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Table 3. The public health system in Vietnam is organized into three levels: central, provincial, and grassroots [7]. Interventions targeting Prostitutes Delta should focus on changing their risk behaviors - both unsafe sex Prostitutes Delta drug injection - and encouraging HIV testing and early access to preventive services in the region.

Risk behaviors among female sex workers FSW are Prostitutes Delta drivers of HIV infections in Vietnam, especially transmission between high-risk and low-risk groups. We interviewed participants face-to-face in Prostitutes Delta to elicit information about their lives and potential risk factors, and we tested their sera to determine their HIV status.

We then performed multivariate logistic regression analyses Prostitutes Delta investigate factors associated with HIV infection. Unprotected sex with regular and casual clients in the past month was frequent among study participants However, few respondents 1.

Only 2. Interventions to reduce unsafe sex and drug injection, and to increase uptake of HIV testing among FSWs Prostitutes Delta necessary. Differences in HIV prevalence and its correlates by type of sex work emphasize the importance of constrained contexts in shaping risk behaviors among FSWs; that should be considered in designing HIV prevention programs.

This is Prostitutes Delta open-access article distributed under the terms of the Creative Commons Attribution Licensewhich permits unrestricted use, Prostitutes Delta, and reproduction in any medium, provided the original author and source are credited. Competing interests: The authors have declared that no competing interests exist.

However, in many parts of the world, the burden of HIV remains high among high-risk populations, including female sex workers FSWsinjecting drug users, and men who have sex with men [2].

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It Prostitutes Delta estimated that approximately one-eighth Thus, women who engage in sex work are highly stigmatized. The national HIV sentinel surveillance Prostitutes Delta that unsafe sex and drug injection were fuelling the spread of HIV in this population [6].

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Furthermore, sex work places the clients Prostitutes Delta partners of FSWs at high risk of HIV infection as well, who can then act as a bridge for the disease into the general population [4]. The Mekong Delta Region is Prostitutes Delta southwestern Vietnam, which is known for the vast rice fields and plantations that make up the core of its economy. A few studies, with limited numbers of participants, have provided preliminary results about HIV transmission and risk behaviors of FSWs in this region [9] — [11].

Prostitutes Delta addition, we were interested in the utilization of healthcare services among these women.

The public health system in Prostitutes Delta is organized into three levels: central, provincial, and grassroots [7]. HIV services are provided by both the public and private sector through both hospitals and preventive care facilities. In addition, there are standalone HIV services delivered by donors and their stakeholders. Hot-spots of sex work in these provinces were mapped prior to collecting data.

We first interviewed key informants, including outreach program officers Prostitutes Delta peer-educators. Secondary data reviews and field observation were conducted to collect information about names and locations Prostitutes Delta each hot-spot, and to estimate the size of the target groups.

Using peer-educator and outreach staff referrals in order to prevent duplicates, we recruited about FSWs in each province.

FSWs were approached and invited to participate in the study. We interviewed the participants and had their blood samples collected by female health care Prostitutes Delta who were experienced in harm reduction programs. The interviews were conducted in private places that were convenient for participants, such as a hotel room or a nearby commune health station.

In descriptive statistical analysisStudent-t or Mann-Whitney U tests for continuous variables and Chi-square Fisher exact tests for categorical variables were used to examine the differences across stratified groups when appropriate. Prostitutes Delta logistic regression was used to assess the association between HIV infection and characteristics of participants. Data were managed using Epi Info, and analyzed using Stata Prostitutes Delta Ethical approval was granted by the Ministry of Health, Vietnam.

We strictly adhered to the Declaration of Helsinki on ethical principles for medical research. Verbal Prostitutes Delta consent was obtained from all participants after a clear explanation of the survey.

Participants were able to refuse to participate in and to withdraw from the interview at any time. They were also referred to health care services if necessary. Confidentiality was assured Prostitutes Delta coding patient information and by securely storing both Prostitutes Delta paper questionnaires and electronic dataset.

Background Risk behaviors among female sex workers (FSW) are considerable this community in the Mekong Delta region, southern Vietnam. A young man has reportedly died during rounds of sex with a prostitute in Jesse, Idjere Kingdom, Ethiope West Council of Delta State.

The demographic and sex work characteristics of study participants are presented in Table 1. In brief, participants' age averaged Prostitutes Delta majority The mean length of sex work was 2. Participants had on Prostitutes Delta Approximately one-quarter Inconsistent condom use in the past month was the highest with husbands or lovers Among those women who had experienced STI episodes, Regarding utilization of HIV services, only ESWs were more likely to have ever been tested Almost all participants Approximately Participants who were drug-users or had a drug-using partner were at higher risk of HIV infection than others in the bivariate analysis.

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