Barcelona 2013
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| Abstract #174 - E-Posters English | ||||
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Session: 50.32: E-Posters English (Poster) on Sunday in Chaired by Authors: Presenting Author: Mr. Nasim Farach - Centers for Disease Control (CDC)-Honduras office, Honduras |
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| Additional Authors: Dr. Jordi Casabona, Sra Cristina Sanclemente, Dra. Anna Esteve, Dra. Victoria Gonzalez, Grupo HIVITS TS, | ||||
| Aim: Female sex workers (FSW) have a higher risk of HIV and STI infection due to their profession. The Honduran National AIDS Program conducted a behavioral surveillance survey to estimate the prevalence of HIV and sexually transmitted infections and identify sexual behavior practices among female sex workers in three cities in 2012. | ||||
| Method / Issue: FSW were recruited in Tegucigalpa, San Pedro Sula, and La Ceiba using respondent-driven sampling (RDS). Consenting participants completed a questionnaire on HIV-related knowledge, attitudes and were tested for HIV, syphilis, Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, Mycoplasma genitalium, Herpes simplex type 2, and bacterial vaginosis. Population-adjusted results for behavior variables as well as HIV and STI prevalence were calculated using RDSat. | ||||
| Results / Comments: A total of 1426 FSW participated in the study: 608 in Tegucigalpa, 615 in San Pedro Sula and 203 in La Ceiba. RDS-adjusted HIV prevalence results for each city were: 3.7% (95% CI: 1.5% - 6.0%) in Tegucigalpa, 6.6% (95% CI: 4.1% - 9.2%) in San Pedro Sula, and 14.9% (95% CI: 6.7% - 23.4%) in La Ceiba. Condom use with a client at last sex ranged from 95.9% (95% CI: 93.1% - 98.1%) in Tegucigalpa, 84.4% (95% CI: 79.7% -88.5%) in San Pedro Sula, and 86.4% (95% CI: 79.8% -92.9%) in La Ceiba. | ||||
| Discussion: High HIV prevalence was found in all cities, particularly in La Ceiba. Outreach programs directed at FSW should be strengthened to increase condom use and HIV diagnosis and treatment. Qualitative methods should be employed to better understand the dynamics of female sex work in each city and to adjust existing HIV prevention programs accordingly. | ||||
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