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Risk-taking behaviours and HIV infection among sex workers in Portugal: results from a cross-sectional survey

2015Journal article Restricted access
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dc.contributor.authorDias, Sónia
dc.contributor.authorGama, Ana
dc.contributor.authorFuertes, Ricardo
dc.contributor.authorMendão, Luís
dc.contributor.authorBarros, Henrique
dc.date.accessioned2024-09-19T10:00:11Z
dc.date.available2024-09-19T10:00:11Z
dc.date.issued2015
dc.description.abstractObjectives Sex workers (SW) are key populations at an increased risk of HIV infection. This study aimed to characterise risk-taking behaviours and assess HIV prevalence among SW in Portugal. Methods A cross-sectional survey was conducted with 1040 SW using a participatory research approach. SW were recruited in sex-work locations and community-based organisation offices. Data were collected through a questionnaire with trained interviewers. An HIV rapid test was performed in 213 respondents. Results Reported HIV prevalence was 8%: 17.6% of man-to-woman transgenders, 7.4% of women and 5% of men. Of SW reportedly living with HIV, 52.2% reported ever injecting drug use. Inconsistent condom use with clients in the last month was higher among male SW (26.5%) and with non-paying partners in the last year was higher among women (71.3%). Among reported HIV-positive SW, the proportions of inconsistent condom use were high. In multivariate regression analysis, reported HIV infection remained significantly higher among transgenders (OR 6.4; 95% CI 1.7 to 24.3), those older (OR 5.1; 95% CI 1.3 to 21.1), working outdoors (OR 5.4; 95% CI 1.9 to 15.6), having ever used psychoactive substances (OR 4.1; 95% CI 2.2 to 7.7) and earning ≤€1000 per month (OR 2.6; 95% CI 1.2 to 5.9). Of those who had an HIV rapid test, 8.9% were reactive; 73.7% were unaware of their seropositivity. Conclusions The HIV infection burden in SW is high. Efforts to promote HIV testing must be sustained in order to reduce undiagnosed infection. The diverse risk profiles of SW must be addressed in targeted HIV interventions. Prevention interventions should be systematically implemented within most-at-risk subgroups of SW.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1136/sextrans-2014-051697pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/52112
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectHIVpt_PT
dc.subjectSex workerspt_PT
dc.titleRisk-taking behaviours and HIV infection among sex workers in Portugal: results from a cross-sectional surveypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage352pt_PT
oaire.citation.issue5pt_PT
oaire.citation.startPage346pt_PT
oaire.citation.titleSexually Transmitted Infectionspt_PT
oaire.citation.volume91pt_PT
person.familyNameFuertes
person.familyNamePenim Mendão
person.givenNameRicardo
person.givenNameLuís Manuel
person.identifierAAW-2241-2021
person.identifier.ciencia-idA615-08E1-6C13
person.identifier.ciencia-idAA16-B94D-A1A0
person.identifier.orcid0000-0002-8562-2014
person.identifier.orcid0000-0001-7595-4499
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication16c8ffa4-73eb-479b-a64f-ba317a6dcd89
relation.isAuthorOfPublication29ca9078-add3-4e8b-a989-42af18fac73b
relation.isAuthorOfPublication.latestForDiscovery16c8ffa4-73eb-479b-a64f-ba317a6dcd89

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