Sowmya Ramesh|Deepika Ganju|Bidhubhusan Mahapatra|Rahul Mishra|Niranjan Saggurti
Relationship between mobility, violence and HIV/STI among female sex workers in Andhra Pradesh, India
Population Council Institute|Population Council Institute|Population Council Institute|Population Council Institute|Population Council Institute
violence mobility identified critical factors contributing spread hiv worldwide study aimed assess independent combined associations mobility violence sexual risk behaviors hiv sti prevalence among female sex workers fsws india data drawn crosssectional biobehavioral survey conducted among 2042 fsws across five districts southern india 200506 regression models used estimate odds ratios 95 confidence intervals cis sexual risk behaviors hiv infection based experience violence mobility adjusting sociodemographic sex work related characteristics onefifth fsws 19 reported experiencing violence 68 reported travelling outside current place residence least past year practicing sex work visit mobile fsws likely report violence compared counterparts 23 vs 10 p 0001 approximately 1 5 tested positive hiv adjusted models fsws reporting mobility violence compared counterparts likely infected hiv adjusted odds ratio adjusted 207 95 ci 142303 report unprotected sex occasional adjusted 286 95 ci 176465 regular clients adjusted 207 95 ci 140306 findings indicate mobility violence independently associated hiv infection notably combined effect mobility violence posed greater hiv risk independent effect results point need provision enabling environment safe spaces fsws mobile augment existing efforts reduce spread hivaids