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[PMID]:28471337
[Au] Autor:Cimino AN; Madden EE; Hohn K; Cronley CM; Davis JB; Magruder K; Kennedy MA
[Ad] Endereço:a School of Nursing , Johns Hopkins University , Baltimore , Maryland , USA.
[Ti] Título:Childhood Maltreatment and Child Protective Services Involvement Among the Commercially Sexually Exploited: A Comparison of Women Who Enter as Juveniles or as Adults.
[So] Source:J Child Sex Abus;26(3):352-371, 2017 Apr.
[Is] ISSN:1547-0679
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A risk for commercial sexual exploitation is childhood maltreatment. It's unknown whether juveniles in commercial sexual exploitation experience more childhood maltreatment than adults or how involved child protective services is in investigating maltreatment, a focus of this study. Women (N = 96) who sold sex commercially completed a cross-sectional questionnaire. Descriptive statistics, t tests, chi-squares, and odds ratios were used to examine differences in background, childhood maltreatment, and child protective services involvement by juvenile or adult entry. Although 93% of participants experienced child maltreatment, juveniles had increased odds of parent/caregiver sexual abuse, being left alone, being kicked out, and running away from a parent/caregiver. There were no differences in cumulative childhood maltreatment resulting in an investigation or removal, indicating that juveniles not investigated or removed by child protective services had as much childhood maltreatment as juveniles who were investigated or removed by child protective services. Results highlight the need for child welfare staff to recognize childhood maltreatment as risks for commercial sexual exploitation.
[Mh] Termos MeSH primário: Abuso Sexual na Infância/estatística & dados numéricos
Maus-Tratos Infantis/estatística & dados numéricos
Serviços de Proteção Infantil/estatística & dados numéricos
Tráfico de Pessoas/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fatores Etários
Criança
Estudos Transversais
Feminino
Seres Humanos
Meia-Idade
Fatores de Risco
Trabalho Sexual/estatística & dados numéricos
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1080/10538712.2017.1282575


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[PMID]:29304164
[Au] Autor:Febres-Cordero B; Brouwer KC; Rocha-Jimenez T; Fernandez-Casanueva C; Morales-Miranda S; Goldenberg SM
[Ad] Endereço:Gender and Sexual Health Initiative, British Columbia Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada.
[Ti] Título:Influence of peer support on HIV/STI prevention and safety amongst international migrant sex workers: A qualitative study at the Mexico-Guatemala border.
[So] Source:PLoS One;13(1):e0190787, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Migrant women engaged in precarious employment, such as sex work, frequently face pronounced social isolation alongside other barriers to health and human rights. Although peer support has been identified as a critical HIV and violence prevention intervention for sex workers, little is known about access to peer support or its role in shaping health and social outcomes for migrant sex workers. This article analyses the role of peer support in shaping vulnerability and resilience related to HIV/STI prevention and violence among international migrant sex workers at the Mexico-Guatemala border. METHODS: This qualitative study is based on 31 semi-structured interviews conducted with international migrant sex workers in the Mexico-Guatemala border communities of Tapachula, Mexico and Tecún Umán and Quetzaltenango, Guatemala. RESULTS: Peer support was found to be critical for reducing social isolation; improving access to HIV/STI knowledge, prevention and resources; and mitigating workplace violence, particularly at the initial stages of migration and sex work. Peer support was especially critical for countering social isolation, and peers represented a valuable source of HIV/STI prevention knowledge and resources (e.g., condoms), as well as essential safety supports in the workplace. However, challenges to accessing peer support were noted, including difficulties establishing long-lasting relationships and other forms of social participation due to frequent mobility, as well as tensions among peers within some work environments. Variations in access to peer support related to country of work, work environment, sex work and migration stage, and sex work experience were also identified. CONCLUSIONS: Results indicate that peer-led and community empowerment interventions represent a promising strategy for promoting the health, safety and human rights of migrant sex workers. Tailored community empowerment interventions addressing the unique migration-related contexts and challenges faced by migrant sex workers should be a focus of future community-based research, alongside promotion of broader structural changes.
