HIV awareness and safe sexual behaviors among female sex workers in Kathmandu valley of Nepal

Sampurna Kakchapati,1 Nirmal Gautam,1 Khagendra Prakash KC,2 Bir Bahadhur Rawal3 1Department of Mathematics and Computer Science, Faculty of Science and Technology, Prince of Songkla University, Pattani, Thailand; 2Health Science Research and Development Concerns, Kathmandu, Nepal; 3National Centre...

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Autores principales:	Kakchapati S, Gautam N, KC KP, Rawal BB
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	HIV Knowledge Misconceptions Sex work Safe sex Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/bf9f1bac3c93449087ee8c0e48021459
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spelling	oai:doaj.org-article:bf9f1bac3c93449087ee8c0e480214592021-12-02T03:48:40ZHIV awareness and safe sexual behaviors among female sex workers in Kathmandu valley of Nepal1179-1373https://doaj.org/article/bf9f1bac3c93449087ee8c0e480214592018-08-01T00:00:00Zhttps://www.dovepress.com/hiv-awareness-and-safe-sexual-behaviors-among-female-sex-workers-in-ka-peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Sampurna Kakchapati,1 Nirmal Gautam,1 Khagendra Prakash KC,2 Bir Bahadhur Rawal3 1Department of Mathematics and Computer Science, Faculty of Science and Technology, Prince of Songkla University, Pattani, Thailand; 2Health Science Research and Development Concerns, Kathmandu, Nepal; 3National Centre for AIDS and STD Control, Kathmandu, Nepal Purpose: Knowledge on HIV and safe sex practices are the main determinants for the prevention and control of HIV/AIDS transmission. The aim of this study was to assess HIV awareness and safe sexual behavior among the female sex workers (FSWs) in the Kathmandu valley of Nepal. Methods: The study was based on data secondary to Integrated Biological and Behavioral Surveillance surveys of 2093 FSWs in Kathmandu valley from 2006 to 2015. Bivariate and multivariate logistic regression models were used to identify the factors associated with knowledge and misconceptions about HIV (BCDEF) and safe sexual practices (consistent condom use with regular clients and nonpaying partners). Results: FSWs who had secondary education (adjusted odds ratio [AOR]=2.08, 95% confidence interval [CI]=1.60, 2.70) and visited the drop-in center (DIC) (AOR=1.34, 95% CI=1.02, 1.75) in the last year had more knowledge and misconceptions about HIV (BCDEF). FSWs who had consistent condom use with nonpaying partners (AOR=1.60, 95% CI=1.23, 2.09), had a HIV test (AOR=1.34, 95% CI=1.02, 1.76), met peer educators (PEs) (AOR=1.49, 95% CI=1.17, 1.91) and visited the DIC in the last year (AOR=1.32, 95% CI=1.01, 1.72) had a higher chance of condom use with clients. Married FSWs (AOR=2.23, 95% CI=1.57, 3.17) and FSWs who met PEs in the last year were more likely to have condom use with nonpaying partners (AOR=1.42, 95% CI=1.04, 1.93). Conclusion: Knowledge and misconceptions about HIV has decreased over the years among FSWs; however, consistent condom use with regular clients and nonpaying partners has significantly increased. HIV intervention programs were strongly associated with safe sexual practices among FSWs and need to be strengthened. Keywords: HIV knowledge, misconceptions, sex work, safe sexKakchapati SGautam NKC KPRawal BBDove Medical PressarticleHIV KnowledgeMisconceptionsSex workSafe sexImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 10, Pp 157-166 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	HIV Knowledge Misconceptions Sex work Safe sex Immunologic diseases. Allergy RC581-607
spellingShingle	HIV Knowledge Misconceptions Sex work Safe sex Immunologic diseases. Allergy RC581-607 Kakchapati S Gautam N KC KP Rawal BB HIV awareness and safe sexual behaviors among female sex workers in Kathmandu valley of Nepal
description	Sampurna Kakchapati,1 Nirmal Gautam,1 Khagendra Prakash KC,2 Bir Bahadhur Rawal3 1Department of Mathematics and Computer Science, Faculty of Science and Technology, Prince of Songkla University, Pattani, Thailand; 2Health Science Research and Development Concerns, Kathmandu, Nepal; 3National Centre for AIDS and STD Control, Kathmandu, Nepal Purpose: Knowledge on HIV and safe sex practices are the main determinants for the prevention and control of HIV/AIDS transmission. The aim of this study was to assess HIV awareness and safe sexual behavior among the female sex workers (FSWs) in the Kathmandu valley of Nepal. Methods: The study was based on data secondary to Integrated Biological and Behavioral Surveillance surveys of 2093 FSWs in Kathmandu valley from 2006 to 2015. Bivariate and multivariate logistic regression models were used to identify the factors associated with knowledge and misconceptions about HIV (BCDEF) and safe sexual practices (consistent condom use with regular clients and nonpaying partners). Results: FSWs who had secondary education (adjusted odds ratio [AOR]=2.08, 95% confidence interval [CI]=1.60, 2.70) and visited the drop-in center (DIC) (AOR=1.34, 95% CI=1.02, 1.75) in the last year had more knowledge and misconceptions about HIV (BCDEF). FSWs who had consistent condom use with nonpaying partners (AOR=1.60, 95% CI=1.23, 2.09), had a HIV test (AOR=1.34, 95% CI=1.02, 1.76), met peer educators (PEs) (AOR=1.49, 95% CI=1.17, 1.91) and visited the DIC in the last year (AOR=1.32, 95% CI=1.01, 1.72) had a higher chance of condom use with clients. Married FSWs (AOR=2.23, 95% CI=1.57, 3.17) and FSWs who met PEs in the last year were more likely to have condom use with nonpaying partners (AOR=1.42, 95% CI=1.04, 1.93). Conclusion: Knowledge and misconceptions about HIV has decreased over the years among FSWs; however, consistent condom use with regular clients and nonpaying partners has significantly increased. HIV intervention programs were strongly associated with safe sexual practices among FSWs and need to be strengthened. Keywords: HIV knowledge, misconceptions, sex work, safe sex
format	article
author	Kakchapati S Gautam N KC KP Rawal BB
author_facet	Kakchapati S Gautam N KC KP Rawal BB
author_sort	Kakchapati S
title	HIV awareness and safe sexual behaviors among female sex workers in Kathmandu valley of Nepal
title_short	HIV awareness and safe sexual behaviors among female sex workers in Kathmandu valley of Nepal
title_full	HIV awareness and safe sexual behaviors among female sex workers in Kathmandu valley of Nepal
title_fullStr	HIV awareness and safe sexual behaviors among female sex workers in Kathmandu valley of Nepal
title_full_unstemmed	HIV awareness and safe sexual behaviors among female sex workers in Kathmandu valley of Nepal
title_sort	hiv awareness and safe sexual behaviors among female sex workers in kathmandu valley of nepal
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/bf9f1bac3c93449087ee8c0e48021459
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HIV awareness and safe sexual behaviors among female sex workers in Kathmandu valley of Nepal

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