Prevalence and Correlates of Condom Use and HIV Testing Among Female Sex Workers in Tashkent, Uzbekistan: Implications for HIV Transmission
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Little is known about sex work in Tashkent, Uzbekistan, despite rapid increases in HIV infection. Consistent client condom use and prior HIV testing are described among 448 female sex workers (FSW) completing a self-administered questionnaire, health provider interview, and HIV testing between April 2003 and March 2004. Participants were recruited through outreach workers using modified snowball sampling. Consistent client condom use was more likely for FSW who were married, knew condoms prevent HIV, and from countries in south Central Asia. Prior HIV testing was less likely for FSW younger than 21 years, who shared drugs with clients, initiated sex work at 18 years or less and had engaged in sex work less than 2 years. Low rates of condom use, particularly by those with risky drug behaviors, indicate that targeted risk-reduction interventions are urgently needed.
KeywordsHIV Commercial sex work Behavioral risk factors Uzbekistan Female sex workers Condom use
This study was supported by the US Military HIV Research Program (USMHRP) at the Walter Reed Army Institute of Research (WRAIR), and by the US Naval Medical Research Center (NMRC), Silver Spring, MD (Work Unit Number 62787–873-HE0001). We would like to thank Dr. Adkham Mamatkulov and Mr. Ilkhom Kasymov for assistance in coordinating the study. We would also like to acknowledge Ms. Oksana Subotova for translation and database entry assistance. Finally, we would like to thank the participants for their time and trust. Disclaimer: The opinions and assertions made by the authors do not reflect the official position or opinion of the US Department of the Navy or Army, of the Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., or of the respective in-country National HIV/AIDS Control Programs and other non-governmental organizations (NGOs).
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