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Background. Studies on the transmission of
human immunodeficiency virus (HIV) and sexually transmitted diseases in female
sex workers (FSWs) have been limited primarily to inferences drawn by focusing
on defined geographical areas.
Methods and Findings. This serial
cross-sectional study was conducted in mainland China from 2008 through 2012.
Data for 827 079 participants was analyzed. We classified venues such as
karaoke bars and hotels as high tier and venues such as hair salons and
barbershops, massage parlors, and other public outdoor venues as low tier based
on the participants’ socioeconomic status. FSWs who worked at the venues and those
who were present on the days of the survey were recruited.
The prevalence of HIV decreased from 0.6% in 2008 to 0.3% in
2012, the syphilis prevalence ranged from 2.4% to 3.2% between 2008 and 2012,
and hepatitis C virus (HCV) prevalence decreased from 0.9% in 2008 to 0.8% in
2012. Further, we found that HIV, syphilis, and HCV prevalence proportions were
high in FSWs from low tiers.
Conclusions. HIV, syphilis, and HCV prevalence
among FSWs in our study decreased during the study period. Comprehensive intervention
strategies, particularly those that focus on low-tier and older FSWs, are
needed in order to decrease the disease burden in this population.
Full article at: http://goo.gl/CvC94v
By:
1National Center for AIDS/STD Control and
Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
2University of North Carolina Project-China
3School of Public Health, Harvard School of
Public Health
4Department of Epidemiology, Fielding
School of Public Health, University of California, Los Angeles
Contributed by aL.
W. and W. T. contributed equally to this work.
Correspondence: Ning Wang, National Center for AIDS/STD
Control and Prevention, Chinese Center for Disease Control and Prevention,
Beijing, China (Email: moc.361@jbngnaw).
More at: https://twitter.com/hiv_insight
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