RT Journal Article
SR Electronic
T1 HIV risk and behaviour among part-time versus professional FSW: baseline report of an interventional cohort in Burkina Faso
JF Sexually Transmitted Infections
JO Sex Transm Infect
FD BMJ Publishing Group Ltd
SP 550
OP 553
DO 10.1136/sextrans-2015-052038
VO 92
IS 7
A1 Traore, Isidore T
A1 Hema, Noelie M
A1 Sanon, Anselme
A1 Some, Felicien
A1 Ouedraogo, Djeneba
A1 Some, Roselyne
A1 Niessougou, Josiane
A1 Konate, Issouf
A1 Mayaud, Philippe
A1 Van De Perre, Philippe
A1 Meda, Nicolas
A1 Nagot, Nicolas
YR 2016
UL http://sti.bmj.com/content/92/7/550.abstract
AB Objective To readjust HIV control programmes in Africa, we assessed the factors associated with high-risk behaviours and HIV infection among young female sex workers (FSW) in Burkina Faso.Methods We carried out a cross-sectional study from September 2009 to September 2010 in Ouagadougou, the capital city. FSW were categorised as professionals and part-time sex workers (PTSW). After a face-to-face questionnaire, blood and urine samples were collected for HIV, HSV-2, genital infections and pregnancy. High-risk behaviour was defined as a recent unprotected sex with either casual clients, regular clients or regular partners.Results We recruited 609 FSW including 188 (30.9%) professionals. Their median age was 21 years (IQR 19–23), and the prevalence of HIV was 10.3% among professionals and 6.5% among PTSW. Only 3 of 46 HIV-infected women were aware of their status. Overall, 277 (45.6%) women reported high-risk behaviours (41.2% among professionals and 47.5% among PTSW), which were driven mainly by non-systematic condom use with regular partners. In multivariable analysis, PTSW (adjusted OR (AOR)=1.89; 95% CI 1.27 to 2.82) and having a primary (AOR=1.75; 95% CI 1.15 to 2.67) or higher education level (AOR=1.80; 95% CI 1.13 to 2.89) remained associated with high-risk behaviours. HIV infection was associated with older age (AOR=1.44; 95% CI 1.22 to 1.71), with being married/cohabiting (AOR=2.70; 95% CI 1.21 to 6.04) and with Trichomonas vaginalis infection (AOR=9.63; 95% CI 2.93 to 31.59), while history of HIV testing was associated with a decreased risk (AOR=0.18; 95% CI 0.08 to 0.40).Conclusions This study highlights the need for targeted interventions among young FSW focusing particularly on PTSW, sexual behaviours with regular partners and regular HIV testing.