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Current HIV/AIDS Reports
Erschienen in: Current HIV/AIDS Reports 2/2020

06.02.2020 | The Global Epidemic (S Vermund, Section Editor)

HIV/AIDS Among Female Sex Workers in China: Epidemiology and Recent Prevention Strategies

verfasst von: Hanxi Zhang, Evelyn Hsieh, Lu Wang, Susu Liao

Erschienen in: Current HIV/AIDS Reports | Ausgabe 2/2020

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Abstract

Purpose of Review

This review aims to describe the epidemiology of HIV among female sex workers (FSWs) in China over the past decade, to summarize current gaps in knowledge regarding risk factors, and to identify new directions for HIV prevention strategies.

Recent Findings

We summarized national and regional levels of HIV prevalence among FSWs based on reported rates in the literature from 2008 to 2018. Studies identified cases of HIV infection among FSWs in all but one province during this time period, and demonstrated a sporadic pattern in most provinces, with a low overall national HIV prevalence below 1%. However, in Yunnan and Guanxi Zhuang Autonomous Regions, the median-reported prevalence rates were close to or slightly above 1%. National prevention programs have widely promoted male condoms as a primary and practical measure for HIV prevention, but studies evaluating condom use practices among FSWs demonstrated wide variability. A rise in illicit use of synthetic drugs and changing sexual practices in the setting of sex work (e.g., anal sex) may represent newer risk factors for HIV transmission among FSWs; however, more data are needed to better characterize these trends. Limited studies have examined the feasibility and efficacy of innovative prevention tools (e.g., female condoms) or strategies (e.g., pre-exposure prophylaxis, PrEP) to prevent HIV among FSWs.

Summary

We call for a more comprehensive understanding of current trends in HIV risk among FSWs, as well as more research focuses on innovative strategies to reduce the spread of HIV in this vulnerable population.
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Metadaten
Titel
HIV/AIDS Among Female Sex Workers in China: Epidemiology and Recent Prevention Strategies
verfasst von
Hanxi Zhang
Evelyn Hsieh
Lu Wang
Susu Liao
Publikationsdatum
06.02.2020
Verlag
Springer US
Erschienen in
Current HIV/AIDS Reports / Ausgabe 2/2020
Print ISSN: 1548-3568
Elektronische ISSN: 1548-3576
DOI
https://doi.org/10.1007/s11904-019-00477-y

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