Dominika Seidman1, Melanie Rusch2, Daniela Abramovitz3, Jamila K Stockman3, Gustavo Martinez4, Gudelia Rangel5, Alicia Vera3, Monica D Ulibarri6, Steffanie A Strathdee7. 1. Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, CA, USA. 2. Population Health and Epidemiology, Island Health, Victoria, BC, Canada; School of Public Health and Social Policy, University of Victoria, Victoria, BC, Canada. 3. Division of Global Public Health, University of California, San Diego, La Jolla, CA, USA. 4. Community Health and Development of Ciudad Juarez and the Mexican Federation of Private Associations, Ciudad Juarez, Mexico. 5. El Colegio de la Frontera del Norte, Tijuana, Mexico. 6. Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA. 7. Division of Global Public Health, University of California, San Diego, La Jolla, CA, USA. Electronic address: sstrathdee@ucsd.edu.
Abstract
OBJECTIVE: To describe intravaginal practices (IVPs) among female sex workers (FSWs) who inject drugs in two cities-Tijuana and Ciudad Juarez-on the border between the USA and Mexico. METHODS: Data for a secondary analysis were obtained from interviews conducted as part of a randomized controlled trial in FSWs who injected drugs between October 28, 2008, and May 31, 2010. Eligible individuals were aged at least 18years and reported sharing injection equipment and having unprotected sex with clients in the previous month. Descriptive statistics were used to assess frequency and type of IVPs. Logistic regression was used to assess correlates of IVPs. RESULTS: Among 529 FSWs who completed both surveys, 229 (43.3%) had performed IVPs in the previous 6months. Factors independently associated with IVPs were reporting any sexually transmitted infection in the previous 6months (adjusted odds ratio [aOR] 1.8, 95% confidence interval [CI] 1.1-3.1; P=0.03), three or more pregnancies (aOR 1.9, 95% CI 1.1-3.2; P=0.02), and having clients who became violent when proposing condom use (aOR 5.8, 95% CI 1.0-34.3; P=0.05), which are all factors related to inconsistent condom use. CONCLUSION: Screening for IVPs could help to identify FSW at increased risk of HIV, and facilitate conversations about specific risk-reduction methods.
RCT Entities:
OBJECTIVE: To describe intravaginal practices (IVPs) among female sex workers (FSWs) who inject drugs in two cities-Tijuana and Ciudad Juarez-on the border between the USA and Mexico. METHODS: Data for a secondary analysis were obtained from interviews conducted as part of a randomized controlled trial in FSWs who injected drugs between October 28, 2008, and May 31, 2010. Eligible individuals were aged at least 18years and reported sharing injection equipment and having unprotected sex with clients in the previous month. Descriptive statistics were used to assess frequency and type of IVPs. Logistic regression was used to assess correlates of IVPs. RESULTS: Among 529 FSWs who completed both surveys, 229 (43.3%) had performed IVPs in the previous 6months. Factors independently associated with IVPs were reporting any sexually transmitted infection in the previous 6months (adjusted odds ratio [aOR] 1.8, 95% confidence interval [CI] 1.1-3.1; P=0.03), three or more pregnancies (aOR 1.9, 95% CI 1.1-3.2; P=0.02), and having clients who became violent when proposing condom use (aOR 5.8, 95% CI 1.0-34.3; P=0.05), which are all factors related to inconsistent condom use. CONCLUSION: Screening for IVPs could help to identify FSW at increased risk of HIV, and facilitate conversations about specific risk-reduction methods.
Authors: Janneke H H M van de Wijgert; Charles S Morrison; Peter G A Cornelisse; Marshall Munjoma; Jeanne Moncada; Peter Awio; Jing Wang; Barbara Van der Pol; Tsungai Chipato; Robert A Salata; Nancy S Padian Journal: J Acquir Immune Defic Syndr Date: 2008-06-01 Impact factor: 3.731
Authors: Carol S Weisman; Diane M Grimley; Lucy Annang; Marianne M Hillemeier; Gary A Chase; Anne-Marie Dyer Journal: Womens Health Issues Date: 2007-07-30
Authors: Thomas L Patterson; Shirley J Semple; Hugo Staines; Remedios Lozada; Prisci Orozovich; Jesus Bucardo; Morgan M Philbin; Minya Pu; Miguel Fraga; Hortensia Amaro; Adela de la Torre; Gustavo Martinez; Carlos Magis-Rodríguez; Steffanie A Strathdee Journal: J Infect Dis Date: 2008-03-01 Impact factor: 5.226
Authors: H A Pines; S A Strathdee; C W Hendrix; C C Bristow; A Harvey-Vera; C Magis-Rodríguez; G Martinez; S J Semple; T L Patterson Journal: Int J STD AIDS Date: 2018-08-31 Impact factor: 1.359
Authors: Heather A Pines; Shirley J Semple; Steffanie A Strathdee; Craig W Hendrix; Alicia Harvey-Vera; Pamina M Gorbach; Carlos Magis-Rodríguez; Gustavo Martinez; Thomas L Patterson Journal: BMC Public Health Date: 2018-08-14 Impact factor: 3.295