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The aims of the study were i to categorize female sex workers FSW according to socio-anthropologic criteria in Bangui; ii to examine the association between a selection of demographic and risk variables with the different categories of female sex work as outcome, and iii to investigate factors associated with HIV status.
A cross-sectional questionnaire survey was conducted to describe the spectrum of commercial sex work in Bangui among sexually active women. After collection of social and behavioral characteristics, each woman received a physical examination and a blood sample was taken for biological analyses, including HIV testing. The relationships between sociodemographic characteristics, behavioral variables involved in high risk for HIV as well as biological results were investigated by bivariate analysis in relationship with FSW categories as main outcomes, and by bivariate analysis followed by multivariate logistic regression analysis in relationship with HIV as the main outcome.
The typology of FSW comprised six different categories. The overall prevalence of HIV-1 was In bivariate analysis, the following variables showed statistically significant association with risk for HIV infection: nationality; age of first sexual intercourse; self-assessment of HIV risk; knowledge of HIV status; anal sex practice with last clients; irregular condom use in last week; consumption of alcohol; other psycho-active substances; past history of STIs; HBs Ag; HSV-2 and bacterial vaginosis.
In multivariate logistical regression analysis, HIV infection was strongly associated with nationality This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Competing interests: The authors have declared that no competing interests exist. The Central African Republic CAR is one of the countries in Central Africa the most affected by generalized epidemic of human immunodeficiency infection HIV , with an overall prevalence in adult population of 4.
The dynamic of HIV epidemic in heterosexual population is particularly affected by the serial or concomitant occurrence of sexually transmitted infections STIs [ 5 — 7 ].