September 2019
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49 Reads
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3 Citations
JAIDS Journal of Acquired Immune Deficiency Syndromes
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September 2019
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49 Reads
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3 Citations
JAIDS Journal of Acquired Immune Deficiency Syndromes
February 2018
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282 Reads
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18 Citations
Introduction The HIV sentinel surveillance [HSS] conducted in 2010–11 among female sex workers [FSW] in the state of Maharashtra, India provided an opportunity to assess characteristics of different types of FSWs and their HIV risk. It is important for India’s National AIDS Control Program, to understand the differences in vulnerability among these FSW, in order to define more specific and effective risk reduction intervention strategies. Therefore, we analyzed data from HSS with the objective of understanding the HIV vulnerability among different types of FSW in Maharashtra. Material and methods Cross sectional data collected as a part of HSS among FSWs in year 2010–11 from 21 sentinel sites in the state of Maharashtra were analyzed to understand the vulnerability and characteristics of different types of female sex workers based on their place of solicitation using multinomial logistic regression. Results While the HIV prevalence was 6.6% among all FSWs, it was 9.9% among brothel based [BB], 9% among street based [SB] and 3.1% and 3.7% among home based [HB], and bar based [Bar-B] sex workers respectively. SB FSWs were least likely to be located in HIV low burden districts [ANC] [ARRR: 0.61[95% CI: 0.49, 0.77]], but were 6 times more likely to be recently [<1 year] involved in sex work [ARRR: 6.15 [95% CI: 3.15, 12.0]]. The number of clients of SB FSWs in the preceding week were lower than 11% [ARRR: 0.89 [95%CI: 0.87, 0.90]] as compared to the BB FSWs denoting lesser client load. The duration since last paid sex was shorter [ARRR: 0.94[95%CI: 0.91, 0.96]] as compared to the BB FSWs. Conclusion Street based FSWs have emerged as one of the most vulnerable types of FSW with a high HIV prevalence similar to BB FSWs. Our study reveals that they have more frequent sex acts despite lower client loads, and are more likely to be located in districts highly affected by HIV (ANC prevalence >1%). We identify them as a group to be focused on for prevention interventions and it is likely that they would be easily amenable to novel interventions due to their higher literacy rate as compared to other typologies.
July 2016
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186 Reads
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1 Citation
Abstract selected for poster presentation in the International AIDS Conference 2016.
... At present, the epidemic is highly heterogeneous and is confined within pockets of high prevalence regions of India. 4,5 Towards the goal of ending AIDS by 2030, no complacency at this point is acceptable; 6 region-specific targeted interventions and improved ART linkage and adherence to halt the disease transmission are required. Female sex workers (FSW), men having sex with men (MSM), transgenders (TG) and injecting drug users (IDU) form the core risk group of HIV infection, their potential clients such as single male migrants (SMM) and long-distance truckers (LDT) comprise the bridge population. ...
September 2019
JAIDS Journal of Acquired Immune Deficiency Syndromes
... While previous studies on sex workers in India have focused on analyzing the pathways to sex work (Dodsworth, 2012;Sinha and Prasad, 2021) and HIV/STI prevention for sex workers (Ranebennur et al, 2014;Basu & Dutta, 2011;Mamulwar et al., 2018), there remains less research examining social issues impacting sex workers, including stigma and discrimination (Biradavolu et al., 2012;Dasgupta, 2023;Ryan et al., 2019). Acknowledging this gap in the extant research, the objective of this study was to examine the lived experiences of intersectional stigma against cisgender female sex workers. ...
February 2018
... However, several studies in India show that many MSM use social media and other web-based platforms to seek sex partners. [9][10][11] The movement from conventional physical locations to virtual spaces poses a challenge in reaching this "hidden" subpopulation of MSM. ...
July 2016