HIV prevalence and characteristics of sex work among female sex workers in Hargeisa, Somaliland, Somalia
| Autor: | Jacqueline Malungu, Ismail Abdalla, Ivana Bozicevic, Adrienne Testa, Gabriele Riedner, Mohamed Osman, Greg Irving, Kelsi Kriitmaa |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Cross-sectional study Sexual Behavior Somalia Immunology Population Prevalence HIV Infections Transactional sex law.invention Interviews as Topic Young Adult Condom Acquired immunodeficiency syndrome (AIDS) Risk Factors law medicine Humans Immunology and Allergy Syphilis education Psychiatry Sex work education.field_of_study business.industry Data Collection virus diseases medicine.disease Sex Work Cross-Sectional Studies Infectious Diseases Female business Demography |
| Zdroj: | AIDS. 24:S61-S67 |
| ISSN: | 0269-9370 |
| DOI: | 10.1097/01.aids.0000386735.87177.2a |
| Popis: | OBJECTIVE: To measure prevalence of HIV and syphilis and describe characteristics of sex work among female sex workers (FSWs) in Hargeisa Somaliland Somalia. METHODS: A cross-sectional survey recruited 237 FSWs using respondent-driven sampling (RDS). A face-to-face structured interview using handheld-assisted personal interviewing (HAPI) on personal digital assistants (PDAs) was completed and blood collected for serological testing. RESULTS: FSWs 15-19 years old accounted for 6.9% of the population; 20-24 year-old constituted an additional 18.0%. The majority (86.6%) never attended school. International (59.0%) and interzonal (10.7%) migration was common. Most (95.7%) reported no other source of income; 13.8% had five or more clients in the last 7 days. A minority (38.4%) had heard of STIs even fewer (6.9%) held no misconceptions about HIV. Only 24% of FSW reported using a condom at last transactional sex and 4% reported ever been tested for HIV. HIV prevalence was 5.2% and syphilis prevalence was 3.1%. CONCLUSION: Sex work in Hargeisa Somaliland Somalia is characterized by high numbers of sexual acts and extremely low knowledge of HIV. This study illustrates the need for targeted HIV prevention interventions focusing on HIV testing risk-reduction awareness raising and review of condom availability and distribution mechanisms among FSWs and males engaging with FSWs. |
| Databáze: | OpenAIRE |
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