[Mh] Termos MeSH primário: Infecções por HIV/prevenção & controle
Trabalho Sexual
Doenças Sexualmente Transmissíveis/prevenção & controle
Migrantes
[Mh] Termos MeSH secundário: Adulto
Feminino
Guatemala
Direitos Humanos
Seres Humanos
México
Pesquisa Qualitativa
Violência
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180106
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190787


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[PMID]:28449198
[Au] Autor:Awungafac G; Delvaux T; Vuylsteke B
[Ad] Endereço:African Society for Laboratory Medicine, Addis Ababa, Ethiopia.
[Ti] Título:Systematic review of sex work interventions in sub-Saharan Africa: examining combination prevention approaches.
[So] Source:Trop Med Int Health;22(8):971-993, 2017 08.
[Is] ISSN:1365-3156
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The incidence of HIV and sexually transmitted infections is disproportionately high among sex workers (SW). We aimed to update the evidence on the effectiveness of SW interventions in sub-Saharan Africa and to provide more insights into combination prevention. METHODS: The Systematic review followed PRISMA guidelines in a search of PUBMED and POPLINE for peer-reviewed literature published between 1 January 2000 and 22 July 2016 (registration number on PROSPERO: CRD42016042529). We considered cohort interventions, randomised controlled trials and cross-sectional surveys of SW programmes. A framework was used in the description and mapping of intervention to desired outcomes. RESULTS: Twenty-six papers(reporting on 25 studies) were included. A strategy that empowered peer educator leaders to steer community activities showed a twofold increase in coverage of behaviour change communication and utilisation of health facility among SW. Brief alcohol harm reduction effort demonstrated a significant effect on sexual violence and engagement in sex trading. A risk reduction counselling intervention among drug-injecting SW showed an effect on alcohol, substance use and engagement in sex work. No study on a promising intervention like PrEP among SWs was found. We observed that interventions that combined some structural components, biomedical and behavioural strategies tend to accumulate more desired outcomes. CONCLUSION: The evidence base that can be considered in intervention designs to prevent HIV in SW in SSA is vast. The health sector should consider interventions to reduce binge alcohol intake and intravenous drug use among sex workers. Programmes should staunchly consider multicomponent approaches that explore community-based structural approaches.
[Mh] Termos MeSH primário: Infecções por HIV/prevenção & controle
Trabalho Sexual
Profissionais do Sexo
Doenças Sexualmente Transmissíveis/prevenção & controle
[Mh] Termos MeSH secundário: África ao Sul do Saara
Fármacos Anti-HIV/uso terapêutico
Aconselhamento
Feminino
Educação em Saúde
Seres Humanos
Comportamento de Redução do Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Anti-HIV Agents)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:180129
[Lr] Data última revisão:
180129
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170428
[St] Status:MEDLINE
[do] DOI:10.1111/tmi.12890


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[PMID]:28981511
[Au] Autor:Coetzee J; Jewkes R; Gray GE
[Ad] Endereço:Perinatal HIV Research Unit, University of the Witwatersrand, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa.
[Ti] Título:Cross-sectional study of female sex workers in Soweto, South Africa: Factors associated with HIV infection.
[So] Source:PLoS One;12(10):e0184775, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: In South Africa, the rate of HIV in the sex worker (SW) population is exceedingly high, but critical gaps exist in our understanding of SWs and the factors that make them vulnerable to HIV. This study aimed to estimate HIV prevalence among female sex workers (FSWs) in Soweto, South Africa, and to describe their sexual behavior and other factors associated with HIV infection. METHODS: A cross-sectional, respondent-driven sampling (RDS) recruitment methodology was used to enroll 508 FSWs based in Soweto. Data were collected using a survey instrument, followed by two HIV rapid tests. Raw and RDS adjusted data were analyzed using a chi-squared test of association and multivariate logistic regression to show factors associated with HIV infection. FINDINGS: HIV prevalence among FSWs was 53.6% (95% CI 47.5-59.9). FSWs were almost exclusively based in taverns (85.6%) and hostels (52.0%). Less than a quarter (24.4%) were under 25 years of age. Non-partner violence was reported by 55.5%, 59.6% of whom were HIV-infected. Advancing age, incomplete secondary schooling, migrancy and multiple clients increased the likelihood of HIV acquisition: >30 years of age was associated with a 4.9 times (95% CI 2.6-9.3) increased likelihood of HIV; incomplete secondary schooling almost tripled the likelihood (AOR 2.8, 95% CI 1.6-5.0); being born outside of the Gauteng province increased the likelihood of HIV 2.3 times (95% CI 1.3-4.0); and having more than five clients per day almost doubled the likelihood (AOR 1.9, 95% CI 1.1-3.2). CONCLUSION: Our findings highlight the extreme vulnerability of FSWs to HIV. Advancing age, limited education and multiple clients were risk factors associated with HIV, strongly driven by a combination of structural, biological and behavioral determinants. Evidence suggests that interventions need to be carefully tailored to the varying profiles of SW populations across South Africa. Soweto could be considered a microcosm of South Africa in terms of the epidemic of violence and HIV experienced by the SW population, which is influenced by factors often beyond an individual level of control. While describing a hitherto largely undocumented population of FSWs, our findings confirm the urgent need to scale up innovative HIV prevention and treatment programs for this population.
