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A study comparing sexually transmitted infections and HIV among ex-red-light district and non-red-light district sex workers after the demolition of Baina red-light district.
J Acquir Immune Defic Syndr. 2009 Oct 01; 52(2):253-7.JA

Abstract

OBJECTIVES

In June 2004, the red-light area of Goa was demolished. We compare HIV and sexually transmitted infections (STIs) between sex workers who had been based in Baina red-light district (ex-RLD-SWs) with sex workers who had never worked in Baina (non-RLD-SWs).

METHODS

Three hundred twenty-six sex workers recruited using respondent-driven sampling, completed interviewer-administered questionnaires, and were tested for Trichomonas vaginalis, Neisseria gonorrhoeae, Chlamydia trachomatis, and antibodies to HIV. The association between ever working in Baina red-light area and HIV and STIs was examined using multivariate analysis.

RESULTS

Non-RLD-SWs made up 55.3% (n = 201) of the sample, 48% of whom had entered sex work since the demolition. Non-RLD-SWs more likely to be less than 20 years old, Goan, have experienced sexual and intimate partner violence, to work part time, from home or the streets, and to have fewer clients. Ex-RLD-SWs were less likely to have curable STIs adjusted odds ratio of 0.27 (95% confidence interval: 0.10 to 0.73) and were more likely to have been exposed to HIV prevention and report consistent condom use with clients.

CONCLUSIONS

Non-RLD-SWs were more likely to be engaged in high-risk sexual activity. Although partly explained by lack of exposure to HIV prevention and inconsistent condom use, social and professional isolation and greater experience of intimate partner and sexual violence may play a role.

Authors+Show Affiliations

Centre for Sexual Health and HIV Research, University College London, London, United Kingdom. bamaryjoon@yahoo.co.ukNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19525855

Citation

Shahmanesh, Maryam, et al. "A Study Comparing Sexually Transmitted Infections and HIV Among Ex-red-light District and Non-red-light District Sex Workers After the Demolition of Baina Red-light District." Journal of Acquired Immune Deficiency Syndromes (1999), vol. 52, no. 2, 2009, pp. 253-7.
Shahmanesh M, Wayal S, Copas A, et al. A study comparing sexually transmitted infections and HIV among ex-red-light district and non-red-light district sex workers after the demolition of Baina red-light district. J Acquir Immune Defic Syndr. 2009;52(2):253-7.
Shahmanesh, M., Wayal, S., Copas, A., Patel, V., Mabey, D., & Cowan, F. (2009). A study comparing sexually transmitted infections and HIV among ex-red-light district and non-red-light district sex workers after the demolition of Baina red-light district. Journal of Acquired Immune Deficiency Syndromes (1999), 52(2), 253-7. https://doi.org/10.1097/QAI.0b013e3181ab6d75
Shahmanesh M, et al. A Study Comparing Sexually Transmitted Infections and HIV Among Ex-red-light District and Non-red-light District Sex Workers After the Demolition of Baina Red-light District. J Acquir Immune Defic Syndr. 2009 Oct 1;52(2):253-7. PubMed PMID: 19525855.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A study comparing sexually transmitted infections and HIV among ex-red-light district and non-red-light district sex workers after the demolition of Baina red-light district. AU - Shahmanesh,Maryam, AU - Wayal,Sonali, AU - Copas,Andrew, AU - Patel,Vikram, AU - Mabey,David, AU - Cowan,Frances, PY - 2009/6/16/entrez PY - 2009/6/16/pubmed PY - 2010/2/17/medline SP - 253 EP - 7 JF - Journal of acquired immune deficiency syndromes (1999) JO - J. Acquir. Immune Defic. Syndr. VL - 52 IS - 2 N2 - OBJECTIVES: In June 2004, the red-light area of Goa was demolished. We compare HIV and sexually transmitted infections (STIs) between sex workers who had been based in Baina red-light district (ex-RLD-SWs) with sex workers who had never worked in Baina (non-RLD-SWs). METHODS: Three hundred twenty-six sex workers recruited using respondent-driven sampling, completed interviewer-administered questionnaires, and were tested for Trichomonas vaginalis, Neisseria gonorrhoeae, Chlamydia trachomatis, and antibodies to HIV. The association between ever working in Baina red-light area and HIV and STIs was examined using multivariate analysis. RESULTS: Non-RLD-SWs made up 55.3% (n = 201) of the sample, 48% of whom had entered sex work since the demolition. Non-RLD-SWs more likely to be less than 20 years old, Goan, have experienced sexual and intimate partner violence, to work part time, from home or the streets, and to have fewer clients. Ex-RLD-SWs were less likely to have curable STIs adjusted odds ratio of 0.27 (95% confidence interval: 0.10 to 0.73) and were more likely to have been exposed to HIV prevention and report consistent condom use with clients. CONCLUSIONS: Non-RLD-SWs were more likely to be engaged in high-risk sexual activity. Although partly explained by lack of exposure to HIV prevention and inconsistent condom use, social and professional isolation and greater experience of intimate partner and sexual violence may play a role. SN - 1944-7884 UR - https://www.unboundmedicine.com/medline/citation/19525855/A_study_comparing_sexually_transmitted_infections_and_HIV_among_ex_red_light_district_and_non_red_light_district_sex_workers_after_the_demolition_of_Baina_red_light_district_ L2 - http://dx.doi.org/10.1097/QAI.0b013e3181ab6d75 DB - PRIME DP - Unbound Medicine ER -