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High HIV and syphilis prevalence among female sex workers in Juba, South Sudan

See next item. Avi J.

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This unstable living situation may contribute to the high prevalence of depression among FSW and engagement in harmful drinking behaviors [ 24 ]. Our findings show the importance of ensuring all individuals, regardless of Prostitutes Katoro and language ability, have access to HIV prevention, testing, Prostitutes Katoro treatment services in South Sudan.

The diverse nationality of sex workers suggests a role for cross-border collaboration by neighboring governments Prostitutes Katoro the need for a regional approach to HIV in South Sudan.

The mobility inherent among foreign sex workers and evidenced among FSW in Juba necessitates innovative approaches to ensure HIV-infected FSW are able to stay on treatment when relocating.

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Younger girls and women may be especially vulnerable to HIV and sexual exploitation and should be targeted for HIV testing and psychosocial support services. Though nearly half of FSW began selling sex by age 24 years, only Interestingly, condom use at last commercial sex was Social desirability bias is also possible.

Their understanding of HIV may have increased after being diagnosed with HIV and they may Prostitutes Katoro reported socially desirable behaviors. A high proportion of FSW experienced a broken condom in the last six months. Prostitutes Katoro may be because many Prostitutes Katoro dry out their vagina and because lubricant is not readily available in Juba. Neither having a condom rupture nor vaginal drying were associated with HIV. Though one-quarter of FSW had spoken with an outreach worker or peer educator in the last three months, nearly two-thirds had never done so, suggesting that outreach efforts may have been Prostitutes Katoro the same set of sex workers over and over again.

Peer education and outreach efforts should be closely monitored to ensure they continue to reach new individuals. Additionally, given the success of our survey at reaching FSW who had never been reached by outreach workers, social Prostitutes Katoro strategies could be used to reach these women [ 25 — 27 Prostitutes Katoro.

With 7. Our survey Prostitutes Katoro limited by the cross-sectional nature of our sample as well as by our inability to sample many women from subpopulations of Ethiopians or Eritreans due to the exceptional concealment of their engagement in sex work as well as the fact that speaking Amharic was not included in Prostitutes Katoro survey eligibility criteria [ 7 ]. There may also be response bias due to the face-to-face nature of our interviews.

Using audio-computer-assisted self-interviews could help mitigate this bias but would be challenging with so many languages spoken by FSW [ 29Prostitutes Katoro ]. The compensation level was determined through community consultation; it could have had an effect on participation.

Our survey reveals the diversity of FSW in Juba and highlights the importance of tailoring services to the unique needs of FSW of Prostitutes Katoro nationalities in the country.

Further research is necessary to understand if women of different nationalities have differential access to services and the reasons for this, including linguistic, cultural, and legal. Our findings also highlight the potential Prostitutes Katoro optimized outreach and case finding approaches could have for FSW and their clients.

Disclaimer: The findings and conclusions in this paper are those of the authors and do not necessarily represent the Prostitutes Katoro position of the funding agencies.

PLoS One. Published online Sep Avi J. Alfred G. Ashley Grosso, Editor.

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Author information Article notes Copyright and License information Disclaimer. Competing Interests: The authors have declared that no competing interests exist. Received Mar 19; Accepted Sep 8. Copyright notice. This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public Prostitutes Katoro dedication.

Associated Data Data Availability Statement Data cannot be shared publicly because of the illegal Prostitutes Katoro of survey participants and the relatively small number of female sex workers in the Prostitutes Katoro city. Abstract HIV prevalence is estimated to be 2.

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Introduction HIV has long been a public health concern in South Sudan; however, given the recurrent conflict and humanitarian Prostitutes Katoro, attention has often been focused on emergency health needs, nutrition and shelter for the displaced. Recruitment and data collection Four initial seeds were selected based on age, neighborhood, Prostitutes Katoro, and influence among peers.

Data analysis The primary Prostitutes Katoro for our analysis was HIV infection. Table 1 Background characteristics of female sex workers in Juba, South Sudan, — Open in a separate window. Acknowledgments Disclaimer: The findings and conclusions in this paper are those of the authors and do not necessarily represent the official position of the funding agencies.

Data Availability Data cannot be shared publicly because of the illegal Prostitutes Katoro of survey participants and the relatively small number of female sex workers in the survey city.

References 1.

South Sudan Ministry of Health. Juba; Juba: Ministry of Health; Groenendiijk C, Veldwijk J. Juba: Confident Children Prostitutes Katoro of Conflict; Burden of HIV among female sex workers in low-income and middle-income countries: a systematic review and meta-analysis. Lancet Infect Dis. Prostitutes Katoro characteristics and behavioral risk factors of female sex workers in sub-saharan Africa: a systematic review.

AIDS Behav. Cohen MS. Sexually transmitted diseases enhance HIV transmission: no longer a hypothesis. Nonulcerative sexually transmitted diseases as risk factors for HIV-1 transmission in women: results from a Prostitutes Katoro study.

AIDS Care. Overlapping HIV and sex-work stigma among female sex workers recruited to 14 respondent-driven sampling surveys across Zimbabwe, Prostitutes Katoro Insights From Mathematical Modeling.

J Acquir Immune Defic Syndr. Heckathorn DD. Social Problems. Snowball Versus Respondent-Driven Sampling. Sociol Methodol.

Sex workers are at heightened risk of HIV infection due to the number of sexual partners they have and their frequency of condomless sex [9]. Hookers in Katoro Prostitutes Geita. more 2 3 4 5 6. Russia · Ethiopia · United States · Australia · Argentina · Thailand · Albania · Netherlands.

J Clin Epidemiol. The Patient Health Questionnaire validity Prostitutes Katoro a two-item depression screener. Medical care. Geneva; Juba, South Sudan; Residential transience among US adolescents: association with depression and mental health treatment. Epidemiol Psychiatr Sci. Am J Prostitutes Katoro Health.

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