Learn More. Quasilegal prostitution in both cities attracts large s of sex tourists. At baseline, participants underwent interviews, antibody testing for HIV and syphilis, and vaginal swabs for detecting gonorrhea and Chlamydia.
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Prevalence and correlates of hiv infection among female sex workers in two mexico-u.s. border cities
Learn More. Logistic regression identified factors associated with HIV infection. The states of Baja California and Chihuahua, where these cities are located, are second and fourteenth among Mexico's 32 states in Escorts palmers Kalamazoo of cumulative AIDS incidence [ 1 ]. Commercial sex Bremerton wild escort quasi-legal in the Zonas Rojas [red light districts] in most Mexican cities. During the same period, a study of more than one thousand pregnant women at Tijuana General Hospital reported that HIV prevalence was 1.
Between January and Januaryoutreach workers from municipal and community health clinics recruited FSWs in Tijuana and Ciudad Juarez into a behavioral intervention study to increase condom use [ 2 ].
As the outcome for the behavioral intervention was HIV incidence, women were excluded if they reported knowingly having tested HIV-positive prior to enrollment. Interview topics included sociodemographics, sexual and substance use Escorts palmers Kalamazoo, working conditions, social influence, mood, self-esteem, social cognitive factors, and self-reported STIs.
Pre- and post-test counseling was Asian escort New Hampshire women testing positive were referred to municipal health clinics for free medical care. Juarez samples. Univariate and multivariate logistic regressions were performed to identify factors associated with HIV-positive serostatus.
Pearson and Hosmer and Lemeshow tests were conducted to assess goodness-of-fit.
Although site-specific models were examined, Gr Atlanta Georgia escorts presented for the overall sample due to the relatively small sample of HIV-positive cases and because site-specific associations were generally similar. Only two false-positive rapid HIV tests were observed.
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Most women were married or living common-law; There was no ificant differences between groups in amounts earned for protected and unprotected sex, and proportions describing themselves as a street worker. However, this difference was confined to non-regular 10 vs. In the final multivariate model Table 2three factors were independently associated with HIV-positive serostatus.
These associations were essentially unchanged after adjusting for city of residence. In this Local personal ads Tampa Fl study of FSWs in two U. FSWs who injected cocaine, smoked, inhaled or Prostitution Mission gare methamphetamine, and whose syphilis titers were consistent with active infection were at least three times more likely to be HIV-infected compared to other FSWs.
These findings have important implications for cross-border HIV transmission, since both cities ad busy ports of entry to the U. Injection drug use and sex work have been shown to overlap considerably in various settings [ 6 - 9 ].
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An elevated risk of HIV among injectors is not surprising; however, the independent association we observed between HIV infection and non-injection methamphetamine use was unexpected. Methamphetamine use has been closely associated with incident HIV infection among MSM [ 10 ], but few reports have examined this association among heterosexuals. In Visalia coed escorts such study, St. Petersburg, Swedish escorts Oklahoma City OK, an independent association was reported between HIV infection and methamphetamine use among heterosexual—and predominantly male—IDUs [ 11 ].
Use of stimulants, including methamphetamine and cocaine, has been associated with high risk sexual behavior in FSWs and other populations [ 12 ]. A study of pregnant women in Tijuana found that HIV was independently associated with methamphetamine use, even after adjusting for injection drug use [ 4 ], which mirrors our findings.
Although we did not observe an independent association between HIV infection and unprotected sex, methamphetamine use may be a proxy measure of high risk sexual behaviors. Since methamphetamine production and use has risen dramatically Golden sands Palm Coast prostitutes Mexico following crackdowns on its production in the U.
Volkow and colleagues suggested that stimulants induce sexual desire, which in turn could for an increased frequency of high risk sexual behaviors [ 14 ].
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On the other hand, stimulant use could be a marker of sensation-seeking or other personal attributes which are associated with higher levels of unprotected sex [ 10 ]. These women may acquire HIV through Escortes Scottsdale AZ vip of needles or other injection paraphernalia, since cocaine injection is associated with frequent, more chaotic injection behavior.
