Prevalence of HIV/STIs and correlates with municipal characteristics among female sex workers in 13 Mexican cities

Abstract: Objective: To identify correlates of HIV/STI prevalence among 13 cities with varying sizes of female sex worker (FSW) populations and municipal characteristics in Mexico. Materials and methods: FSWs underwent interviews and testing for HIV, syphilis, gonorrhea and chlamydia. Logistic regression explored variations in HIV/STI prevalence. Results: Among FSWs (n=1 092), prevalence across 13 sites was: HIV: 0.4% (range: 0%-1.4%): syphilis: 7.8% (range: 0%-17.2%); chlamydia: 15.3% (range: 5.7%-32.2%); gonorrhea: 2.9% (range 0%-13.8%), and any HIV/STI: 23% (range: 9.9%-46%). Municipalities with high human development scores and a lower municipal marginalization index had higher odds of combined HIV/STI prevalence. After controlling for site-specific variability in municipal characteristics, greater risk of HIV/STIs was associated with lower education, having a spouse diagnosed or treated for an STI, unaffordability of condoms, and having non-Mexican clients. Conclusions: Prevalence of HIV/STIs varies across Mexican municipalities indicating the need for surveillance to identify hotspots for targeted resource allocation.

Bibliographic Details

Main Authors:	Patterson,Thomas L, Strathdee,Steffanie A, Semple,Shirley J, Chavarin,Claudia V, Abramovitz,Daniela, Gaines,Tommi L, Mendoza,Doroteo, Staines,Hugo, Aarons,Gregory A, Rodríguez,Carlos Magis
Format:	Digital revista
Language:	English
Published:	Instituto Nacional de Salud Pública 2019
Online Access:	http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0036-36342019000200116
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