title: High Burden of HIV Infection and Risk Behaviors Among Female Sex Workers in Three Main Urban Areas of Mozambique.
abstract: This is the first integrated biological and behavioral survey among female sex workers (FSW) in Mozambique. Using respondent-driven sampling, 400, 411 and 429 FSW were enrolled respectively in Maputo, Beira and Nampula in 2011-2012. Estimates were produced using RDSAT 7.1. HIV prevalence was 31.2, 23.6, and 17.8 % in each location respectively. Among HIV-positive FSW, 48.1, 79.8 and 89.6 % in each city, were unaware of their serostatus. Condom use at last sex with a client was 85.8, 73.4 and 62.8 % among FSW, respectively. HIV was associated with current age, age of first sex for money, low educational level, and having had a genital ulcer in the last 6 months. Results suggest the urgent need to increase behavioral and structural interventions in this key population.
authors.affiliation: Instituto Nacional de Saúde, Ministério da Saúde, Maputo, Mozambique. araugustoangelo@gmail.com.
authors.forename: Ângelo do Rosário
authors.initials: Âdo R
authors.lastname: Augusto
authors.affiliation: Centers for Diseases Control and Prevention, Maputo, Mozambique.
authors.forename: Peter W
authors.initials: PW
authors.lastname: Young
authors.affiliation: University of California, San Francisco, USA.
authors.forename: Roberta Z
authors.initials: RZ
authors.lastname: Horth
authors.affiliation: I-TECH, Maputo, Mozambique.
authors.forename: Celso
authors.initials: C
authors.lastname: Inguane
authors.affiliation: I-TECH, Maputo, Mozambique.
authors.forename: Isabel
authors.initials: I
authors.lastname: Sathane
authors.affiliation: Pathfinder International, Maputo, Mozambique.
authors.forename: Katia
authors.initials: K
authors.lastname: Ngale
authors.affiliation: Pathfinder International, Maputo, Mozambique.
authors.forename: Marcos
authors.initials: M
authors.lastname: Benedetti
authors.affiliation: Centers for Diseases Control and Prevention, Maputo, Mozambique.
authors.forename: Beverley
authors.initials: B
authors.lastname: Cummings
authors.affiliation: Instituto Nacional de Saúde, Ministério da Saúde, Maputo, Mozambique.
authors.forename: Carlos Francisco Sande
authors.initials: CF
authors.lastname: Botão
authors.affiliation: Instituto Nacional de Saúde, Ministério da Saúde, Maputo, Mozambique.
authors.forename: Cynthia Amino Semá
authors.initials: CA
authors.lastname: Baltazar
authors.affiliation: Centers for Diseases Control and Prevention, Maputo, Mozambique.
authors.forename: Heidi
authors.initials: H
authors.lastname: Frank
authors.affiliation: Centers for Diseases Control and Prevention, Atlanta, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Fagan
authors.affiliation: University of California, San Francisco, USA.
authors.forename: Henry
authors.initials: H
authors.lastname: Fisher Raymond
authors.affiliation: University of California, San Francisco, USA.
authors.forename: Willi
authors.initials: W
authors.lastname: McFarland
mesh_terms: D000293:Adolescent; D017280:Condoms; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000523:psychology*; D006801:Humans; D009073:Mozambique / Q000453:epidemiology; D011159:Population Surveillance; D015995:Prevalence; D012307:Risk Factors; D012309:Risk-Taking; D021841:Safe Sex; D060386:Sex Workers / Q000523:psychology* / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014505:Urban Population; D055815:Young Adult
keywords: Behavioral surveillance; Female sex workers; HIV prevalence; Mozambique; Respondent-driven sampling; Sub-Saharan Africa