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Prevalence and Correlates of Human Immunodeficiency Virus Infection Among Female Sex Workers in Tashkent, Uzbekistan

Catherine S. ToddDivision of International Health and Cross-Cultural Medicine, Department of Family and Preventive Medicine, University of California, San Diego, La Jolla, California 92093-0622, USA. [email protected]Mumtaz M. KhakimovRepublic of Uzbekistan Center for HIV/AIDS Control and Prevention, Tashkent, UzbekistanGulchaekra AlibayevaRepublic of Uzbekistan Center for HIV/AIDS Control and Prevention, Tashkent, UzbekistanMukhabat AbdullaevaRepublic of Uzbekistan Center for HIV/AIDS Control and Prevention, Tashkent, UzbekistanGuzel M. GiyasovaRepublic of Uzbekistan Center for HIV/AIDS Control and Prevention, Tashkent, UzbekistanMagdi D. SaadU.S. Naval Medical Research Unit No. 3 (NAMRU-3), Cairo, EgyptBoulos A. BotrosU.S. Naval Medical Research Unit No. 3 (NAMRU-3), Cairo, EgyptChristian T. BautistaU.S. Military HIV Research Program at the Walter Reed Army Institute of Research, and the Henry M. Jackson Foundation for the Advancement Military Medicine, Inc., Rockville, MarylandJosé Luis Sánchez‐RamosU.S. Military HIV Research Program at the Walter Reed Army Institute of Research, and the Henry M. Jackson Foundation for the Advancement Military Medicine, Inc., Rockville, MarylandJean K. CarrU.S. Military HIV Research Program at the Walter Reed Army Institute of Research, and the Henry M. Jackson Foundation for the Advancement Military Medicine, Inc., Rockville, MarylandKenneth C. EarhartU.S. Naval Medical Research Unit No. 3 (NAMRU-3), Cairo, Egypt

Sexually Transmitted Diseasesjournal2006en

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In Brief Objectives/Goal: To assess prevalence of and correlates to human immunodeficiency virus (HIV) infection among female sex workers in Tashkent, Uzbekistan. Study Design: Women participating in this cross-sectional study completed a questionnaire and HIV testing between April 2003 and March 2004. Logistic regression analyses determined correlation of variables to HIV infection. Results: Of 448 women, 10% (45) were HIV infected, which was associated with ever injecting drugs (AOR = 20.20; 95% confidence interval [CI], 7.69–53.07), street-based sex work (AOR = 4.52; 95% CI, 1.84–11.12), exchanging sex for drugs (AOR = 4.74; 95% CI, 1.84–12.18), and more sexually transmitted infection treatments in the preceding 3 months (AOR = 2.43; 95% CI, 1.14–5.17). Conclusions: Although injection drug use is the strongest correlate to HIV infection, sexual risk behaviors are independently related and should receive focus in prevention efforts targeted to this population. A study of female sex workers in Tashkent, Uzbekistan, found that 10% were human immunodeficiency virus infected, with greatest likelihood of infection among those having injected drugs or exchanging sex for drugs.

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DOI: 10.1097/01.olq.0000204624.26219.6a

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