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BMC Public Health
Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Research article

HIV prevalence among female sex workers in Guigang City, Guangxi, China: an 8-year consecutive cross-sectional study

Authors: Jingzhen Lai, Chunwei Qin, Eric J. Nehl, Junjun Jiang, Yunxuan Huang, Bingyu Liang, Yuexiang Xu, Jiegang Huang, Zhiliang Xu, Chuanyi Ning, Yanyan Liao, Ning Zang, Wudi Wei, Fengxiang Qin, Jun Yu, Li Ye, Xionglin Qin, Hao Liang

Published in: BMC Public Health | Issue 1/2018

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Abstract

Background

Female sex workers (FSW) are a population that are at high risk for HIV infection, and their HIV/AIDS knowledge levels and sexual behaviors are of concern. This study describes changes in HIV prevalence and factors associated among female sex workers in Guigang City, Guangxi, one of the highest HIV prevalence areas in China.

Methods

Data were derived from an annual cross-sectional venue-based survey, 2008 to 2015, in the form of sentinel surveillance. The participants were recruited using cluster sampling. FSW aged 16 years and above who completed a questionnaire and HIV testing. Both descriptive and multi-level analyses were used to explore factors associated with changes in HIV prevalence.

Results

Seven thousand four hundred ninety-six FSW were recruited in this study. HIV prevalence among FSW in Guigang City fell into two periods, one with an increasing trend (2008–2011) and one with a decline (2012–2015). Differences between these time periods included age, relationship status, HIV knowledge, consistent condom use, lifetime illicit drug use, history of sexually transmitted infection in the past year, HIV testing, receipt of a condom distribution and education program or HIV counseling and testing, and peer education services.

Conclusions

Since 2012, a reduction in HIV prevalence among FSW in Guigang City has been observed. The decline of HIV prevalence was associated with coinciding changes in demographic characteristics of FSW, improvement of HIV knowledge and safer sexual behaviors, and a program that promotes condom use, HIV counseling & testing, and peer education.
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Metadata
Title
HIV prevalence among female sex workers in Guigang City, Guangxi, China: an 8-year consecutive cross-sectional study
Authors
Jingzhen Lai
Chunwei Qin
Eric J. Nehl
Junjun Jiang
Yunxuan Huang
Bingyu Liang
Yuexiang Xu
Jiegang Huang
Zhiliang Xu
Chuanyi Ning
Yanyan Liao
Ning Zang
Wudi Wei
Fengxiang Qin
Jun Yu
Li Ye
Xionglin Qin
Hao Liang
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-018-5380-2

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