Determinants of HIV Infection Among Female Sex Workers in Two Cities in the Republic of Moldova: The Role of Injection Drug Use and Sexual Risk

In 2009–2010, females who reported having vaginal, anal or oral sex in exchange for money in the previous year, ≥16 years, and living in either Chisinau ( n  = 299) or Balti ( n  = 359), Moldova, were recruited into a respondent driven sampling survey. One fifth reported ever injecting drugs and ove...

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Bibliographic Details
Published in:AIDS and behavior 2013-10, Vol.17 (8), p.2588-2596
Main Authors: Zohrabyan, Lev, Johnston, Lisa Grazina, Scutelniciuc, Otilia, Iovita, Alexandrina, Todirascu, Lilia, Costin, Tatiana, Plesca, Valeriu, Cotelnic-Harea, Tatiana, Ionascu, Gabriela
Format: Article
Language:English
Subjects:
Acquired Immune Deficiency Syndrome
Adolescent
Adult
Blood Diseases
Cities
Cities - epidemiology
Condoms
Condoms - statistics & numerical data
Condoms - utilization
Drug abuse
Drug Injection
Female
Females
Harm Reduction
Health Psychology
Health Surveys
Hepatitis
Hepatitis B - epidemiology
Hepatitis B virus
Hepatitis C - epidemiology
Hepatitis, Viral, Human - epidemiology
Hepatitis, Viral, Human - etiology
Hepatitis, Viral, Human - prevention & control
HIV
HIV Infections - epidemiology
HIV Infections - etiology
HIV Infections - prevention & control
Human immunodeficiency virus
Humans
Infectious Diseases
Male
Males
Medicine
Medicine & Public Health
Middle Aged
Moldova
Moldova - epidemiology
Original Paper
Prevalence
Prostitution
Public Health
Risk factors
Risk-Taking
Sampling Studies
Sex Workers - statistics & numerical data
Sexual Partners
Socioeconomic Factors
Substance Abuse, Intravenous - complications
Substance Abuse, Intravenous - epidemiology
Substance Abuse, Intravenous - prevention & control
Surveys and Questionnaires
Syphilis - epidemiology
Syphilis - etiology
Syphilis - prevention & control
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Summary:In 2009–2010, females who reported having vaginal, anal or oral sex in exchange for money in the previous year, ≥16 years, and living in either Chisinau ( n  = 299) or Balti ( n  = 359), Moldova, were recruited into a respondent driven sampling survey. One fifth reported ever injecting drugs and over 30 % ever had sexual intercourse with men who inject drugs. In both cities, condom use with permanent and casual partners was much lower than condom use with commercial partners. In Chisinau, 6.9 % and in Balti, 24.7 % tested positive for HIV; 18 and 23.7 % had antibodies to hepatitis C; 9.1 and 8.9 % had antibodies to HBV; and, 8.4 and 6.1 % tested positive for syphilis. HIV seropositive FSW in either city were more likely to have ever injected drugs and to be infected with HCV. Limited government initiative and drastic reductions in international funding will likely impact urgently needed HIV prevention and harm reduction services targeting FSW in Moldova.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-013-0460-x