The Intersection between Sex Work and Reproductive Health in Northern Karnataka, India: Identifying Gaps and Opportunities in the Context of HIV Prevention
Objective. To examine the reproductive health practices of female sex workers (FSWs) in the context of an HIV prevention program in Karnataka, India. Methods. Data obtained from a survey of 1,011 FSWs registered with an HIV prevention program. We examined reproductive health indicators, and perform...
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| Language: | English |
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Wiley
2012-01-01
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| Series: | AIDS Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2012/842576 |
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| author | Marissa Becker Satyanarayana Ramanaik Shiva Halli James F. Blanchard T. Raghavendra Parinita Bhattacharjee Stephen Moses Lisa Avery Sharmistha Mishra |
| author_facet | Marissa Becker Satyanarayana Ramanaik Shiva Halli James F. Blanchard T. Raghavendra Parinita Bhattacharjee Stephen Moses Lisa Avery Sharmistha Mishra |
| author_sort | Marissa Becker |
| collection | DOAJ |
| description | Objective. To examine the reproductive health practices of female sex workers (FSWs) in the context of an HIV prevention program in Karnataka, India.
Methods. Data obtained from a survey of 1,011 FSWs registered with an HIV prevention program. We examined reproductive health indicators, and performed multivariate logistic regression among primiparous FSWs to assess sex work during pregnancy and antenatal HIV testing.
Results. Among primiparous FSWs (N=251), 92.0% continued sex work during pregnancy, and 55.4% received antenatal HIV testing. A longer duration in sex work (AOR 2.7, 95% CI: 1.0–7.5), rural residence (AOR 3.3, 95% CI: 1.2–8.9), and antenatal HIV testing (AOR 6.3, 95% CI: 2.0–20.1) were associated with continued sex work during pregnancy. Older FSWs (age >25 years, AOR 0.12, 95% CI: 0.05–0.33), who delivered at home (AOR 0.14, 95% CI: 0.09–0.34), were least likely to receive antenatal HIV testing. Antenatal HIV testing was associated with awareness of methods to prevent vertical HIV transmission (AOR 3.9, 95% CI: 1.9–14.1).
Conclusions. Antenatal HIV testing remains low in the context of ongoing sex work during pregnancy. Existing HIV prevention programs are well positioned to immediately integrate reproductive health care with HIV interventions targeted to FSWs. |
| format | Article |
| id | doaj-art-c7625e6b7fad4d8eb2b89945e2938da2 |
| institution | OA Journals |
| issn | 2090-1240 2090-1259 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | AIDS Research and Treatment |
| spelling | doaj-art-c7625e6b7fad4d8eb2b89945e2938da22025-08-20T02:20:06ZengWileyAIDS Research and Treatment2090-12402090-12592012-01-01201210.1155/2012/842576842576The Intersection between Sex Work and Reproductive Health in Northern Karnataka, India: Identifying Gaps and Opportunities in the Context of HIV PreventionMarissa Becker0Satyanarayana Ramanaik1Shiva Halli2James F. Blanchard3T. Raghavendra4Parinita Bhattacharjee5Stephen Moses6Lisa Avery7Sharmistha Mishra8Center for Global Public Health, University of Manitoba, R070 Med Rehab Building, 771 McDermot Avenue, Winnipeg, MB, R3E 0T6, CanadaKarnataka Health Promotion Trust, Rajajinagar, Bangalore, Karnataka 560044, IndiaCenter for Global Public Health, University of Manitoba, R070 Med Rehab Building, 771 McDermot Avenue, Winnipeg, MB, R3E 0T6, CanadaCenter for Global Public Health, University of Manitoba, R070 Med Rehab Building, 771 McDermot Avenue, Winnipeg, MB, R3E 0T6, CanadaKarnataka Health Promotion Trust, Rajajinagar, Bangalore, Karnataka 560044, IndiaKarnataka Health Promotion Trust, Rajajinagar, Bangalore, Karnataka 560044, IndiaCenter for Global Public Health, University of Manitoba, R070 Med Rehab Building, 771 McDermot Avenue, Winnipeg, MB, R3E 0T6, CanadaCenter for Global Public Health, University of Manitoba, R070 Med Rehab Building, 771 McDermot Avenue, Winnipeg, MB, R3E 0T6, CanadaDepartment of Infectious Disease Epidemiology, Imperial College London, London SW 7 2A2, UKObjective. To examine the reproductive health practices of female sex workers (FSWs) in the context of an HIV prevention program in Karnataka, India. Methods. Data obtained from a survey of 1,011 FSWs registered with an HIV prevention program. We examined reproductive health indicators, and performed multivariate logistic regression among primiparous FSWs to assess sex work during pregnancy and antenatal HIV testing. Results. Among primiparous FSWs (N=251), 92.0% continued sex work during pregnancy, and 55.4% received antenatal HIV testing. A longer duration in sex work (AOR 2.7, 95% CI: 1.0–7.5), rural residence (AOR 3.3, 95% CI: 1.2–8.9), and antenatal HIV testing (AOR 6.3, 95% CI: 2.0–20.1) were associated with continued sex work during pregnancy. Older FSWs (age >25 years, AOR 0.12, 95% CI: 0.05–0.33), who delivered at home (AOR 0.14, 95% CI: 0.09–0.34), were least likely to receive antenatal HIV testing. Antenatal HIV testing was associated with awareness of methods to prevent vertical HIV transmission (AOR 3.9, 95% CI: 1.9–14.1). Conclusions. Antenatal HIV testing remains low in the context of ongoing sex work during pregnancy. Existing HIV prevention programs are well positioned to immediately integrate reproductive health care with HIV interventions targeted to FSWs.http://dx.doi.org/10.1155/2012/842576 |
| spellingShingle | Marissa Becker Satyanarayana Ramanaik Shiva Halli James F. Blanchard T. Raghavendra Parinita Bhattacharjee Stephen Moses Lisa Avery Sharmistha Mishra The Intersection between Sex Work and Reproductive Health in Northern Karnataka, India: Identifying Gaps and Opportunities in the Context of HIV Prevention AIDS Research and Treatment |
| title | The Intersection between Sex Work and Reproductive Health in Northern Karnataka, India: Identifying Gaps and Opportunities in the Context of HIV Prevention |
| title_full | The Intersection between Sex Work and Reproductive Health in Northern Karnataka, India: Identifying Gaps and Opportunities in the Context of HIV Prevention |
| title_fullStr | The Intersection between Sex Work and Reproductive Health in Northern Karnataka, India: Identifying Gaps and Opportunities in the Context of HIV Prevention |
| title_full_unstemmed | The Intersection between Sex Work and Reproductive Health in Northern Karnataka, India: Identifying Gaps and Opportunities in the Context of HIV Prevention |
| title_short | The Intersection between Sex Work and Reproductive Health in Northern Karnataka, India: Identifying Gaps and Opportunities in the Context of HIV Prevention |
| title_sort | intersection between sex work and reproductive health in northern karnataka india identifying gaps and opportunities in the context of hiv prevention |
| url | http://dx.doi.org/10.1155/2012/842576 |
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