HIV Prevalence and Risk Behaviors Among Female Sex Workers in Botswana: Results from the 2012 HIV/STI Bio-Behavioral Study
- 30 July 2014
- journal article
- research article
- Published by Springer Science and Business Media LLC in AIDS and Behavior
- Vol. 19 (5), 899-908
- https://doi.org/10.1007/s10461-014-0858-0
Abstract
To evaluate HIV/STI prevalence among female sex workers (FSWs) in Botswana, and assess HIV-related risk behaviors. Cross-sectional study using time-location sampling in three districts of Botswana. Adjusted HIV prevalence at district level ranged from 53.5 to 68.5 %. Syphilis prevalence ranged from 3.7 to 14.5 %; chlamydia prevalence ranged from 4.8 to 16.3 %; and gonorrhoea prevalence ranged from 8.3 to 11.7 %. FSWs had been practicing sex work for a mean of 4.7 years, and had a mean of 7.6 sex partners in the week before the survey. While 67.1 % of FSWs surveyed reported always using condoms with clients in the past month. 59.5 % reported one or more of the following: being paid more not to use a condom, having a condom break, or being forced not to use a condom by clients. Predictors of HIV infection in the multivariate analysis included: age (over 30 years), perceiving oneself to be at high risk of HIV, selling sex for 2 or more years, and having a mean of 11 or more partners in the last week. High HIV prevalence, high rates of partner exchange, a sizable population, and Inconsistent condom use combine together help fuel the country's hyper epidemic. HIV prevention interventions need to take into account the important influence of clients and boyfriends on condom use behavior.Keywords
This publication has 9 references indexed in Scilit:
- Work-related violence and inconsistent condom use with non-paying partners among female sex workers in Adama City, EthiopiaBMC Public Health, 2013
- HIV Due to Female Sex Work: Regional and Global EstimatesPLOS ONE, 2013
- Priority interventions to reduce HIV transmission in sex work settings in sub‐Saharan Africa and delivery of these servicesJournal of the International AIDS Society, 2013
- Analysis of duration of risk behaviour for key populations: a literature reviewSexually Transmitted Infections, 2012
- HIV prevention among female sex workers in AfricaSAHARA-J: Journal of Social Aspects of HIV/AIDS, 2012
- Burden of HIV among female sex workers in low-income and middle-income countries: a systematic review and meta-analysisThe Lancet Infectious Diseases, 2012
- The politics and policies of HIV prevention in sex workThe Lancet Infectious Diseases, 2012
- Socio-Demographic Characteristics and Behavioral Risk Factors of Female Sex Workers in Sub-Saharan Africa: A Systematic ReviewAIDS and Behavior, 2011
- HIV prevalence, previous HIV testing, and condom use with clients and regular partners among Senegalese commercial sex workersSexually Transmitted Infections, 2007