[Mh] Termos MeSH primário: Infecções por HIV/epidemiologia
Trabalho Sexual
Profissionais do Sexo/estatística & dados numéricos
Comportamento Sexual
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fatores Etários
Estudos Transversais
Escolaridade
Feminino
Infecções por HIV/diagnóstico
Seres Humanos
Meia-Idade
Prevalência
Fatores de Risco
África do Sul
Violência
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171022
[Lr] Data última revisão:
171022
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171006
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0184775


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[PMID]:28817626
[Au] Autor:Larsson M; Mohamed Shio J; Ross MW; Agardh A
[Ad] Endereço:Division of Social Medicine and Global Health, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.
[Ti] Título:Acting within an increasingly confined space: A qualitative study of sexual behaviours and healthcare needs among men who have sex with men in a provincial Tanzanian city.
[So] Source:PLoS One;12(8):e0183265, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To explore risk perceptions, sexual practices and healthcare needs among men who have sex with men in the provincial city of Tanga in northern Tanzania. Previous research suggests that HIV/STIs are increasing problems for this population. Yet, few studies have been conducted outside the urban area of Dar es Salaam, which has limited our knowledge about the HIV/STI risk factors and healthcare needs among men who have sex with men who live outside major metropolitan areas. METHOD: During three months in 2013, 10 in-depth interviews with men who have sex with men were conducted in Tanga. Data were interpreted through qualitative content analysis. RESULTS: The theme that emerged was labelled "Acting within an increasingly confined space". The theme reflects the interference of stigma in men's lives, and in the face of potential discrimination, men perceived their sexual and healthcare choices as limited. This created obstacles for forming romantic and sexual relationships, insisting on consistent condom use with sexual partners, maintaining open and conducive relationships with family, and accessing healthcare services when required. CONCLUSIONS: Sexual stigma is a concern as it contributes to HIV/STI risk-related behaviours among men who have sex with men. Priority should be given to programmes that support same-sex practicing men in their efforts to make informed choices regarding their sexual health. Creating safe cyber networks provides an opportunity to reach this population with targeted sexual health education messages. Such programmes might be even more urgent in smaller towns and rural areas where gay specific initiatives are more limited than in urban areas.
[Mh] Termos MeSH primário: Necessidades e Demandas de Serviços de Saúde
Homossexualidade Masculina
[Mh] Termos MeSH secundário: Consumo de Bebidas Alcoólicas
Seres Humanos
Masculino
Fatores de Risco
Sexo Seguro
Trabalho Sexual
Estigma Social
Apoio Social
Tanzânia/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170818
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0183265


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[PMID]:28793341
[Au] Autor:Jung M
[Ad] Endereço:Department of Health Science, Dongduk Women's University, Seoul, South Korea.
[Ti] Título:Effects of implementing the act of prohibition on sex trafficking on female sex workers' sexually transmitted infections.
