Objectives: To investigate changes in HIV-related behaviors among female sex workers (FSWs) and associations with services coverage rates.
Methods: Behavioral surveillance data from Sichuan, China were analyzed. A mapping exercise was conducted; FSWs were recruited from randomly selected sex-work establishments in 19 sites in Sichuan, China, from 2003 to 2005 (n=7,068, 6,875 and 6,833 respectively).
Results: Site variations were substantial. The random-effect pooled adjusted odds ratios comparing the prevalence of condom use with regular sex partners, possession of condoms, HIV-related knowledge, HIV antibody testing, and services coverage rates in 2005 versus 2003 ranged from 1.42 to 20.35. The 95% confidence intervals of these pooled adjusted odds ratios all excluded 1.0, hence rejecting the null hypothesis that such odds ratios were not different from 1.0. Most of the adjusted odds ratios of these evaluative parameters (indicator of improvement) for the 19 individual sites in 2004 and 2005 (versus 2003) were significantly associated with coverage rates (Spearmen correlation coefficients = 0.35 to 0.67, p<0.05).
Conclusions: Improvements were observed in relevant behaviors and coverage rates. The two were also associated with each other.