Associations of HIV Testing,Sexual Risk and Access to Prevention Among Female Sex Workers in the Dominican Republic |
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| Authors: | Lisa G. Johnston Luis Bonilla Tessie Caballero Martha Rodriguez Yordana Dolores Miguel Angel de la Rosa Annie Malla Janet Burnett Víctor Terrero Sam Martinez Oliver Morgan |
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| Affiliation: | 1.Centers for Disease Control and Prevention,Santo Domingo,Dominican Republic;2.National HIV Program,Santo Domingo,Dominican Republic;3.UNAIDS,Santo Domingo,Dominican Republic;4.Hartland Alliance,Santo Domingo,Dominican Republic;5.National HIV Presidential Counseling,Santo Domingo,Dominican Republic;6.Centers for Disease Control and Prevention,Atlanta,USA;7.Centers for Disease Control and Prevention,Freetown,Sierra Leone |
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| Abstract: | The Caribbean region has one of the highest proportions of HIV in the general female population attributable to sex work. In 2008 (n = 1256) and 2012 (n = 1525) in the Dominican Republic, HIV biological and behavioral surveys were conducted among female sex workers (FSW) in four provinces using respondent driven sampling. Participants were ≥15 years who engaged in intercourse in exchange for money in the past 6 months and living/working in the study province. There were no statistically significant changes in HIV and other infections prevalence from 2008 to 2012, despite ongoing risky sexual practices. HIV testing and receiving results was low in all provinces. FSW in 2012 were more likely to receive HIV testing and results if they participated in HIV related information and education and had regular checkups at health centers. Further investigation is needed to understand barriers to HIV testing and access to prevention services. |
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