Patterns of Sex Work Client Solicitation Settings and Associations with HIV/STI Risk Among a Cohort of Female Sex Workers in Baltimore, Maryland.

Female sex workers' (FSWs) risk for HIV/STIs is influenced by their work environments. While previous research has characterized vulnerability in a single workplace, many FSWs solicit clients from multiple settings. Using latent class analysis (LCA), we examined client solicitation patterns and asso...

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Publicado en:AIDS & Behavior Vol. 25; no. 10; pp. 3386 - 3398
Autores principales: Chien, Jessie, Schneider, Kristin E., Tomko, Catherine, Galai, Noya, Lim, Sahnah, Sherman, Susan G.
Formato: research tables/charts Journal Article
Publicado: Springer Nature Oct2021
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Patterns of Sex Work Client Solicitation Settings and Associations with HIV/STI Risk Among a Cohort of Female Sex Workers in Baltimore, Maryland.
      aug:
        au:
          Chien, Jessie
          Schneider, Kristin E.
          Tomko, Catherine
          Galai, Noya
          Lim, Sahnah
          Sherman, Susan G.
        affil: Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, 624 N Broadway Street, Hampton House Suite 749, 21205, Baltimore, MD, USA
      sug:
        subj:
          Women Maryland
          Sex Work Maryland
          HIV Infections Risk Factors
          Sexually Transmitted Diseases Risk Factors
          Risk Assessment
          Work Environment
          Human
          Prospective Studies
          Female
          Maryland
          Cluster Analysis
          Risk Taking Behavior
          Descriptive Statistics
          Female Condoms Utilization
          Disease Susceptibility
          Sexuality
          Internet
          Female
      ab: Female sex workers' (FSWs) risk for HIV/STIs is influenced by their work environments. While previous research has characterized vulnerability in a single workplace, many FSWs solicit clients from multiple settings. Using latent class analysis (LCA), we examined client solicitation patterns and associated HIV/STI-related behaviors (consistent condom use with clients, asking clients about HIV/STIs, and past 6-month HIV/STI testing) among 385 FSWs in Baltimore, Maryland. The LCA yielded a three-class solution: predominantly street (61.2%), mixed street/venue (23.7%), and multisource (street, venue, and online) (15.1%). Consistent condom use differed significantly (p < 0.01) by class, with the mixed street/venue having the lowest (40.6%) rate and the multisource having the highest (70.6%). Classes differed on HIV/STI testing (p < 0.01), with the predominantly street class having the lowest testing rate (56.2%) and multisource with the highest (85.7%). These findings underscore the importance of considering how solicitation patterns are linked to HIV/STI susceptibility of FSWs and adapting interventions accordingly.
      pubtype: Academic Journal
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    language: English
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