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Data and methods to characterize the role of sex work and to inform sex work programs in generalized HIV epidemics: evidence to challenge assumptions

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dc.date.accessioned 2017-06-06T13:22:35Z
dc.date.available 2017-06-06T13:22:35Z
dc.date.issued 2016-08-02 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/9921
dc.description.abstract In the context of generalized human immunodeficiency virus (HIV) epidemics, there has been limited recent investment in HIV surveillance and prevention programming for key populations including female sex workers. Often implicit in the decision to limit investment in these epidemic settings are assumptions including that commercial sex is not significant to the sustained transmission of HIV, and HIV interventions designed to reach 'all segments of society' will reach female sex workers and clients. Emerging empiric and model-based evidence is challenging these assumptions. This article highlights the frameworks and estimates used to characterize the role of sex work in HIV epidemics as well as the relevant empiric data landscape on sex work in generalized HIV epidemics and their strengths and limitations. Traditional approaches to estimate the contribution of sex work to HIV epidemics do not capture the potential for upstream and downstream sexual and vertical HIV transmission. Emerging approaches such as the transmission population attributable fraction from dynamic mathematical models can address this gap. To move forward, the HIV scientific community must begin by replacing assumptions about the epidemiology of generalized HIV epidemics with data and more appropriate methods of estimating the contribution of unprotected sex in the context of sex work. en
dc.format.medium Print en
dc.subject SEX WORKERS en
dc.subject HIV/AIDS en
dc.title Data and methods to characterize the role of sex work and to inform sex work programs in generalized HIV epidemics: evidence to challenge assumptions en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber N/A en
dc.Volume 26(8) en
dc.BudgetYear 2016/17 en
dc.ResearchGroup HIV/AIDS, STIs and TB en
dc.SourceTitle Annals of Epidemiology en
dc.ArchiveNumber 9293 en
dc.PageNumber 557-569 en
dc.outputnumber 8121 en
dc.bibliographictitle Mishra, S., Boily, M.C., Schwartz, S., Beyrer, C., Blanchard, J.F., Moses, S., Castor, D., Phaswana-Mafuya, N., Vickerman, P., Drame, F., Alary, M. & Baral, S.D. (2016) Data and methods to characterize the role of sex work and to inform sex work programs in generalized HIV epidemics: evidence to challenge assumptions. <i>Annals of Epidemiology</i>. 26(8):557-569. en
dc.publicationyear 2016 en
dc.contributor.author1 Mishra, S. en
dc.contributor.author2 Boily, M.C. en
dc.contributor.author3 Schwartz, S. en
dc.contributor.author4 Beyrer, C. en
dc.contributor.author5 Blanchard, J.F. en
dc.contributor.author6 Moses, S. en
dc.contributor.author7 Castor, D. en
dc.contributor.author8 Phaswana-Mafuya, N. en
dc.contributor.author9 Vickerman, P. en
dc.contributor.author10 Drame, F. en
dc.contributor.author11 Alary, M. en
dc.contributor.author12 Baral, S.D. en


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