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Quasilegal prostitution Couple looking for sex tonight in Saveh both cities attracts large numbers of sex tourists. At baseline, participants underwent interviews, antibody testing Prostitute in El Minya HIV and syphilis, and vaginal swabs for detecting gonorrhea and Chlamydia.
Median age and duration in sex work were 32 and 4 years. Factors independently associated with having US clients were: Intensified binational prevention efforts involving both FSWs and their clients are urgently needed.
Commercial sex work is considered quasilegal in Mexico; female sex workers in Tijuana are required to obtain permits if they wish to work Prostitute in El Minya prosecution in the Zona Roja red light zonebut more than half operate without.
Juarez, a permit is not required and 2 Zonas Rojas exist; FSWs working without permits can be fined, but in practice this is seldom enforced. Juarez, FSWs operate out of cantinas, bars, hotels, nightclubs, and street corners. These venues appear highly differentiated, catering to men of different cultural backgrounds and sexual proclivities, which led us to hypothesize that FSWs catering to men of various nationalities might also differ.
If supported, such data may be helpful for informing binational prevention efforts. The current study was conducted to determine whether Prostitute in El Minya who had US clients significantly differed from those who did not in 2 large Mexican-US border cities.
Tijuana is the largest Mexican-US border city with 1, persons, and together with adjacent San Diego, CA, Prostitute in El Minya forms the world's largest binational metropolis.
Inthere were 45 million registered northbound crossings from Tijuana to San Diego County. Juarez is the largest city in the state of Chihuahua and Prostitute in El Minya a population of 1, Juarez's inhabitants were born outside Chihuahua.
Juarez to El Prostitute in El Minya. Juarez is Prostitute in El Minya assembly plants. Inthe gross per capita regional product of Cd. Juarez through outreach and municipal and community health clinics into a behavioral intervention study that aimed to increase condom use.
Eligibility requirements included being at least 18 years of age, providing informed consent, and having traded sex for drugs, money, or Prostitute in El Minya material benefit within the previous 2 months. Since this was an intervention study, women were also required to have Prostitute in El Minya unprotected vaginal sex with at least 1 client in the past 2 months, and were excluded if they reported that they had previously tested HIV positive. A face-to-face interview was conducted as part of a safer sex intervention, which focused on motivational interviewing and increasing self efficacy among FSWs, as previously described.
The interview covered sexual risk behaviors, working conditions, financial need, victimization Prostitute in El Minya trauma, use of alcohol and illicit drugs, social support, social Prostitute in El Minya, life experiences, social cognitive factors, sociodemographic characteristics, and physical and Prostitute in El Minya health.
The interview also addressed behavioral outcomes, such as frequency of unprotected sex with clients and spouse or steady partner, number of clients; number and type of other sex partners nonclientsand number of partners who inject drugs.
Women were also asked whether their male sex trade clients were from Mexico, the United States, or other countries, using categories from all, most, some, a few, and none. All rapid plasma reagin-positive samples were subjected to confirmatory testing using the Treponema pallidum hemagglutinin assay Fujirebio, Wilmington, DE.
Neisseria gonorrhoeae and Chlamydia trachomatis were detected from vaginal swabs collected by trained nurses, using the Aptima Combo 2 collection device Genprobe, San Diego, CAwhich allows for a direct target-amplified nucleic acid probe test. HIV and STI test results were provided to participants and women who tested positive were referred to local municipal health clinics for free medical care.
Statistical analyses focused on baseline comparisons between FSWs who reported Naked girls horny in Parma at least 1 US client in the last 2 months versus those who did not. The analysis was restricted to baseline data. Univariate and multivariate logistic regression was performed to identify factors associated with having at least 1 US client. Regressions were run overall and by site. Median age was 32 years. The median number of years Prostitute in El Minya as a sex worker was 4 years.
The median age that women entered sex work was 26 years. Those with US clients were more likely to live in Tijuana versus Cd. FSWs with US clients reported the same median number of clients in the previous 6 months i. Seven factors entered into our final multivariate model, controlling for site Table 3.
Overall, the factor most strongly associated with having US clients was speaking English. The odds of having US clients were twice as high for women who lived in Tijuana or injected drugs. Juarez, we reran regression models stratifying by study site Table 3. In both cities, FSWs who were younger and those who had injected drugs were significantly more likely to report having US clients.
