AIDS and Behavior

, Volume 18, Issue 3, pp 562–572 | Cite as

Female Sex Workers in Three Cities in Russia: HIV Prevalence, Risk Factors and Experience with Targeted HIV Prevention

  • Michele R. Decker
  • Andrea L. Wirtz
  • Vladimir Moguilnyi
  • Alena Peryshkina
  • Maria Ostrovskaya
  • Marina Nikita
  • Julia Kuznetzova
  • Chris Beyrer
Original Paper


Within Eastern Europe/Central Asia’s expanding HIV epidemic, relatively little is known about female sex workers (FSWs). Using mixed methods, we report on sex work context, HIV prevalence and contextual risk factors, and exposure to FSW-targeted prevention services among FSWs in Kazan, Krasnoyarsk, and Tomsk, Russia. Following a qualitative phase, FSWs (n = 754) were recruited via respondent-driven sampling for a cross-sectional survey with HIV screening in 2011. HIV was prevalent (3.9 %). In adjusted analyses, significant risk factors included injection drug use (IDU; AOR 5.85, 95 % CI 2.47, 14.43), client-perpetrated physical violence (AOR 2.52, 95 % CI 1.41, 4.51), and client-perpetrated sexual violence (vaginal AOR 3.77, 95 % CI 1.73, 8.22; anal AOR 4.80, 95 % CI 1.89, 12.19). FSW-targeted programming (reported by 75 %) was described as highly valuable, providing free, anonymous, and non-stigmatizing care. Findings confirm FSWs as a core HIV risk population in Russia, and demonstrate the need to support FSW-oriented HIV services. Such efforts should address violence against FSWs.


HIV Russia Female sex worker Violence Prevention 


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Michele R. Decker
    • 1
    • 2
  • Andrea L. Wirtz
    • 2
    • 3
  • Vladimir Moguilnyi
    • 4
  • Alena Peryshkina
    • 4
  • Maria Ostrovskaya
    • 4
  • Marina Nikita
    • 4
  • Julia Kuznetzova
    • 4
  • Chris Beyrer
    • 2
    • 5
  1. 1.Department of Population, Family and Reproductive HealthJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  2. 2.Center for Public Health and Human RightsJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  3. 3.Department of Emergency MedicineJohns Hopkins Medical InstituteBaltimoreUSA
  4. 4.AIDS InfoshareMoscowRussia Federation
  5. 5.Department of EpidemiologyJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA

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