Diversity among Clients of Female Sex Workers in India: Comparing Risk Profiles and Intervention Impact by Site of Solicitation. Implications for the Vulnerability of Less Visible Female Sex Workers

作者: Dipak Suryawanshi , Tarun Bhatnagar , Sucheta Deshpande , Weiwei Zhou , Pankaj Singh

DOI: 10.1371/JOURNAL.PONE.0073470

关键词: MedicinePsychological interventionDeveloping countrySex workGerontologyCasualDemographyCondomPropensity score matchingPopulationTamilGeneral Biochemistry, Genetics and Molecular BiologyGeneral Agricultural and Biological SciencesGeneral Medicine

摘要: BACKGROUND It seems generally accepted that targeted interventions in India have been successful raising condom use between female sex workers (FSWs) and their clients. Data from clients of FSWs under-utilised to analyse the risk environments vulnerability both partners. METHODS The 2009 Integrated Biological Behavioural Assessment survey sampled at hotspots Andhra Pradesh, Maharashtra Tamil Nadu (n=5040). profile terms sexual networking are compared across usual pick-up place. We used propensity score matching (PSM) estimate average treatment effect on treated (ATT) intervention messages clients' consistent with FSW. RESULTS Clients more hidden who solicit home or via phone agents had extensive networks, reporting casual partners as well anal intercourse male brothel-based workers, were least educated, reported fewest number/categories partners, sex, lowest (41%). Consistent varied widely by state: 65% 36% 29% Nadu. Exposure sexually transmitted infections was among men frequenting brothels (58%), highest soliciting less visible (70%). significant impact use, including home-based (ATT 21%; p=0.001) other FSW 17%; p=0.001). In no could be demonstrated. CONCLUSION Commercial happens two need be, can reached messages. is still largely unprotected industry gets diffuse a greater focus reaching important given networks.

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