Nicole Sirotin|Steffanie A. Strathdee|Remedios Lozada|Lien T. Nguyen|Manuel Gallardo|Alicia Vera|Thomas L. Patterson
A Comparison of Registered and Unregistered Female Sex Workers in Tijuana, Mexico
University of California, San Diego|Albert Einstein College of Medicine|University of California, San Diego|University of California, San Diego|University of California, San Diego|University of California, San Diego
objective sex work regulated tijuana mexico half citys female sex workers fsws registered municipal health department requires regular screening sexually transmitted infections stis human immunodeficiency virus hiv examined correlates registration determine confers measurable health benefits methods 2004 2006 interviewed fsws tijuana 18 years age reported recent unprotected sex least one client knowingly hivpositive tested hiv syphilis gonorrhea chlamydia logistic regression identified factors associated registration results 410 fsws 44 registered 69 tested hiv 6 hivpositive 44 tested positive sti compared unregistered fsws registered fsws likely hiv testing 86 vs 56 plt0001 less likely test positive sti 33 vs 53 plt0001 hiv 3 vs 8 p0039 factors independently associated registration included ever hiv test adjusted odds ratio aor 5 419 earning gt30 per transaction without condom aor5241 whereas working street aor5034 injecting cocaine aor5006 snorting smoking methamphetamine aor5027 born mexican state baja california aor5035 inversely associated registration conclusion registered fsws likely unregistered fsws hiv testing engage less drug use significantly lower hiv sti prevalence adjusting confounders current regulation fsws tijuana examined enhance potential public health benefits registration