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Current HIV/AIDS Reports
Published in: Current HIV/AIDS Reports 1/2013

01-03-2013 | The Science of Prevention (S Kalichman, Section Editor)

HIV/STI Risk Among Venue-Based Female Sex Workers Across the Globe: A Look Back and the Way Forward

Authors: Eileen V. Pitpitan, Seth C. Kalichman, Lisa A. Eaton, Steffanie A. Strathdee, Thomas L. Patterson

Published in: Current HIV/AIDS Reports | Issue 1/2013

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Abstract

Female sex workers (FSWs) continue to represent a high-risk population in need of targeted HIV prevention interventions. Targeting environmental risk factors should result in more sustainable behavior change than individual-level interventions alone. There are many types of FSWs who operate in and through a variety of micro- (eg, brothels) and macro-level (eg, being sex-trafficked) contexts. Efforts to characterize FSWs and inform HIV prevention programs have often relied on sex work typologies or categorizations of FSWs by venue or type. We conducted a systematic search and qualitatively reviewed 37 published studies on venue-based FSWs to examine the appropriateness of sex work typologies, and the extent to which this research has systematically examined characteristics of different risk environments. We extracted information on study characteristics like venue comparisons, HIV/STI prevalence, and sampling strategies. We found mixed results with regards to the reliability of typologies in predicting HIV/STI infection; relying solely on categorization of FSWs by venue or type did not predict seroprevalence in a consistent manner. Only 65 % of the studies that allowed for venue comparisons on HIV/STI prevalence provided data on venue characteristics. The factors that were assessed were largely individual-level FSW factors (eg, demographics, number of clients per day), rather than social and structural characteristics of the risk environment. We outline a strategy for future research on venue-based FSWs that ultimately aims to inform structural-level HIV interventions for FSWs.
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Metadata
Title
HIV/STI Risk Among Venue-Based Female Sex Workers Across the Globe: A Look Back and the Way Forward
Authors
Eileen V. Pitpitan
Seth C. Kalichman
Lisa A. Eaton
Steffanie A. Strathdee
Thomas L. Patterson
Publication date
01-03-2013
Publisher
Current Science Inc.
Published in
Current HIV/AIDS Reports / Issue 1/2013
Print ISSN: 1548-3568
Electronic ISSN: 1548-3576
DOI
https://doi.org/10.1007/s11904-012-0142-8

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