The fine art of regulated tolerance: There is potentially a reporting bias toward registration, if the women feared penalties in being unregistered; however, we found little evidence of reporting bias in other sensitive areas, with many women reporting unprotected vaginal sex with clients and drug use. Our study suggests that the current system of registration of FSWs in Tijuana focuses on screening and treatment of HIV and STIs and may be structured in such a way that it excludes the highest risk subgroups, especially FSWs who are street-based and those who inject drugs or use stimulants. Although participants were asked if they were registered with the MHD, we were unable to confirm if women who were registered actually sought services from the department. Consideration should also be given to models incorporating incentivized or enforced condom use, which has been found to be successful in other settings. Decline in sexually transmitted disease prevalence in female Bolivian sex workers: Future studies will address how the cost of the registration card may affect which women are registered, if the increase in cost has deterred registration, and if anyone other than the sex worker herself is paying for the card. First, registered FSWs tended to work in venue-based establishments, lived and worked in the same location, and earned more money per transaction.
Since our study was conducted, a mobile HIV-prevention campaign has been initiated in Tijuana, representing a partnership between a local nongovernmental organization and the municipal, state, and federal governments. Unregistered women were more likely to have been born in Baja California. Registered sex workers earned more money per sex act compared with unregistered FSWs. Our study suggests that the current system of registration of FSWs in Tijuana focuses on screening and treatment of HIV and STIs and may be structured in such a way that it excludes the highest risk subgroups, especially FSWs who are street-based and those who inject drugs or use stimulants. Decline in sexually transmitted disease prevalence in female Bolivian sex workers: Associations between migrant status and sexually transmitted infections among female sex workers in Tijuana, Mexico. Consideration should also be given to models incorporating incentivized or enforced condom use, which has been found to be successful in other settings. Earlier studies in the Philippines have also showed that STI screening and treatment, in the absence of other prevention -strategies, are not effective for long-term control of STIs or HIV in sex workers. We identified two patterns related to sex-worker registration that have implications for HIV and STI prevention and policies. STI declines among sex workers and clients following outreach, one time presumptive treatment, and regular screening of sex workers in the Philippines. These results provide the first analysis of the current system of regulation of FSWs on the Mexico-U. Steen R, Dallabetta G. The current registration system may be excluding sex workers who operate outside of a specific venue, and thus the MHD may not be reaching women at highest risk for HIV and STIs. First, the study's cross-sectional nature does not allow us to draw causal inferences. This finding is interesting in light of newer data associating time spent in Tijuana with risk behavior and HIV prevalence. In a study evaluating injection drug users who had recently been deported or who had migrated to Tijuana, the odds of HIV infection among females increased with time spent in Tijuana, but the trend was opposite among males. Trop Med Int Health. Sexually transmitted infection control with sex workers: Rojanapithayakorn W, Hanenberg R. Decreasing incidence of HIV and sexually transmitted diseases in young Thai men: An exploration of contextual factors that influence HIV risk in female sex workers in Mexico: Our study included FSWs from Tijuana only and may not be generalizable to other cities, although the most common Mexican FSW workplace venues were represented. Sexual and injection risk among women who inject methamphetamine in San Francisco. This finding has significance for the goal of addressing social determinants of health among sex workers. Finally, our study did not elicit details on cost of the registration card.
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