[So] Source:PLoS One;12(8):e0182465, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study investigated the effect of implementing the act of prohibition on sex trafficking (PST) on sexually transmitted disease (STD) infections among South Korean female sex workers (FSWs) working at prostitution blocks. Research data were collected twice through the Korean government-sanctioned survey for female sex workers (1st wave = 1,083; 2nd wave = 926). We examined the associations among health behavior, working conditions, and the effect of PST act via hierarchical logistic regression analyses using propensity score matching. After adjusted covariates, the risk probability was 0.288 times lower among FSWs who had remained in prostitute blocks after the PST act enforcement compared to FSWs who had worked before the PST. Similarly, the risk probability for a gonorrhea infection was 0.219 times lower among FSWs who had remained in prostitute blocks after the PST act compared to FSWs who had worked before the PST. Therefore, this study showed that, besides already known factors, the implementation and establishment of the PST Act was a strong factor that suppressed STD infections among FSWs.
[Mh] Termos MeSH primário: Tráfico de Pessoas/legislação & jurisprudência
Profissionais do Sexo/estatística & dados numéricos
Doenças Sexualmente Transmissíveis/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Gonorreia/epidemiologia
Gonorreia/prevenção & controle
Tráfico de Pessoas/prevenção & controle
Seres Humanos
Modelos Logísticos
Pontuação de Propensão
República da Coreia/epidemiologia
Trabalho Sexual/legislação & jurisprudência
Trabalho Sexual/estatística & dados numéricos
Profissionais do Sexo/legislação & jurisprudência
Doenças Sexualmente Transmissíveis/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170810
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0182465


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[PMID]:28697094
[Au] Autor:Tracy EE; Macias-Konstantopoulos W
[Ad] Endereço:Department of Obstetrics and Gynecology, Vincent Obstetrics and Gynecology Global Health Program, Massachusetts General Hospital, Boston, Massachusetts and Emergency Medicine Department, Massachusetts General Hospital, Boston, Massachusetts.
[Ti] Título:Identifying and Assisting Sexually Exploited and Trafficked Patients Seeking Women's Health Care Services.
[So] Source:Obstet Gynecol;130(2):443-453, 2017 Aug.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:It is estimated that 21 million people are trafficked worldwide, including 11.4 million women and girls. Approximately 4.5 million are forced to do sexual labor. The exact prevalence of human trafficking is difficult to ascertain, however, given the limitations of data collection in an illegal industry. Obstetrician-gynecologists should not only be aware of the widespread nature of human trafficking, but also have the tools to assess patients for trafficking and respond to victim identifications. Patients may present with signs of physical abuse, depression, anxiety, posttraumatic stress disorder, substance use, sexually transmitted infections, pregnancy, and nonspecific somatic complaints. As with intimate partner violence, clinicians should be suspicious if the patient is accompanied by an individual who refuses to leave her side. Other potential red flags include patients with wounds in various stages of healing, patients appearing fearful or unable to answer specific questions, and patients who do not have any personal identification. Health care providers should speak with the patient privately, using professional interpreters when indicated. Although there are no validated screening questions for the health care setting, in this article, we provide sample questions such as, "Is anyone forcing you to do anything physically or sexually that you do not want to do?" The physical examination should be thorough with appropriate workup, sexually transmitted infection prophylaxis, and emergency contraception. Physicians and patients should be aware of their state's mandatory reporting requirements and careful documentation is essential. Finally, to ensure a comprehensive, interdisciplinary response to trafficked patients, practitioners should engage hospital-based and community-based services when appropriate.
[Mh] Termos MeSH primário: Tráfico de Pessoas
Delitos Sexuais
Trabalho Sexual
Serviços de Saúde da Mulher
Saúde da Mulher
[Mh] Termos MeSH secundário: Adolescente
Criança
Feminino
Ginecologia
Tráfico de Pessoas/psicologia
Tráfico de Pessoas/estatística & dados numéricos
Seres Humanos
Obstetrícia
Papel do Médico
Gravidez
Trauma Psicológico/diagnóstico
Fatores de Risco
Delitos Sexuais/psicologia
Delitos Sexuais/estatística & dados numéricos
Trabalho Sexual/psicologia
Trabalho Sexual/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170712
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002144


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[PMID]:28682879
[Au] Autor:Aguilar-Zapata D; Piñeirúa-Menéndez A; Volkow-Fernández P; Rodríguez-Zulueta P; Ramos-Alamillo U; Cabrera-López T; Martin-Onraet A
[Ad] Endereço:aDepartamento de Enfermedades Infecciosas, Instituto Nacional de Cancerología (INCan), Secretaría de Salud (SSA) bMedical Director at the Clinica Especializada Condesa and Teresita Cabrera, Gynecology Service cDepartamento de Enfermedades Infecciosas, Hospital General Manuel Gea Gonzalez, Secretaría de Salud (SSA), Mexico City, Mexico.
