Sexual risk behaviors, HIV, and syphilis among female sex workers in Nepal

Sampurna Kakchapati,1 Dipendra Raman Singh,2 Bir Bahadhur Rawal,2 Apiradee Lim1 1Department of Mathematics and Computer Science, Prince of Songkla University, Pattani, Thailand; 2National Centre for AIDS and STD Control, Kathmandu, Nepal Purpose: Female sex workers (FSWs) are a key-affected populati...

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Autores principales:	Kakchapati S, Singh DR, Rawal BB, Lim A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Sex workers Sexual behaviors STI Surveillance Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/f219b0dd977e442c9727a21b0481bf59
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spelling	oai:doaj.org-article:f219b0dd977e442c9727a21b0481bf592021-12-02T06:19:40ZSexual risk behaviors, HIV, and syphilis among female sex workers in Nepal1179-1373https://doaj.org/article/f219b0dd977e442c9727a21b0481bf592017-01-01T00:00:00Zhttps://www.dovepress.com/sexual-risk-behaviors-hiv-and-syphilis-among-female-sex-workers-in-nep-peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Sampurna Kakchapati,1 Dipendra Raman Singh,2 Bir Bahadhur Rawal,2 Apiradee Lim1 1Department of Mathematics and Computer Science, Prince of Songkla University, Pattani, Thailand; 2National Centre for AIDS and STD Control, Kathmandu, Nepal Purpose: Female sex workers (FSWs) are a key-affected population susceptible to acquiring HIV and sexually transmitted infections (STIs), as well as transmitting the virus to others. The aim of the study was to assess HIV and syphilis prevalence among FSWs in Nepal and to examine factors associated with it. Materials and methods: The study was based on Integrated Biological and Behavioral Surveillance (IBBS) surveys among FSWs in Nepal from 2004 to 2015. Statistical analysis used chi-squared test to assess statistically significant risk factors for HIV and syphilis. Logistic regression models were used to identify the most important determinants for each outcome. Results: A total of 5,958 FSWs were tested, and among them, 100 (1.7%) were HIV positive and 230 (3.9%) were syphilis positive. The multivariate analysis revealed that syphilis was higher among those street-based, aged ≥35 years, illiterate, and with a duration of sex work of >3 years. HIV was higher among those aged ≥35 years, illiterate, street-based, and with a duration of sex work >3 years. Syphilis was strongly correlated with HIV. Conclusion: HIV epidemic among FSWs in Nepal appears in the stagnant trend, whereas STI epidemic has increased in recent years. The high influencing factors for HIV and syphilis prevalence were advanced age, street-based, lower education, and longer duration of sex work. Urgent efforts, as part of routine HIV/STI prevention and intervention, are required to reduce the high burden of syphilis among FSWs. Keywords: IBBS, sex workers, sexual behaviors, surveillanceKakchapati SSingh DRRawal BBLim ADove Medical PressarticleSex workersSexual behaviorsSTISurveillanceImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 9, Pp 9-18 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sex workers Sexual behaviors STI Surveillance Immunologic diseases. Allergy RC581-607
spellingShingle	Sex workers Sexual behaviors STI Surveillance Immunologic diseases. Allergy RC581-607 Kakchapati S Singh DR Rawal BB Lim A Sexual risk behaviors, HIV, and syphilis among female sex workers in Nepal
description	Sampurna Kakchapati,1 Dipendra Raman Singh,2 Bir Bahadhur Rawal,2 Apiradee Lim1 1Department of Mathematics and Computer Science, Prince of Songkla University, Pattani, Thailand; 2National Centre for AIDS and STD Control, Kathmandu, Nepal Purpose: Female sex workers (FSWs) are a key-affected population susceptible to acquiring HIV and sexually transmitted infections (STIs), as well as transmitting the virus to others. The aim of the study was to assess HIV and syphilis prevalence among FSWs in Nepal and to examine factors associated with it. Materials and methods: The study was based on Integrated Biological and Behavioral Surveillance (IBBS) surveys among FSWs in Nepal from 2004 to 2015. Statistical analysis used chi-squared test to assess statistically significant risk factors for HIV and syphilis. Logistic regression models were used to identify the most important determinants for each outcome. Results: A total of 5,958 FSWs were tested, and among them, 100 (1.7%) were HIV positive and 230 (3.9%) were syphilis positive. The multivariate analysis revealed that syphilis was higher among those street-based, aged ≥35 years, illiterate, and with a duration of sex work of >3 years. HIV was higher among those aged ≥35 years, illiterate, street-based, and with a duration of sex work >3 years. Syphilis was strongly correlated with HIV. Conclusion: HIV epidemic among FSWs in Nepal appears in the stagnant trend, whereas STI epidemic has increased in recent years. The high influencing factors for HIV and syphilis prevalence were advanced age, street-based, lower education, and longer duration of sex work. Urgent efforts, as part of routine HIV/STI prevention and intervention, are required to reduce the high burden of syphilis among FSWs. Keywords: IBBS, sex workers, sexual behaviors, surveillance
format	article
author	Kakchapati S Singh DR Rawal BB Lim A
author_facet	Kakchapati S Singh DR Rawal BB Lim A
author_sort	Kakchapati S
title	Sexual risk behaviors, HIV, and syphilis among female sex workers in Nepal
title_short	Sexual risk behaviors, HIV, and syphilis among female sex workers in Nepal
title_full	Sexual risk behaviors, HIV, and syphilis among female sex workers in Nepal
title_fullStr	Sexual risk behaviors, HIV, and syphilis among female sex workers in Nepal
title_full_unstemmed	Sexual risk behaviors, HIV, and syphilis among female sex workers in Nepal
title_sort	sexual risk behaviors, hiv, and syphilis among female sex workers in nepal
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/f219b0dd977e442c9727a21b0481bf59
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_version_	1718399968578895872

Sexual risk behaviors, HIV, and syphilis among female sex workers in Nepal

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