FSWs reporting US clients were more likely to speak English, be younger, inject drugs, have high syphilis titers, and be paid more for sex without a condom, indicating that these women, their Prostitute in El Minya, and possibly the general population are at high risk of acquiring HIV, and other bloodborne and sexually transmitted infections.
These data underscore the extent to Prostitute in El Minya the potential for cross-border transmission of HIV, and STIs is a major concern in this border region, which has implications for both countries.
After accounting Prostitute in El Minya other factors, the prevalence of syphilis titers consistent with acute infection was independently associated with having US clients, although this association was driven mostly by FSWs in Tijuana. FSWs reporting US clients also had greater numbers of male clients and were more likely to report earning more money for having sex without a condom; this association was more pronounced in Tijuana than in Cd.
Although we cannot Prostitute in El Minya that US clients offered these women more money to have unprotected Prostitute in El Minya, the fact that this practice is occurring in the context of high HIV and STI prevalence is cause for Prostitute in El Minya. The practice of offering more money for unprotected sex is not unique to our settings, as it has been reported elsewhere.
Prostitute in El Minya this poses risks for acquiring blood-borne infections. Juarez is ranked second only to Tijuana in the number of illicit drug users across the country. Since clients and other sexual partners of FSWs may themselves engage in high-risk behaviors, such as sex with other men or injection drug use, 2223 one should not assume that HIV transmission among FSWs is unidirectional. Indeed, nearly three-quarters of FSWs reported that their male clients used drugs and almost one-third reported that their clients injected drugs.
Most women reported Prostitute in El Minya their fellow sex workers used drugs or alcohol with clients, one-fifth shared needles with clients, and reported having a recent sex partner who was an IDU.
This study lacked details on the exact number of US clients and their characteristics. We also lack data on the Prostitute in El Minya of sexual interactions with clients, particularly the extent to which they exchanged sex for drugs rather than for money, which has been reported elsewhere. Our study findings indicate that interventions focused on male clients of FSWs stressing the importance of consistent condom use are clearly needed. In the Mexico-US border context, there is a need to ensure that prevention messages are available in Spanish, English, and possibly other languages, which are culturally appropriate and nonstigmatizing.
Interventions should include voluntary testing and counseling for HIV and STIs and appropriate referrals for treatment, regardless of insurance or immigration status. The lack of an appropriate Swingers clubs in Shu response could set the stage for HIV epidemics that quickly become generalized.
National Center for Biotechnology InformationU. Author manuscript; available in PMC Sep 3. Author information Copyright and License information Disclaimer. The publisher's final edited version of this article is available at Sex Transm Dis.
See other articles in PMC that cite the published Prostitute in El Minya. Methods Study Settings Tijuana is the largest Mexican-US border city with 1, persons, and together with adjacent San Diego, CA, it forms the world's largest binational metropolis. Data Collection A face-to-face interview was conducted as part of a safer sex intervention, which focused on motivational interviewing and increasing self efficacy among FSWs, as previously described.
Statistical Analysis Statistical analyses focused on baseline comparisons between FSWs who reported having at least 1 US client in the last 2 months versus those who did not.
Open in a separate window. Environmental Protection Agency Border Comparison of sexual and drug use behaviors between female sex workers in Tijuana and Ciudad Juarez, Mexico. A qualitative exploration of female sex work in Tijuana, Mexico. Department of Transportation Border Crossing: A sexual risk reduction intervention for female sex workers in Mexico: Design and baseline characteristics.
Correlates of injection drug use among female sex workers in two Mexico-U. High prevalence of HIV and sexually transmitted infections among female sex workers associated with injection drug use in two Mexico-U. Poster abstract TUPE presented at: What do we know and where might research be targeted in the future? Human immunodeficiency virus seroprevalence and condom use among female sex workers in Italy. Potential for heterosexual transmission.
Historical trends in the production and consumption of illicit drugs in Mexico: Implications for the prevention of blood borne infections.
Respondent-driven sampling of injection drug users in two U. Recruitment dynamics and impact on estimates of HIV and syphilis prevalence.
Behavioral and socio-demographic risks for frequent visits to commercial sex workers among northern Thai men. Prostitution and risk of HIV: Male partners of female prostitutes. Epidemiological indicators and ethnographic realities of female cocaine use.
Alcohol and drug use in heterosexual and homosexual prostitution, and its relation to protection behavior. Crack cocaine use and HIV-infection among inner-city young-adults. N Engl J Med. Prostitute in El Minya, crack house sex, and HIV risk.
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