The Intersection between Sex Work and Reproductive Health in Northern Karnataka, India: Identifying Gaps and Opportunities in the Context of HIV Prevention

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dc.contributor.authorBecker, Marissa
dc.contributor.authorRamanaik, Satyanarayana
dc.contributor.authorHalli, Shiva
dc.contributor.authorBlanchard, James F.
dc.contributor.authorRaghavendra, T.
dc.contributor.authorBhattacharjee, Parinita
dc.contributor.authorMoses, Stephen
dc.contributor.authorAvery, Lisa
dc.contributor.authorMishra, Sharmistha
dc.date.accessioned2015-05-14T16:19:17Z
dc.date.available2015-05-14T16:19:17Z
dc.date.issued2012-12-30
dc.date.updated2015-03-29T13:30:00Z
dc.description.abstractObjective. To examine the reproductive health practices of female sex workers (FSWs) in the context of an HIV prevention program in Karnataka, India. Methods. Data obtained from a survey of 1,011 FSWs registered with an HIV prevention program. We examined reproductive health indicators, and performed multivariate logistic regression among primiparous FSWs to assess sex work during pregnancy and antenatal HIV testing. Results. Among primiparous FSWs (), 92.0% continued sex work during pregnancy, and 55.4% received antenatal HIV testing. A longer duration in sex work (AOR 2.7, 95% CI: 1.0–7.5), rural residence (AOR 3.3, 95% CI: 1.2–8.9), and antenatal HIV testing (AOR 6.3, 95% CI: 2.0–20.1) were associated with continued sex work during pregnancy. Older FSWs (age >25 years, AOR 0.12, 95% CI: 0.05–0.33), who delivered at home (AOR 0.14, 95% CI: 0.09–0.34), were least likely to receive antenatal HIV testing. Antenatal HIV testing was associated with awareness of methods to prevent vertical HIV transmission (AOR 3.9, 95% CI: 1.9–14.1). Conclusions. Antenatal HIV testing remains low in the context of ongoing sex work during pregnancy. Existing HIV prevention programs are well positioned to immediately integrate reproductive health care with HIV interventions targeted to FSWs.
dc.description.versionPeer Reviewed
dc.identifier.citationMarissa Becker, Satyanarayana Ramanaik, Shiva Halli, et al., “The Intersection between Sex Work and Reproductive Health in Northern Karnataka, India: Identifying Gaps and Opportunities in the Context of HIV Prevention,” AIDS Research and Treatment, vol. 2012, Article ID 842576, 9 pages, 2012. doi:10.1155/2012/842576
dc.identifier.urihttp://dx.doi.org/10.1155/2012/842576
dc.identifier.urihttp://hdl.handle.net/1993/30485
dc.language.rfc3066en
dc.rightsopen accessen_US
dc.rights.holderCopyright © 2012 Marissa Becker et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.titleThe Intersection between Sex Work and Reproductive Health in Northern Karnataka, India: Identifying Gaps and Opportunities in the Context of HIV Prevention
dc.typeJournal Article
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