 FSWs: 428 who reported being at low risk for HIV and 218 who reported being at high risk for HIV (defined as engaging in unprotected sex with sexual partners in the past 90 days). FSWs who had previously been diagnosed with HIV or a sexually transmitted disease (STD) were significantly less likely to report engaging in unprotected sex. Those who used over-the-counter or prescription (OTC/PRE) drugs reported engaging in unprotected sex significantly more often than FSWs who did not use these substances, while those who used heroin were less likely to report unprotected sex. The findings are encouraging in that those who are aware of their HIV status are less likely to engage in risky sexual behaviour, and therefore HIV testing and counselling is recommended. It indicates the need to identify strategies to encourage the likelihood of all FSWs, particularly those who are HIV-positive, to use condoms. It also encourages further research to investigate specific substances as possible predictors of high risk behaviours in high-risk populations of sex workers.
File Format	HTM / HTML
ISSN	16085906
Issue Number	2
Volume Number	14
e-ISSN	17279445
Journal	African Journal of AIDS Research
Language	English
Publisher	Taylor & Francis
Publisher Date	2015-01-01
Publisher Place	South Africa
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Acquired Immunodeficiency Syndrome Hiv Infections Epidemiology Sex Workers Statistics & Numerical Data Substance-related Disorders Complications Adolescent Adult Female Economics Etiology Psychology Humans Prostitution South Africa Unsafe Sex Vulnerable Populations Young Adult Journal Article
Content Type	Text
Resource Type	Article
Subject	Infectious Diseases Virology Public Health, Environmental and Occupational Health

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