HIV due to female sex work: regional and global estimates.

<h4>Introduction</h4>Female sex workers (FSWs) are at high risk of HIV infection. Our objective was to determine the proportion of HIV prevalence in the general female adult population that is attributable to the occupational exposure of female sex work, due to unprotected sexual interco...

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Autores principales:	Annette Prüss-Ustün, Jennyfer Wolf, Tim Driscoll, Louisa Degenhardt, Maria Neira, Jesus Maria Garcia Calleja
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/08d275be05b247f3bb66b988511117dd
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spelling	oai:doaj.org-article:08d275be05b247f3bb66b988511117dd2021-11-18T07:44:26ZHIV due to female sex work: regional and global estimates.1932-620310.1371/journal.pone.0063476https://doaj.org/article/08d275be05b247f3bb66b988511117dd2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23717432/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Introduction</h4>Female sex workers (FSWs) are at high risk of HIV infection. Our objective was to determine the proportion of HIV prevalence in the general female adult population that is attributable to the occupational exposure of female sex work, due to unprotected sexual intercourse.<h4>Methods</h4>Population attributable fractions of HIV prevalence due to female sex work were estimated for 2011. A systematic search was conducted to retrieve required input data from available sources. Data gaps of HIV prevalence in FSWs for 2011 were filled using multilevel modeling and multivariate linear regression. The fraction of HIV attributable to female sex work was estimated as the excess HIV burden in FSWs deducting the HIV burden in FSWs due to injecting drug use.<h4>Results</h4>An estimated fifteen percent of HIV in the general female adult population is attributable to (unsafe) female sex work. The region with the highest attributable fraction is Sub Saharan Africa, but the burden is also substantial for the Caribbean, Latin America and South and Southeast Asia. We estimate 106,000 deaths from HIV are a result of female sex work globally, 98,000 of which occur in Sub-Saharan Africa. If HIV prevalence in other population groups originating from sexual contact with FSWs had been considered, the overall attributable burden would probably be much larger.<h4>Discussion</h4>Female sex work is an important contributor to HIV transmission and the global HIV burden. Effective HIV prevention measures exist and have been successfully targeted at key populations in many settings. These must be scaled up.<h4>Conclusion</h4>FSWs suffer from high HIV burden and are a crucial core population for HIV transmission. Surveillance, prevention and treatment of HIV in FSWs should benefit both this often neglected vulnerable group and the general population.Annette Prüss-UstünJennyfer WolfTim DriscollLouisa DegenhardtMaria NeiraJesus Maria Garcia CallejaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 5, p e63476 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Annette Prüss-Ustün Jennyfer Wolf Tim Driscoll Louisa Degenhardt Maria Neira Jesus Maria Garcia Calleja HIV due to female sex work: regional and global estimates.
description	<h4>Introduction</h4>Female sex workers (FSWs) are at high risk of HIV infection. Our objective was to determine the proportion of HIV prevalence in the general female adult population that is attributable to the occupational exposure of female sex work, due to unprotected sexual intercourse.<h4>Methods</h4>Population attributable fractions of HIV prevalence due to female sex work were estimated for 2011. A systematic search was conducted to retrieve required input data from available sources. Data gaps of HIV prevalence in FSWs for 2011 were filled using multilevel modeling and multivariate linear regression. The fraction of HIV attributable to female sex work was estimated as the excess HIV burden in FSWs deducting the HIV burden in FSWs due to injecting drug use.<h4>Results</h4>An estimated fifteen percent of HIV in the general female adult population is attributable to (unsafe) female sex work. The region with the highest attributable fraction is Sub Saharan Africa, but the burden is also substantial for the Caribbean, Latin America and South and Southeast Asia. We estimate 106,000 deaths from HIV are a result of female sex work globally, 98,000 of which occur in Sub-Saharan Africa. If HIV prevalence in other population groups originating from sexual contact with FSWs had been considered, the overall attributable burden would probably be much larger.<h4>Discussion</h4>Female sex work is an important contributor to HIV transmission and the global HIV burden. Effective HIV prevention measures exist and have been successfully targeted at key populations in many settings. These must be scaled up.<h4>Conclusion</h4>FSWs suffer from high HIV burden and are a crucial core population for HIV transmission. Surveillance, prevention and treatment of HIV in FSWs should benefit both this often neglected vulnerable group and the general population.
format	article
author	Annette Prüss-Ustün Jennyfer Wolf Tim Driscoll Louisa Degenhardt Maria Neira Jesus Maria Garcia Calleja
author_facet	Annette Prüss-Ustün Jennyfer Wolf Tim Driscoll Louisa Degenhardt Maria Neira Jesus Maria Garcia Calleja
author_sort	Annette Prüss-Ustün
title	HIV due to female sex work: regional and global estimates.
title_short	HIV due to female sex work: regional and global estimates.
title_full	HIV due to female sex work: regional and global estimates.
title_fullStr	HIV due to female sex work: regional and global estimates.
title_full_unstemmed	HIV due to female sex work: regional and global estimates.
title_sort	hiv due to female sex work: regional and global estimates.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/08d275be05b247f3bb66b988511117dd
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HIV due to female sex work: regional and global estimates.

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