ArticleAIDS research and human retroviruses2019
Single Mothers and Female Sex Workers in Zambia Have Similar Risk Profiles.
Article in AIDS research and human retroviruses, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Prevalence and associated factors of HIV among female sex workers in Eastern and Southern Africa: Systematic review and meta-analysis.PloS one · 2024Pooled it
- Measles immunity gap among reproductive-age women participating in a simulated HIV vaccine efficacy trial in Zambia.Human vaccines & immunotherapeutics · 2022Trial
- AID-FGS: Artificial intelligence-enabled diagnosis of female genital schistosomiasis: Preliminary findings.PLOS digital health · 2026Article
- Female Genital Schistosomiasis Lesion Resolution Post-Treatment with Praziquantel in Zambian Adults.The American journal of tropical medicine and hygiene · 2024Article
- Evolution of Condom Use Among a 5-Year Cohort of Female Sex Workers in Zambia.AIDS and behavior · 2022Article
- Women Who Sell Sex in Eastern and Southern Africa: A Scoping Review of Non-Barrier Contraception, Pregnancy and Abortion.Public health reviews · 2022Article
- Treponema pallidum in female sex workers from the Brazilian Marajó Archipelago: prevalence, risk factors, drug-resistant mutations and coinfections.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2021Article
- A Population-Specific Optimized GeneXpert Pooling Algorithm for Chlamydia trachomatis and Neisseria gonorrhoeae To Reduce Cost of Molecular Sexually Transmitted Infection Screening in Resource-Limited Settings.Journal of clinical microbiology · 2020Article
- Sociodemographic factors and STIs associated withInternational journal of STD & AIDS · 2020Article
- Article
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Authors and funding
12 authors at 3 institutions in 3 countries.
Funding
Abstract
The aim of the study was to compare reproductive health and high-risk behaviors in female sex workers (FSWs) and single mothers (SMs) in Zambia's two largest cities, Lusaka and Ndola. FSWs were invited from known community hot spots, and sexually active HIV- SMs were referred from infant vaccination services for free and anonymous screening and treatment for HIV and other sexually transmitted infections (STIs) and long acting reversible contraception. A subset completed an interviewer-administered survey. From 2012 to 2016, 1,893 women (1,377 FSWs and 516 HIV- SMs) responded to referrals. HIV prevalence was 50% in Lusaka and 33% in Ndola FSWs. Positive syphilis serology (rapid plasmin reagin) was found in 29%-31% of HIV+ FSWs and 9%-12% of HIV- FSWs and SMs. Trichomonas was more common in Ndola (11%-12%), compared with Lusaka (3%-7%). Antiretroviral therapy (ART) use among HIV+ FSWs was 9%-15%. In all groups, consistent condom use (8%-11%) and modern contraceptive use (35%-65%) were low. Low literacy and reported coercion at first sexual intercourse were common in both FSWs and SMs, as was alcohol use during sex among FSWs. Zambian FSWs and SMs have low condom use and high HIV/STI and unplanned pregnancy risk. Many FSWs and half of SMs are ≥25 years of age, and thus too old for HIV prevention services targeting "adolescent girls and young women" (aged 15-24). Tailored and targeted reproductive health services are needed to reduce HIV, STI, and unplanned pregnancy in these vulnerable women.
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Registered trials
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