Thursday, December 24, 2015

Global Burden of HIV Infection among Adult Women Sex Workers

The women, men, and transgender persons who sell sex globally have disproportionate risks and burdens of HIV, in low, middle and high income country settings, and in concentrated and generalized epidemic contexts. 

The greatest HIV burdens continue to be among African women sex workers. Worldwide, sex workers continue to face reduced access to needed HIV prevention, treatment, and care services. Legal environments, policies and policing practices, lack of funding for research and HIV programming, human rights violations and stigma and discrimination continue to challenge sex workers’ abilities to protect themselves, their families, and their sexual partners from HIV. 

These realities must change for the benefits of recent advances in HIV prevention and treatment to be realized and for global control of the HIV pandemic to be achieved. Effective combination prevention and treatment approaches are feasible, can be tailored for cultural competence, can be cost-saving and can help address the unmet needs of sex workers and their communities in ways that uphold their human rights. 

To address HIV among sex workers will require sustained community engagement and empowerment, continued research, political will, structural and policy reform and innovative programming. But it can and must be done.

Full article at:

1Center for Public Health and Human Rights, Johns Hopkins University, Baltimore, MD
2University of Toronto, Toronto, CA
3Desmond Tutu HIV Research Center, University of Cape Town, Cape Town, South Africa
4United Nations Population Fund, New York, NY
5BC Center for Excellence in HIV/AIDS, University of British Columbia, Vancouver, CA
6Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
7Office of the Global AIDS Coordinator, Washington, DC
8Department of Emergency Medicine, Johns Hopkins University, Baltimore, MD
9Institut Pasteur, Paris, France
10U.N Special Envoy for HIV in Eastern Europe and Central Asia, Geneva, Switzerland
11UNAIDS, Geneva, Switzerland
12Imperial College, London, UK
13University of California San Diego, San Diego, CA
Corresponding Author: Prof. Chris Beyrer, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St, E 7152, Baltimore MD, 21205, USA. Tel 410 614 5247, Fax 410 614 8371, Email: ude.uhj@reryebc

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