Associations of sex trafficking history with recent sexual risk among HIV-infected FSWs in India

Jay G. Silverman; Niranjan Saggurti; Debbie M. Cheng; Michele R. Decker; Sharon M. Coleman; Carly Bridden; Manoj Pardeshi; Anindita Dasgupta; Jeffrey H. Samet; Anita Raj

doi:10.1007/s10461-013-0564-3

Associations of sex trafficking history with recent sexual risk among HIV-infected FSWs in India

Jay G. Silverman, Niranjan Saggurti, Debbie M. Cheng, Michele R. Decker, Sharon M. Coleman, Carly Bridden, Manoj Pardeshi, Anindita Dasgupta, Jeffrey H. Samet, Anita Raj

Bloomberg School of Public Health

Research output: Contribution to journal › Article › peer-review

18 Scopus citations

Abstract

History of forced or coerced sex work entry and/or sex work entry prior to age 18 (i.e., sex trafficking) relate to early HIV risk; whether such risk persists is unclear. The current study assessed associations of reported sex trafficking histories and recent sexual risk among adult HIV-infected female sex workers (FSWs; n = 211) in Mumbai, India. Approximately one-half reported entering sex work prior to age 18 (50.2 %) or being forced or coerced into sex work (41.7 %). Past 90-day unprotected transactional sex was more prevalent among FSWs entering as minors than those entering as adults (AOR 2.06); in contrast, being forced or coerced into sex work related to reduction in such risk for HIV transmission (AOR 0.45). Histories of each form of sex trafficking may relate differently to later HIV risk. Intervention with HIV-infected FSWs entering sex work as minors should be prioritized based on potential elevated risk of HIV transmission.

Original language	English (US)
Pages (from-to)	555-561
Number of pages	7
Journal	AIDS and behavior
Volume	18
Issue number	3
DOIs	https://doi.org/10.1007/s10461-013-0564-3
State	Published - Mar 2014

Keywords

Female sex workers
HIV-infected
India
Trafficking

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

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10.1007/s10461-013-0564-3

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title = "Associations of sex trafficking history with recent sexual risk among HIV-infected FSWs in India",

abstract = "History of forced or coerced sex work entry and/or sex work entry prior to age 18 (i.e., sex trafficking) relate to early HIV risk; whether such risk persists is unclear. The current study assessed associations of reported sex trafficking histories and recent sexual risk among adult HIV-infected female sex workers (FSWs; n = 211) in Mumbai, India. Approximately one-half reported entering sex work prior to age 18 (50.2 %) or being forced or coerced into sex work (41.7 %). Past 90-day unprotected transactional sex was more prevalent among FSWs entering as minors than those entering as adults (AOR 2.06); in contrast, being forced or coerced into sex work related to reduction in such risk for HIV transmission (AOR 0.45). Histories of each form of sex trafficking may relate differently to later HIV risk. Intervention with HIV-infected FSWs entering sex work as minors should be prioritized based on potential elevated risk of HIV transmission.",

keywords = "Female sex workers, HIV-infected, India, Trafficking",

author = "Silverman, {Jay G.} and Niranjan Saggurti and Cheng, {Debbie M.} and Decker, {Michele R.} and Coleman, {Sharon M.} and Carly Bridden and Manoj Pardeshi and Anindita Dasgupta and Samet, {Jeffrey H.} and Anita Raj",

note = "Funding Information: Acknowledgments This study was funded by the National Institute on Alcohol Abuse and Alcoholism (R01AA016059-S1 and K24AA015674) and the Indian Council of Medical Research. We thank Ms. Shabana Patel from the NMP? for her oversight of study implementation in terms of helping ensure safe, confidential, and respectful treatment of our HIV-infected participants. Finally, we are immensely grateful to the participants of this study who gave their time and shared their personal information and experience.",

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doi = "10.1007/s10461-013-0564-3",

language = "English (US)",

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AU - Silverman, Jay G.

AU - Saggurti, Niranjan

AU - Cheng, Debbie M.

AU - Decker, Michele R.

AU - Coleman, Sharon M.

AU - Bridden, Carly

AU - Pardeshi, Manoj

AU - Dasgupta, Anindita

AU - Samet, Jeffrey H.

AU - Raj, Anita

N1 - Funding Information: Acknowledgments This study was funded by the National Institute on Alcohol Abuse and Alcoholism (R01AA016059-S1 and K24AA015674) and the Indian Council of Medical Research. We thank Ms. Shabana Patel from the NMP? for her oversight of study implementation in terms of helping ensure safe, confidential, and respectful treatment of our HIV-infected participants. Finally, we are immensely grateful to the participants of this study who gave their time and shared their personal information and experience.

PY - 2014/3

Y1 - 2014/3

N2 - History of forced or coerced sex work entry and/or sex work entry prior to age 18 (i.e., sex trafficking) relate to early HIV risk; whether such risk persists is unclear. The current study assessed associations of reported sex trafficking histories and recent sexual risk among adult HIV-infected female sex workers (FSWs; n = 211) in Mumbai, India. Approximately one-half reported entering sex work prior to age 18 (50.2 %) or being forced or coerced into sex work (41.7 %). Past 90-day unprotected transactional sex was more prevalent among FSWs entering as minors than those entering as adults (AOR 2.06); in contrast, being forced or coerced into sex work related to reduction in such risk for HIV transmission (AOR 0.45). Histories of each form of sex trafficking may relate differently to later HIV risk. Intervention with HIV-infected FSWs entering sex work as minors should be prioritized based on potential elevated risk of HIV transmission.

AB - History of forced or coerced sex work entry and/or sex work entry prior to age 18 (i.e., sex trafficking) relate to early HIV risk; whether such risk persists is unclear. The current study assessed associations of reported sex trafficking histories and recent sexual risk among adult HIV-infected female sex workers (FSWs; n = 211) in Mumbai, India. Approximately one-half reported entering sex work prior to age 18 (50.2 %) or being forced or coerced into sex work (41.7 %). Past 90-day unprotected transactional sex was more prevalent among FSWs entering as minors than those entering as adults (AOR 2.06); in contrast, being forced or coerced into sex work related to reduction in such risk for HIV transmission (AOR 0.45). Histories of each form of sex trafficking may relate differently to later HIV risk. Intervention with HIV-infected FSWs entering sex work as minors should be prioritized based on potential elevated risk of HIV transmission.

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Associations of sex trafficking history with recent sexual risk among HIV-infected FSWs in India

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ASJC Scopus subject areas

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