October 9, 2009
Goa's red-light district was demolished in 2004. In the current study, the researchers compared HIV and sexually transmitted infections (STIs) between sex workers who had been based in the Baina red-light district (ex-RLD-SWs) with those who had never worked in Baina (non-RLD-SWs).
Using respondent-driven sampling, the investigators recruited 326 sex workers. Participants completed interviewer-administered questionnaires and were tested for Trichomonas vaginalis, Neisseria gonorrhoeae, Chlamydia trachomatis and antibodies to HIV. Multivariate analysis was used to examine the association between ever working in Baina red-light area and HIV and STIs.
Of participants, 55.3 percent were non-RLD-SWs (n=201), of whom 48 percent had entered sex work since the demolition. Non-RLD-SWs were more likely to be less than 20 years-old, Goan, have experienced sexual and intimate partner violence, to work part-time, from home or the streets, and to have fewer clients. Ex-RLD-SWs were less likely to have curable STIs (adjusted odds ratio 0.27, 95 percent confidence interval: 0.10 to 0.73) and were more likely to have been exposed to HIV prevention and to report consistent condom use with clients.
10.09.2009; Vol. 52; No. 2: P. 253-257; Maryam Shahmanesh, MA, MSc, MRCP; Sonali Wayal, MA, MSc; Andrew Copas, MSc, PhD; Vikram Patel, MD, PhD; David Mabey, DM, FRCP; Frances Cowan, MD, MSc, FRCP