Correlates and trend of HIV prevalence among female sex workers attending sexually transmitted disease clinics in Pune, India (1993-2002)

Radhika Brahme, Shruti Mehta, Seema Sahay, Neelam Joglekar, Manisha Ghate, Smita Joshi, Raman Gangakhedkar, Arun Risbud, Robert Bollinger, Sanjay Mehendale

Research output: Contribution to journalArticle

Abstract

In India, substantial efforts have been made to increase awareness about HIV/AIDS among female sex workers (FSWs). We assessed the impact of awareness regarding safe sex in a cohort of FSWs by studying trends in HIV prevalence, sexually transmitted diseases (STDs), and risk behaviors measured from 1993 to 2002 in Pune, India. A total of 1359 FSWs attending 3 STD clinics were screened for HIV infection, and data on demographics, sexual behaviors, and past and current STDs were obtained. The overall HIV prevalence among FSWs was 54%. Not being married (adjusted odds ratio [AOR] = 1.74, 95% confidence interval [CI]: 1.17 to 2.59), being widowed (AOR = 2.10, 95% CI: 1.16 to 3.80), inconsistent condom use (AOR = 1.60, 95% CI: 1.02 to 2.50), clinical presence of genital ulcer disease (GUD; AOR = 1.66, 95% CI: 1.07 to 2.56), and genital warts (AOR = 4.70, 95% CI: 1.57 to 14.08) were independently associated with HIV infection among FSWs. The prevalence of HIV remained stable over 10 years (46% in 1993 and 50% in 2002; P = 0.80). The prevalence of GUD decreased over time (P < 0.001), whereas that of observed genital discharge remained stable. Reported consistent condom use as well as the proportion of FSWs who refused sexual contact without condoms increased over time (P < 0.001). These data collectively suggest that safe sex interventions have had a positive impact on FSWs in Pune, India.

Original languageEnglish (US)
Pages (from-to)107-113
Number of pages7
JournalJournal of acquired immune deficiency syndromes
Volume41
Issue number1
DOIs
StatePublished - Jan 2006

Keywords

  • Condom
  • Female sex workers
  • HIV
  • India
  • Safer sex
  • Sexually transmitted disease

ASJC Scopus subject areas

  • Infectious Diseases
  • Pharmacology (medical)

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