51. Migrant female sex workers working at the Sino-Vietnamese border for a short time have a higher risk of HIV transmission: a consecutive cross-sectional study
- Author
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Yuan Yang, Guangwu Wei, Hao Liang, Junjun Jiang, Yu Zhang, Yanyan Liao, Aidan Nong, Peijiang Pan, Shide Mo, Jiegang Huang, Ning Zang, Chuanyi Ning, Dinh Vanphu, Bingyu Liang, Li Ye, Deping Liu, and Nguyen Van
- Subjects
Male ,Time Factors ,Cross-sectional study ,HIV Infections ,Logistic regression ,urologic and male genital diseases ,Condoms ,Sino-Vietnamese border ,0302 clinical medicine ,Risk Factors ,immune system diseases ,Surveys and Questionnaires ,Prevalence ,Pharmacology (medical) ,030212 general & internal medicine ,Hiv transmission ,Transients and Migrants ,Female sex ,virus diseases ,Middle Aged ,AIDS ,Vietnam ,language ,Molecular Medicine ,population characteristics ,Female ,0305 other medical science ,Adult ,lcsh:Immunologic diseases. Allergy ,China ,Vietnamese ,Sexual Behavior ,Odds ,03 medical and health sciences ,Young Adult ,Acquired immunodeficiency syndrome (AIDS) ,Virology ,medicine ,Humans ,Sex work ,FSWs ,030505 public health ,Sex Workers ,business.industry ,Research ,Risk for HIV infection ,social sciences ,medicine.disease ,language.human_language ,Cross-Sectional Studies ,business ,lcsh:RC581-607 ,Demography - Abstract
Objectives For migrant female sex workers (FSWs) at the Sino-Vietnamese border, the impact of work time in their current location on the spread of HIV/AIDS is not clear. Methods Data were collected from the Sino-Vietnamese border cities of Guangxi, China. Migrant FSWs working in these cities were studied. FSWs who worked less than 6 months in their current location were assigned to the short-term work group (ST FSWs), and FSWs who worked equal to or longer than 6 months in their current location were assigned to the long-term work group (LT FSWs). Logistic regression was performed to examine the impact of work time in the current location and factors associated with HIV infection. Results Among the 1667 migrant FSWs, 586 (35.2%) and 1081 (64.9%) were assigned to the ST FSW and LT FSW groups, respectively. Compared to LT FSWs, ST FSWs were more likely to be of Vietnamese nationality, be less than 18 years old when they first engaged in commercial sex work, and have a low-level of HIV-related knowledge and had higher odds of using condoms inconsistently, having more male clients, having no regular male clients, and having a history of male clients who used aphrodisiacs but lower odds of receiving free condoms distribution and education/HIV counselling and testing programme. The analysis of factors associated with HIV infection revealed that Vietnamese FSWs, less than 18 years old when they first engaged in commercial sex work, having no regular male clients, and having lower average charge per sex transaction were correlated with HIV infection. Conclusion FSWs with short-term work at the Sino-Vietnamese border had a higher risk of risky sex and were correlated with HIV risk factors. Vietnamese FSWs were at higher risk of HIV infection, and they were more likely to have short-term work. More targeted HIV prevention should be designed for new FSWs who recently began working in a locality to further control the spread of HIV, particularly cross-border FSWs.
- Published
- 2020