Prevention and treatment needs of women who started selling sex as minors
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Transcript of Prevention and treatment needs of women who started selling sex as minors
Prevention and treatment needs of women who started selling sex as minors
Ashley L. Grosso1, Sosthenes Ketende1, Kim Dam1, Erin Papworth1, Gautier Ouedraogo2, Odette Ky-Zerbo3, Simplice Anato4,
Felicity Nadedjo5, Nuha Ceesay6, Daouda Diouf7, Zandile Mnisi8, Xolile Mabuza9, Stefan Baral1.1 Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins University, Baltimore, USA; 2 IRSS,
Ouagadougou, Burkina Faso; 3 PAMAC, Ouagadougou, Burkina Faso; 4 Arc-en-ciel, Lome, Togo; 5 FAMME, Kara, Togo; 6 UNAIDS, Banjul, The Gambia; 7 Enda Sante, Dakar, Senegal; 8 Swaziland National AIDS Program (SNAP), Ministry of Health
and Social Welfare, Mbabane, Swaziland; 9 Rock of Hope, Mbabane, Swaziland
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Methods• Female sex workers (FSW) ≥18 years old recruited through
respondent-driven sampling in Burkina Faso, Togo, and Swaziland; FSW ≥ 16 years old in The Gambia recruited through snowball sampling
• Were administered a questionnaire including a retrospective question on the age at which they started selling sex
• Separate multivariate logistic regressions for each country/ city to examine correlates of start of selling sex under age 18, controlling for current age.
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ResultsProportion of female sex worker study participants who started selling sex as minors Setting Ouagadougou,
Burkina FasoBobo-Dioulasso, Burkina Faso
Lomé, Togo
Kara, Togo
Gambia Swaziland
Started selling sex <age 18
31.2% (109/349)
24.4% (85/349)
21.6% (76/352)
46.2% (150/325)
12.6% (27/214)
25.9% (83/321)
Among those who started selling sex <age 18Mean age of start of selling sex (min.-max.)
15.9 (12-17)
15.7 (12-17)
15.5(12-17)
15.6 (12-17)
15.8 (13-17)
16.0 (14-17)
Forced, coerced, pressured or talked into selling sex
12.8% (14/109)
29.4% (25/85)
1.3% (1/76)
8.7% (13/150)
Not available
Not available
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ResultsCompared to FSW who started selling sex as adults, those who started as minors were more likely to report:• Behavioral risks
– using drugs, having anal sex in the last year, clients removed or paid more not to use condoms
• Violence– torture, rape, being beaten up
• Poor service access– less likely attend HIV-related prevention talks or test for HIV > once
ever • Poor health outcomes
– unwanted pregnancy, previous HIV diagnosis
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Acknowledgements• The women who participated in these studies. Without the leadership of
these communities, these studies would not have been possible. • The study staff• Partner organizations and supporters:
– Burkina Faso: PAMAC, IRSS– Togo: Espoir-Vie Togo, Arc-en-ciel, FAMME– Swaziland: Swaziland National AIDS Program at the Ministry of Health, National
Emergency Response Council on HIV/AIDS– The Gambia: National AIDS Secretariat, Action Aid International, UNAIDS, Network
of AIDS Service Organizations – The Gambia, Jobot Laboratories, The Global Fund to Fight AIDS, Tuberculosis and Malaria, and Enda Sante
– The studies in Burkina Faso, Togo and Swaziland were implemented by USAID | Project SEARCH, Task Order No. 2: Research to Prevention (R2P). R2P is based at the Johns Hopkins University (JHU) in Baltimore, Maryland, USA. This work was supported by USAID | Project SEARCH, Task Order No. 2, funded by the US Agency for International Development under Contract No. GHH-I-00-07-00032-00, beginning 30 September 2008, and by the President’s Emergency Plan for AIDS Relief.