Prevalence of HIV/STIs and correlates with municipal characteristics among female sex workers in 13 Mexican cities
Objective. To identify correlates of HIV/STI prevalence among 13 cities with varying sizes of female sex worker (FSW) populations and municipal characteristics in Mexico. Materials and methods. FSWs underwent interviews and testing for HIV, syphilis, gonorrhea and chlamydia. Logistic regression exp...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Instituto Nacional de Salud Pública
2019-03-01
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| Series: | Salud Pública de México |
| Subjects: | |
| Online Access: | http://www.saludpublica.mx/index.php/spm/article/view/8863 |
| _version_ | 1818016780937854976 |
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| author | Thomas L Patterson Steffanie A Strathdee Shirley J Semple Claudia V Chavarin Daniela Abramovitz Tommi L Gaines Doroteo Mendoza Hugo Staines Gregory A Aarons Carlos Magis-Rodríguez |
| author_facet | Thomas L Patterson Steffanie A Strathdee Shirley J Semple Claudia V Chavarin Daniela Abramovitz Tommi L Gaines Doroteo Mendoza Hugo Staines Gregory A Aarons Carlos Magis-Rodríguez |
| author_sort | Thomas L Patterson |
| collection | DOAJ |
| description | Objective. To identify correlates of HIV/STI prevalence among 13 cities with varying sizes of female sex worker (FSW) populations and municipal characteristics in Mexico. Materials and methods. FSWs underwent interviews and testing for HIV, syphilis, gonorrhea and chlamydia. Logistic regression explored variations in HIV/STI prevalence. Results. Among FSWs (n=1 092), prevalence across 13 sites was: HIV: 0.4% (range: 0%-1.4%): syphilis: 7.8% (range: 0%-17.2%); chlamydia: 15.3% (range: 5.7%-32.2%); gonorrhea: 2.9% (range 0%-13.8%), and any HIV/STI: 23% (range: 9.9%- 46%). Municipalities with high human development scores and a lower municipal marginalization index had higher odds of combined HIV/STI prevalence. After controlling for site-specific variability in municipal characteristics, greater risk of HIV/STIs was associated with lower education, having a spouse diagnosed or treated for an STI, unaffordability of condoms, and having non-Mexican clients. Conclusions. Prevalence of HIV/STIs varies across Mexican municipalities indicating the need for surveillance to identify hotspots for targeted resource allocation. |
| first_indexed | 2024-04-14T07:18:16Z |
| format | Article |
| id | doaj.art-d6f4120e1cee4e6696f82c58cc3a3e85 |
| institution | Directory Open Access Journal |
| issn | 0036-3634 1606-7916 |
| language | English |
| last_indexed | 2024-04-14T07:18:16Z |
| publishDate | 2019-03-01 |
| publisher | Instituto Nacional de Salud Pública |
| record_format | Article |
| series | Salud Pública de México |
| spelling | doaj.art-d6f4120e1cee4e6696f82c58cc3a3e852022-12-22T02:06:15ZengInstituto Nacional de Salud PúblicaSalud Pública de México0036-36341606-79162019-03-01612, Mar-Abr11612410.21149/886316639Prevalence of HIV/STIs and correlates with municipal characteristics among female sex workers in 13 Mexican citiesThomas L Patterson0Steffanie A Strathdee1Shirley J Semple2Claudia V Chavarin3Daniela Abramovitz4Tommi L Gaines5Doroteo Mendoza6Hugo StainesGregory A Aarons7Carlos Magis-Rodríguez8University Of California San DiegoUniversity Of California San DiegoUniversity Of California San DiegoUniversity Of California San DiegoUniversity Of California San DiegoUniversity Of California San DiegoMEXFAM, A.C.University Of California San DiegoCensidaObjective. To identify correlates of HIV/STI prevalence among 13 cities with varying sizes of female sex worker (FSW) populations and municipal characteristics in Mexico. Materials and methods. FSWs underwent interviews and testing for HIV, syphilis, gonorrhea and chlamydia. Logistic regression explored variations in HIV/STI prevalence. Results. Among FSWs (n=1 092), prevalence across 13 sites was: HIV: 0.4% (range: 0%-1.4%): syphilis: 7.8% (range: 0%-17.2%); chlamydia: 15.3% (range: 5.7%-32.2%); gonorrhea: 2.9% (range 0%-13.8%), and any HIV/STI: 23% (range: 9.9%- 46%). Municipalities with high human development scores and a lower municipal marginalization index had higher odds of combined HIV/STI prevalence. After controlling for site-specific variability in municipal characteristics, greater risk of HIV/STIs was associated with lower education, having a spouse diagnosed or treated for an STI, unaffordability of condoms, and having non-Mexican clients. Conclusions. Prevalence of HIV/STIs varies across Mexican municipalities indicating the need for surveillance to identify hotspots for targeted resource allocation.http://www.saludpublica.mx/index.php/spm/article/view/8863sex workerfemalesHIVsexually transmitted infectionsepidemiologyprevalenceMexico |
| spellingShingle | Thomas L Patterson Steffanie A Strathdee Shirley J Semple Claudia V Chavarin Daniela Abramovitz Tommi L Gaines Doroteo Mendoza Hugo Staines Gregory A Aarons Carlos Magis-Rodríguez Prevalence of HIV/STIs and correlates with municipal characteristics among female sex workers in 13 Mexican cities Salud Pública de México sex worker females HIV sexually transmitted infections epidemiology prevalence Mexico |
| title | Prevalence of HIV/STIs and correlates with municipal characteristics among female sex workers in 13 Mexican cities |
| title_full | Prevalence of HIV/STIs and correlates with municipal characteristics among female sex workers in 13 Mexican cities |
| title_fullStr | Prevalence of HIV/STIs and correlates with municipal characteristics among female sex workers in 13 Mexican cities |
| title_full_unstemmed | Prevalence of HIV/STIs and correlates with municipal characteristics among female sex workers in 13 Mexican cities |
| title_short | Prevalence of HIV/STIs and correlates with municipal characteristics among female sex workers in 13 Mexican cities |
| title_sort | prevalence of hiv stis and correlates with municipal characteristics among female sex workers in 13 mexican cities |
| topic | sex worker females HIV sexually transmitted infections epidemiology prevalence Mexico |
| url | http://www.saludpublica.mx/index.php/spm/article/view/8863 |
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