ArticleThe International journal on drug policy2015
Current and recent drug use intensifies sexual and structural HIV risk outcomes among female sex workers in the Russian Federation.
Article in The International journal on drug policy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.
- Chemsex and chemsex associated substance use among men who have sex with men in Asia: A systematic review and meta-analysis.Drug and alcohol dependence · 2023Pooled it
- Associations between sex work laws and sex workers' health: A systematic review and meta-analysis of quantitative and qualitative studies.PLoS medicine · 2018Pooled it
- Examining Trends in Substance Use Behaviors Among Women With Primary and Secondary Syphilis: United States, 2018-2023.American journal of public health · 2025Article
- Uptake of the hepatitis B vaccine among brothel-based female sex workers in Kampala, Uganda.BMC public health · 2024Article
- Assessing high-risk sexual practices associated with human immunodeficiency virus infection among young female sex workers in Lubumbashi, Democratic Republic of the Congo: a cross-sectional study.AIDS research and therapy · 2024Article
- Association of gender-based violence with sexual and drug-related HIV risk among female sex workers who use drugs in Kazakhstan.International journal of STD & AIDS · 2023Article
- Criminalization and coercion: sexual encounters with police among a longitudinal cohort of women who exchange sex in Baltimore, Maryland.Harm reduction journal · 2023Article
- Factors Associated with Exchange Sex Among Cisgender Persons Who Inject Drugs: Women and MSM-23 U.S. Cities, 2018.AIDS and behavior · 2023Article
- Mapping Interests in Event-Driven and Long-Acting Pre-exposure Prophylaxis Formulations onto the HIV Risk Environment of Street-Based Female Sex Workers: A Latent Class Analysis.AIDS and behavior · 2022Article
- "You need money to get high, and that's the easiest and fastest way:" A typology of sex work and health behaviours among people who inject drugs.The International journal on drug policy · 2021Article
- Prevalence and correlates of receptive syringe-sharing among people who inject drugs in rural Appalachia.Addiction (Abingdon, England) · 2021Observational
- Article
- Correlates of trichomoniasis among female sex workers who inject drugs in two Mexico-US border cities.International journal of STD & AIDS · 2020Article
- Longitudinal Factors Associated with Used Syringe Lending Among HIV-Positive Antiretroviral Therapy-Naïve People Who Inject Drugs in a Canadian Setting.AIDS and behavior · 2020Article
- Inconsistent Condom Use Among Female Sex Workers: Partner-specific Influences of Substance Use, Violence, and Condom Coercion.AIDS and behavior · 2020Article
- Occupational barriers to accessing and adhering to antiretroviral therapy for female sex workers living with HIV in South Africa.Occupational and environmental medicine · 2020Article
- Observational
- Interpersonal and structural factors associated with receptive syringe-sharing among a prospective cohort of female sex workers who inject drugs.Addiction (Abingdon, England) · 2019Article
- Antenatal care presentation and engagement in the context of sex work: exploring barriers to care for sex worker mothers in South Africa.Reproductive health · 2019Article
- Investigation of HIV/AIDS prevalence and associated risk factors among female sex workers from 2010 to 2017: a meta-analysis study.HIV/AIDS (Auckland, N.Z.) · 2019Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundFemale sex workers (FSW) and people who inject drugs (PWID) are at high risk for HIV infection, with FSW-PWID at even greater risk. HIV-related research often focuses on the primary mode of transmission - sexual or parenteral transmission for FSW and PWID, respectively - with less known on how sex work and injection drug use (IDU) are collectively associated with the risk environment experienced by sex workers. We investigated this relationship among FSW in three Russian cities.
methodsIn 2011, FSWs (N=754) in Tomsk, Krasnoyarsk, and Kazan were recruited via respondent-driven sampling and completed a survey and rapid HIV screening. Multivariable models evaluated the role of injection history (classified as active: last 6 months, former: prior to last 6 months, and never) with a set of sexual and structural HIV risk outcomes.
resultsIDU was common: 11% actively injected drugs and 11% were former injectors. HIV infection was most prevalent among active injectors (AOR: 6.7; 95% CI: 2.4-18.9) and former injectors (AOR:4.5; 95%CI: 1.7-11.6), compared to non-injectors. Some 6-8% of non-injecting FSWs reported recent physical or sexual client violence and 23% police extortion. Compared to these non-injectors, active injecting was associated with unprotected anal sex (AOR: 2.8, 95%CI: 1.2-6.4), client violence (AOR: 7.3, 95%CI: 2.1-24.7), and police extortion (AOR: 3.0 95%CI: 1.5-5.9%). Self-reported sexual and structural risk outcomes were also more prevalent among active compared to former injectors; however, few differences existed between former and non-injectors.
conclusionsFSW experience sexual, structural, and HIV risk outcomes and these risks are amplified for actively injecting FSWs. FSW who stopped injecting drugs demonstrated risk profiles closer to those of sex workers who had no history of injection. HIV prevention programs and outreach can provide opportunities to include harm reduction interventions and linkage to treatment for FSW to move FSWs towards lower risk environments.
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