[Ti] Título:Sociodemographic differences among HIV-positive and HIV-negative recently pregnant women in Mexico City: A case-control study.
[So] Source:Medicine (Baltimore);96(27):e7305, 2017 Jul.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:National HIV preventive programs in Mexico focus on high-risk groups that do not consider women, apart from prenatal screening. Nonetheless, the epidemic in women is growing, and there is a need to better understand sociodemographic factors in women living with HIV (WLH). We performed a case-control study in Mexico City, including HIV+ and HIV- women with a recent pregnancy to compare their sociodemographic characteristics and describe the circumstances of diagnosis in HIV+ women, as well as prenatal screening frequency in both groups. Fifty cases and 102 controls were interviewed. HIV+ women were more frequently the only economic support of the family (20% vs 0%, P < .0001). Thirty-eight percent of cases had their first pregnancy at ≤18 years, versus 16% of controls (odds ratio 2.47, 95% confidence interval 1.07-5.72, P = .03); 16% of cases had lived in the street; 6% reported transactional sex, versus none of the controls (P < .0001). In the multivariate analysis, there was strong evidence of an association between HIV infection and age at the time of the interview, history of sexually transmitted diseases, substance abuse, history of violence, and civil status. Only 6% of controls were tested for HIV during prenatal follow-up. WLH in this study faced important social vulnerability. Targeting women living in these social contexts might increase early diagnosis and could tailor HIV prevention strategies. Prenatal coverage needs to be improved and should represent a national priority.
[Mh] Termos MeSH primário: Infecções por HIV/epidemiologia
Complicações Infecciosas na Gravidez/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Estudos de Casos e Controles
Exposição à Violência
Feminino
Seguimentos
Infecções por HIV/complicações
Seres Humanos
Entrevistas como Assunto
México
Análise Multivariada
Razão de Chances
Gravidez
Trabalho Sexual
Fatores Socioeconômicos
Transtornos Relacionados ao Uso de Substâncias/complicações
Transtornos Relacionados ao Uso de Substâncias/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170719
[Lr] Data última revisão:
170719
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170707
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007305


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[PMID]:28662105
[Au] Autor:Ishizaki A; Tran VT; Nguyen CH; Tanimoto T; Hoang HTT; Pham HV; Phan CTT; Bi X; Pham TV; Ichimura H
[Ad] Endereço:Department of Viral infection and International Health, Graduate school of Medical Sciences, Kanazawa University, Kanazawa, Japan.
[Ti] Título:Discrepancies in prevalence trends for HIV, hepatitis B virus, and hepatitis C virus in Haiphong, Vietnam from 2007 to 2012.
[So] Source:PLoS One;12(6):e0179616, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We previously reported a significant reduction in the prevalence of human immunodeficiency virus type 1 (HIV) from 2007 to 2012 in people who inject drugs (PWID; 35.9% to 18.5%, p < 0.001) and female sex workers (FSW; 23.1% to 9.8%, p < 0.05), but not in blood donors (BD) or pregnant women, in Haiphong, Vietnam. Our aim in the present study was to assess trends in the prevalence of infection with hepatitis B and C viruses (HBV and HCV, respectively). We also investigated the coinfection rates of HBV and HCV with HIV in the same groups. Between 2007 and 2012, HBV prevalence was significantly decreased in BD (18.1% vs. 9.0%, p = 0.007) and slightly decreased in FSW (11.0% vs. 3.9%, p = 0.21), but not in PWID (10.7% vs. 11.1%, p = 0.84). HCV prevalence was significantly decreased in PWID (62.1% in 2007 vs. 42.7% in 2008, p < 0.0001), but it had rebounded to 58.4% in 2012 (2008 vs. 2012, p < 0.0001). HCV prevalence also increased in FSW: 28.6% in 2007 and 2009 vs. 35.3% in 2012; however, this difference was not significant (2007 vs. 2012, p = 0.41). Rates of coinfection with HBV and HCV among HIV-infected PWID and FSW did not change significantly during the study period. Our findings suggest that the current harm reduction programs designed to prevent HIV transmission in PWID and FSW may be insufficient to prevent the transmission of hepatitis viruses, particularly HCV, in Haiphong, Vietnam. New approaches, such as the introduction of catch-up HBV vaccination to vulnerable adult populations and the introduction of HCV treatment as prevention, should be considered to reduce morbidity and mortality due to HIV and hepatitis virus coinfection in Vietnam.
