ART AIDS Research and Treatment 2090-1259 2090-1240 Hindawi Publishing Corporation 878151 10.1155/2013/878151 878151 Research Article Risky Behaviors among HIV-Positive Female Sex Workers in Northern Karnataka, India Jadhav Apoorva apoorvaj@sas.upenn.edu 1 Bhattacharjee Parinita parinita@khpt.org 2 Raghavendra T. raghavt@khpt.org 2 Blanchard James james_blanchard@umanitoba.ca 3 Moses Stephen smoses@cc.umanitoba.ca 3 Isac Shajy shajyisac@khpt.org 2 Halli Shiva S. halli@cc.umanitoba.ca 3 Nicholas P. K. 1 Population Studies Center University of Pennsylvania 3718 Locust Walk 239 McNeil Building Philadelphia PA 19103 USA upenn.edu 2 Karnataka Health Promotion Trust, Bangalore 560044 India 3 Centre for Global Public Health University of Manitoba, Winnipeg MB Canada R3E 0T6 umanitoba.ca 2013 9 1 2013 2013 06 09 2012 18 12 2012 2013 Copyright © 2013 Apoorva Jadhav 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.

Purpose. Little is known about the risky sexual behaviors of HIV-positive female sex workers (FSWs) in the developing world, which is critical for programmatic purposes. This study aims to shed light on their condom use with regular clients as well as husband/cohabiting partner, a first in India. Methods. Multivariate logistic regression analyses for consistent condom use with regular clients and husband/cohabiting partner are conducted for the sample of 606 HIV-positive FSWs. Results. Older FSWs are 90% less likely and nonmobile FSWs are 70% less likely to consistently use condoms. FSWs on ART are 3.84 times more likely to use condoms. Additionally, FSWs who changed their occupation after HIV diagnosis are 70% less likely to use condoms. FSWs who are currently cohabiting are more likely to consistently use condoms with repeat clients and are 3.22 times more likely to do so if they have felt stigma associated with being HIV-positive. FSWs who have multiple repeat clients, and who do not know the sexual behavior of these clients, are more likely to use condoms consistently. Conclusion. This study would help inform programs to target the following particularly vulnerable HIV-positive FSWs: those who are older, those who changed their occupation post-HIV diagnosis, and those who are nonmobile.