Mallika Alexander|M K Mainkar|Sucheta Deshpande|Shweta Chidrawar|Suvarna Sane|Sanjay Mehendale
Heterosexual Anal Sex among Female Sex Workers in High HIV Prevalence States of India: Need for Comprehensive Intervention
National AIDS Research Institute|National AIDS Research Institute|National AIDS Research Institute|National AIDS Research Institute|National AIDS Research Institute|National Institute of Epidemiology
role vaginal sex heterosexual transmission hiv investigated heterosexual anal sex fully understood paper examines practice among female sex workers fsws correlates india hiv epidemic primarily driven core groups like fswsdata paper drawn round survey 9667 fsws integrated biological behavioral assessment ibba 23 districts 4 high hiv prevalent states india bivariate multivariate analysis identified factors associated hasever anal sex reported 119 fsws 95 ci 113126 typology aor 220 95 ci 164295 literacy aor 128 95 ci 110149 positively associated practice longer duration sex trade aor 169 95 ci 144199 entertaining larger number clients previous week aor 178 95 ci 147215 alcohol consumption aor 121 95 ci 103142 inability negotiate condom use aor 153 95 ci 128183 also correlated selfrisk perception hiv aor 146 95 ci 125171 impede although symptoms sexually transmitted infections stis last 12 months associated anal sex aor 139 95 ci 113172 significant association laboratory confirmed hiv stis haspractice fsws might significantly contribute hiv transmission india study also shows despite selfrisk perception hiv even literate fsws longer duration sex work report general messages condom use may influence safe fsws need targeted specific messages hiv transmission anal sex women controlled prevention methods rectal microbicides vaginal microbicides needed