Characteristics of included studies
Income | Country | Data collected | Outcome | Recruitment site | Location | Definition | Migrants | Non-migrants | Age (all) | Primary aim | Reference |
---|---|---|---|---|---|---|---|---|---|---|---|
High | UK | 2008–2009 | HIV STI* behavioural | Specialist sexual health services, flats, saunas, social networks | Flats, saunas | Exchanged sex for drugs, good or money in last 4 weeks | 163 | 105 | 26 (IQR: 22–35) | Yes | 33 |
Spain | 2000 | HIV | HIV/STI clinic | No information | No information | 1797 | 331 | 29.2 | Yes | 30 | |
Spain | 1989–1991 | HIV | Collaborating centre and snowball sample | Brothels, bar, street | Self-identified sex work for money at least once in last year | 404 | 663 | 29.8 (14–74) | No | 32 | |
Spain | 2000–2001 | HIV | STI clinics | No information | No information | 2607 | 523 | 29.2 (SD=7.6) | No | 29 | |
Italy | 1988–1994 | HIV | HIV testing clinic | No information | Professional defined as non-IDU | 136 | 593 | No information | Yes | 35 | |
Italy | 1991–1995 | HIV | STI and infectious disease clinic | No information | Professional defined as non-IDU, but includes IDUs | 176 | 223 | Median=37 (21–55) | No | 34 | |
Portugal | 2000–2001 | HIV | Clinic and street | Street | No information | 54 | 42 | No info | No | 31 | |
The Netherlands | 1991 | HIV | STI clinics brothels, hotels | Indoor | Received money or goods in exchange for sex at least once in past 6 months | 129 | 72 | 29 (SD=7) | No | 36 | |
Australia | 1991–1993 | HIV STI† Behavioural | Specialist sexual health clinic for sex workers | No information | No information | 123 | 91 | Migrant=25.3 Non-migrant=25.5 | Yes | 37 | |
Australia | 1990–2005 | Behavioural | Sexual health care centre and primary health care centre for sex workers | Parlour, private arrangement, escorts, workers | Self-identification and assessment by staff | 148 | 141 | 16–25 years migrant=46% non-migrant=50% | Yes | 23 | |
Hong Kong | 2004–5 | Behavioural | Specialist sexual health clinic | Street and indoor | No information | 75 | 170 | 35.8 (SD=6.04) | No | 43 | |
Hong Kong | 2005–2007 | Behavioural STI‡ | Specialist sexual health clinic | Street and indoor | No information | 406 | 97 | 26–30 years 11% | Yes | 42 | |
Upper-middle | Argentina | 2000–2002 | HIV/STI§ Behavioural | Work | Street, bar and cabaret | UNAIDS definition | 169 | 456 | 18–24 yrs Mig=18.4% Non=24.3% | Yes | 47 |
Argentina, Bolivia, Ecuador, Uruguay | 1999–2002 | HIV, STI¶ Behavioural | Work | No information | UNAIDS definition | 185 | 1660 | No data | Yes | 46 | |
Mexico | 1998 | HIV, STI** | Bars | No information | Identified by bar managers and health authorities | 363 | 121 | 25.5 | Yes | 48 | |
Mexico | 2004–2005 | HIV STI†† | Municipal and community health clinics, via street outreach, and by referrals from other FSWs | Street, clubs, bars | Sex work and unprotected vaginal sex with client once in last 2 months | 370 | 101 | 60% (18–34) | Yes | 24 | |
Turkey | 1993 | Syphilis markers‡‡ | STI clinic | No information | Registered sex workers and women arrested for not being registered | 96 | 88 | No data | Unclear | 28 | |
Lower-middle | Cameroon | 1995–1996 | HIV | Outreach workers in community referred women to three clinics (family planning clinic, STI and community clinic) | Bars, home | Having at least four different sex partners per month | 1453 | 808 | 25.5 | No | 26 |
China | 2004 | Any STI§§ Behavioural | Work | Indoors | Self-identified | 151 | 264 | 23.5 (SD=5.1) | Yes | 38 | |
China | 1998–1999 | HIV | Hospital and via outreach to working locations | Bars, hotels, hair dressing salons, beauty parlours | No information | 135 | 831 | 25 (SD=5) | No | 40 | |
Thailand | 1992 | HIV | STI clinic and work places | Indoors | Brothels (direct workers) bars, massage parlours, karaoke clubs (indirect) | 51 | 672 | 48% (383) <20 years | No | 41 | |
Thailand | 1991–1994 | HIV | STI clinic and work places | Indoors | No information | 37 | 463 | 23.6 (mean) | No | 39 | |
Kenya | 1985 | HIV | STI clinic | Missing | No information | 399 | 19 | 29.2 (SD=6.5) | No | 27 | |
Low | Ethiopia | 1998 | HIV | STI clinic set up for research | Individual, shared rooms, bars, street | Known to health staff as being sex workers | 290 | 82 | 57% <24 years | No | 44 |
Mali | 1995 | HIV | Work | Street | No info | 94 | 82 | 28.8 (15–50) | No | 45 | |
Benin | 1993, 1995, 1999 | HIV STI¶¶ Behavioural | Specialist STI clinic for sex workers | No information | No information | 461 | 130 | 28.4 | No | 25 |
The UNAIDS definition of a female sex worker is a woman who receives money or goods in exchange for sexual services, either regularly or occasionally, and who may or may not consciously define those activities as income generating.
*Antibodies to T. pallidum, chlamydia and/or Gonorrhoea.
†Chlamydia, pelvic inflammatory disease, clinical genital herpes, chronic hepatitis B virus and syphilis (all stages).
‡Syphilis, gonorrhoea and chlamydia.
§Syphilis, and hepatitis B and C.
¶Treponema pallidum, gonorrhoea, chlamydia, herpes simplex virus 2 and hepatitis B.
**Treponema pallidum, gonorrhoea, chlamydia, herpes simplex virus 2 and hepatitis B.
††Chlamydia, gonorrhoea, HIV, syphilis or any STI.
‡‡Includes past infection, early latent, late latent syphilis.
§§Gonorrhoea, chlamydia, trichomoniasis, syphilis and genital warts.
¶¶Syphilis, gonorrhoea and chlamydia.
EIA, enzyme immunoassay; FSW, female sex worker(s); IDU, injecting drug user; STI, sexually transmitted infections; UNAIDS, Joint United Nations Programme on HIV/AIDS.