[Mh] Termos MeSH primário: Infecções por HIV/epidemiologia
Hepatite B/epidemiologia
Hepatite C/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Prevalência
Trabalho Sexual
Abuso de Substâncias por Via Intravenosa
Vietnã/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170928
[Lr] Data última revisão:
170928
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170630
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0179616


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[PMID]:28653970
[Au] Autor:Smith LR; Yore J; Triplett DP; Urada L; Nemoto T; Raj A; Kaiser Permanente Community-Based HIV Test and Treat Study Team
[Ad] Endereço:*Division of Global Public Health, Department of Medicine, Center on Gender Equity and Health, School of Social Work, San Diego State University, La Jolla, CA;†Public Health Institute, Oakland, CA; and‡Kaiser Permanente, Oakland, CA.
[Ti] Título:Impact of Sexual Violence Across the Lifespan on HIV Risk Behaviors Among Transgender Women and Cisgender People Living With HIV.
[So] Source:J Acquir Immune Defic Syndr;75(4):408-416, 2017 Aug 01.
[Is] ISSN:1944-7884
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: To examine sexual violence across the lifespan among transgender and cisgender people living with HIV and its associations with recent risk behaviors. SETTING: Seven community-based sites serving priority populations disproportionately affected by HIV in the United States, including major metropolitan areas in the West and East Coast, as well as the suburban Mid-Atlantic and rural Southeastern regions. METHODS: From 2013 to 2016, baseline survey data were collected from participants (N = 583) of a multisite community-based HIV linkage to/retention in care study conducted at 7 sites across the United States. Adjusted mixed-effects logistic regression models with random effect for site-assessed associations of sexual violence and gender identity with risk outcomes including condomless sex, sex trade involvement, and substance use-related harms. RESULTS: One-third of participants reported a history of sexual violence; transgender [adjusted odds ratio (AOR) = 5.1, 95% confidence interval (CI): 2.6 to 10.1] and cisgender women (AOR = 3.8, 95% CI: 2.3 to 6.4) were more likely than cisgender men to experience sexual violence. Sexual violence was associated with experiencing drug-related harms (AOR = 2.6, 95% CI: 1.2 to 5.5). Transgender women were more likely than cisgender men to have sold sex (AOR = 9.3, 95% CI: 1.7 to 50.0). CONCLUSIONS: A history of sexual violence is common among transgender and cisgender women PLWH, and it increases risk for drug-related harms. Transgender women are also more likely to report selling sex.
[Mh] Termos MeSH primário: Infecções por HIV/psicologia
Assunção de Riscos
Delitos Sexuais/psicologia
Comportamento Sexual/psicologia
Transtornos Relacionados ao Uso de Substâncias/psicologia
Pessoas Transgênero/psicologia
[Mh] Termos MeSH secundário: Adulto
Vítimas de Crime/psicologia
Feminino
Infecções por HIV/epidemiologia
Seres Humanos
Masculino
Meia-Idade
Áreas de Pobreza
Delitos Sexuais/estatística & dados numéricos
Trabalho Sexual/psicologia
Trabalho Sexual/estatística & dados numéricos
Comportamento Sexual/estatística & dados numéricos
Apoio Social
Transtornos Relacionados ao Uso de Substâncias/epidemiologia
Pessoas Transgênero/estatística & dados numéricos
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170714
[Lr] Data última revisão:
170714
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:170628
[St] Status:MEDLINE
[do] DOI:10.1097/QAI.0000000000001423



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