Alternatively, cocaine injection could be a marker of high risk sexual behaviors, such as exchanging sex for drugs, which can compromise women's ability to negotiate safer sex. Although subsidized drug abuse treatment exists in these Mexican cities, there are limited treatment options for persons addicted to stimulants, as Real Lakeland FL prostitute other countries.
While many variables were ificantly associated with HIV serostatus in univariate analyses, some such as Chlamydia and Gonorrhea were not independently associated with HIV infection after controlling for other factors e. Indeed, high syphilis titers were independently associated with a four-fold odds of Kings Alexandria VA escorts infection, which is not surprising since it is an important cofactors of HIV transmission.
At enrollment, few women reported being aware of having an infectious STI, which could suggest that the majority of these infections were chronic and untreated or City angels Anaheim escorts, incident infections. Although free treatment for syphilis and other STIs is available in Mexico under the country's universal health system, limited resources compromise the ability to conduct surveillance and treatment for high risk populations.
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Given the clear and immediate need for improved surveillance and aggressive STI treatment in both cities, binational funding strategies to improve financing and delivery of these services should be undertaken. Since HIV-positive FSWs were more likely to report that their regular partners and clients injected drugs, there is a concomitant need to develop interventions to reduce high risk behaviors among these male partners.
The cross-sectional nature of this analysis limited our ability to draw causal inferences. Due to small cell sizes, we may have been under-powered to detect some associations Morning escorts Allentown PA.
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Like most studies of sexual behavior, ours is potentially subject to socially desirable responding. Some women may have been aware of having an STI, but were unwilling to report I Portland Oregon OR not perfect person, fearing that this would impact their Collins weekly escorts to practice sex work. However, less than half reported consistent condom use for vaginal sex with clients, and frequency of reported drug use was also high, suggesting that reporting bias may have been minimal.
Although FSWs in Tijuana and Ciudad Juarez who use stimulants and have high syphilis titers are at increased risk of HIV infection, these risk factors are amenable to interventions. Our data emphasize the need for interventions to identify and treat ulcerative STIs and to reduce the risks associated with injection and non-injection use of stimulants.
Multifaceted interventions need to be developed in a binational context to curtail the growing HIV epidemic among Mexican FSWs in these border communities.
Meetings at which this information has been presented: None. National Center for Biotechnology InformationU. J Infect Dis. Author manuscript; Wayne escort b in PMC May Thomas L. Patterson1, 8 Shirley J. Strathdee 1. Shirley J. Morgan M. Steffanie A. Author information Copyright and information Disclaimer.
Corresponding Author: Thomas L. Patterson, Ph. Copyright notice. The publisher's final edited version of this article is available at J Infect Louisville Kentucky escorts bbw. See other articles in PMC that cite the published article.
Keywords: Mexico, female sex workers, sexually transmitted infections, HIV, methamphetamine, cocaine, drug use, non-injection, injection drug use, unprotected sex.
Methods Study Population Between January and Januaryoutreach workers from municipal and community health clinics recruited FSWs in Tijuana and Ciudad Juarez into a behavioral intervention study to increase condom use [ 2 Courtney of San Antonio escort. Juarez 36 Open in a separate window.
References 1. A sexual risk reduction intervention for female sex workers in Mexico: De and baseline characteristics. AIDS in Mexico: lessons learned and implications for developing countries. J Acquir Immune Defic Syndr. Available at: www.
Dominican, Mexican, and Puerto Rican prostitutes: Drug use and sexual behaviors. Hisp J Behav Sci. Sex Transm Dis. Effects of sex work on syphilis Escorts gatlinburg Torrance CA among injection drug users in 3 Russian cities. Am J Public Health. Correlates of injection drug use among female sex workers in two Mexico-U.
Drug Alcohol Depend. In Press.
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Club drugs as causal risk factors for HIV acquisition among men who have sex with men: A review. Subst Use Misuse. Sexual and injection risk among women who inject methamphetamine in San Francisco. J Urban Health. Trends in production, trafficking, and consumption of methamphetamine and cocaine in Mexico. Stimulant-induced enhanced sexual desire as a potential contributing factor in HIV transmission. Am J Psychiatry. Characteristics of female sex workers with U. Sex Trans Dis. Support Escorts bs Fresno Support Center.