Catherine S. Todd|Abdul Nasir|Mohammad Raza Stanekzai|Christian T. Bautista|B. A. M. Botros|Paul T. Scott|Steffanie A. Strathdee|Jeffrey Tjaden
HIV, hepatitis B, and hepatitis C prevalence and associated risk behaviors among female sex workers in three Afghan cities
Columbia University|Columbia University|Columbia University|Columbia University|Columbia University|Columbia University|Columbia University|Columbia University
assess prevalence hiv syphilis hepatitis b hbv c virus hcv associated risk behaviors among female sex workers fsws three afghan citiescrosssectional prevalence assessmentconsented fsws jalalabad kabul mazarisharif completed intervieweradministered questionnaire pretest posttest counseling rapid confirmatory testing hiv hcv hbv syphilis logistic regression used detect correlates associated hbv infectionof 520 participants median age age initiating sex work 29 23 years respectively median number monthly clients 12 fsws reported ever used illicit drugs 69 alcohol 47 demographic risk behaviors varied significantly enrollment site kabul fsws likely report sexually transmitted infection symptoms longer sex work duration sex work cities prevalence hiv 019 hcv 192 hbv 654 cases syphilis detected hbv independently associated least 12 clients monthly adjusted odds ratio aor 315 95 confidence interval ci 138717 ever using alcohol aor 261 95ci 145469 anal sex aor 242 95ci 115508 children aor 212 95ci 172263 sitecontrolled multivariable analysisalthough prevalence hiv hcv syphilis currently low three afghan cities risky sexual practices common associated hbv programming inclusive voluntary testing hiv viral hepatitis sexually transmitted infections hepatitis vaccination substance abuse prevention condom promotion fsws clients pursued afghanistan