Evidence map›Paper›PMID 29420577›Full record

ArticlePloS one2018

Differing HIV vulnerability among female sex workers in a high HIV burden Indian state.

Megha Mamulwar, Sheela Godbole, Shilpa Bembalkar, Pranil Kamble, Nisha Dulhani, Rajesh Yadav, Chitra Kadu, Pradeep Kumar, Shivraj Lalikar, Shrikala Acharya and 3 more

Abstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Megha MamulwarNational AIDS Research Institute [Indian Council of Medical Research], Pune, Maharashtra, India.ORCID 0000-0002-9718-455X
Sheela GodboleNational AIDS Research Institute [Indian Council of Medical Research], Pune, Maharashtra, India.
Shilpa BembalkarNational AIDS Research Institute [Indian Council of Medical Research], Pune, Maharashtra, India.
Pranil KambleNational AIDS Research Institute [Indian Council of Medical Research], Pune, Maharashtra, India.
Nisha DulhaniNational AIDS Research Institute [Indian Council of Medical Research], Pune, Maharashtra, India.
Rajesh YadavNational AIDS Research Institute [Indian Council of Medical Research], Pune, Maharashtra, India.
Chitra KaduNational AIDS Research Institute [Indian Council of Medical Research], Pune, Maharashtra, India.
Pradeep KumarNational Program Officer (Surveillance) National AIDS Control Organization, Strategic Information Management Unit [SIMU], Ministry of Health and Family Welfare, Government of India, New Delhi, India.
Shivraj LalikarJoint Director STI, Monitoring &Evaluation, Maharashtra State AIDS Control Society, Mumbai, Maharashtra India.
Shrikala AcharyaAdditional Project Director, Mumbai District AIDS Control Society, Mumbai, Maharashtra India.
Raman GangakhedkarNational AIDS Research Institute [Indian Council of Medical Research], Pune, Maharashtra, India.
Arun RisbudNational AIDS Research Institute [Indian Council of Medical Research], Pune, Maharashtra, India.
Srinivas VenkateshDeputy Director General, National AIDS Control Organization, Ministry of Health and Family Welfare, Government of India, New Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe HIV sentinel surveillance [HSS] conducted in 2010-11 among female sex workers [FSW] in the state of Maharashtra, India provided an opportunity to assess characteristics of different types of FSWs and their HIV risk. It is important for India's National AIDS Control Program, to understand the differences in vulnerability among these FSW, in order to define more specific and effective risk reduction intervention strategies. Therefore, we analyzed data from HSS with the objective of understanding the HIV vulnerability among different types of FSW in Maharashtra. MATERIAL AND

methodsCross sectional data collected as a part of HSS among FSWs in year 2010-11 from 21 sentinel sites in the state of Maharashtra were analyzed to understand the vulnerability and characteristics of different types of female sex workers based on their place of solicitation using multinomial logistic regression.

resultsWhile the HIV prevalence was 6.6% among all FSWs, it was 9.9% among brothel based [BB], 9% among street based [SB] and 3.1% and 3.7% among home based [HB], and bar based [Bar-B] sex workers respectively. SB FSWs were least likely to be located in HIV low burden districts [ANC] [ARRR: 0.61[95% CI: 0.49, 0.77]], but were 6 times more likely to be recently [<1 year] involved in sex work [ARRR: 6.15 [95% CI: 3.15, 12.0]]. The number of clients of SB FSWs in the preceding week were lower than 11% [ARRR: 0.89 [95%CI: 0.87, 0.90]] as compared to the BB FSWs denoting lesser client load. The duration since last paid sex was shorter [ARRR: 0.94[95%CI: 0.91, 0.96]] as compared to the BB FSWs.

conclusionStreet based FSWs have emerged as one of the most vulnerable types of FSW with a high HIV prevalence similar to BB FSWs. Our study reveals that they have more frequent sex acts despite lower client loads, and are more likely to be located in districts highly affected by HIV (ANC prevalence >1%). We identify them as a group to be focused on for prevention interventions and it is likely that they would be easily amenable to novel interventions due to their higher literacy rate as compared to other typologies.

Indexed as

Sex WorkAdultCross-Sectional StudiesFemaleHIV InfectionsHumansIndiaSentinel SurveillanceYoung Adult

Identifiers

PMID29420577
PMCPMC5805240

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.