Prevalence of HIV/STIs and correlates with municipal characteristics among female sex workers in 13 Mexican cities.

Authors:
Thomas L Patterson
Thomas L Patterson
University of California
Berkeley | United States
Steffanie A Strathdee
Steffanie A Strathdee
University of California
Berkeley | United States
Shirley J Semple
Shirley J Semple
University of California
Berkeley | United States
Claudia V Chavarin
Claudia V Chavarin
University of California at San Diego
United States
Daniela Abramovitz
Daniela Abramovitz
University of California
Berkeley | United States
Tommi L Gaines
Tommi L Gaines
University of California
United States
Hugo Staines
Hugo Staines
University of California-San Diego
United States

Salud Publica Mex 2019 Mar-Apr;61(2):116-124

Departamento de Cuidado Integral, Centro Nacional para la Prevención y el Control del VIH y el Sida, Secretaría de Salud. Mexico City, Mexico.

Objective: To identify correlates of HIV/STI prevalence among 13 cities with varying sizes of female sex worker (FSW) populations and municipal characteristics in Mexico.

Materials And Methods: FSWs underwent interviews and testing for HIV, syphilis, gonorrhea and chlamydia. Logistic regression explored variations in HIV/STI prevalence.

Results: Among FSWs (n=1 092), prevalence across 13 sites was: HIV: 0.4% (range: 0%-1.4%): syphilis: 7.8% (range: 0%-17.2%); chlamydia: 15.3% (range: 5.7%-32.2%); gonorrhea:2.9% (range 0%-13.8%), and any HIV/STI: 23% (range: 9.9%- 46%). Municipalities with high human development scores and a lower municipal marginalization index had higher odds of combined HIV/STI prevalence. After controlling for sitespecific variability in municipal characteristics, greater risk of HIV/STIs was associated with lower education, having a spouse diagnosed or treated for an STI, unaffordability of condoms, and having non-Mexican clients.

Conclusions: Prevalence of HIV/STIs varies across Mexican municipalities indicating the need for surveillance to identify hotspots for targeted resource allocation.

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http://dx.doi.org/10.21149/8863DOI Listing

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June 2017
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