Epidemiology and determinants of HIV among female sex workers in India: a systematic review and meta-analysis.

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Title: Epidemiology and determinants of HIV among female sex workers in India: a systematic review and meta-analysis.
Authors: Chaudhary, Vaibhav, Sharma, Bhavya, Kumari, Sweta, Murti, Krishna, Meenakshi, Sarasa, Pal, Biplab
Source: Journal of HIV/AIDS & Social Services. 2025, Vol. 23 Issue 3, p218-238. 21p.
Subjects: HIV infection risk factors, HIV infection epidemiology, Indian women (Asians), Sex work, Risk assessment, Medical information storage & retrieval systems, Descriptive statistics, Meta-analysis, MEDLINE, Online information services, Data analysis software, Confidence intervals
Geographic Terms: India
Abstract: India faces a significant HIV burden, with female sex workers (FSWs) being highly vulnerable. This study estimated the prevalence of HIV among FSWs in India and identified risk factors. PubMed, Scopus, and Embase were searched for relevant studies published up to December 2023. Data analysis was performed using R software. Nineteen studies from different regions of India were included. The pooled HIV prevalence among FSWs was 12.6% (95% CI: 8.7; 18.1), with significant regional variations: West region reported the highest prevalence at 27.2%, followed by South (17.2%), Northeast (9.6%), and East (7.5%). Major determinants of HIV prevalence included older age, early initiation into sex work, sole dependence on sex work for income, unmarried status, inconsistent condom use, and injecting drug use. These findings show the need for region-specific interventions, including regular HIV testing, condom promotion, harm reduction for drug use, sexual health education, and integrated healthcare for HIV and sexually transmitted infections to improve health outcomes among FSWs. [ABSTRACT FROM AUTHOR]
Copyright of Journal of HIV/AIDS & Social Services is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Label: Title
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  Data: Epidemiology and determinants of HIV among female sex workers in India: a systematic review and meta-analysis.
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  Data: <searchLink fieldCode="AR" term="%22Chaudhary%2C+Vaibhav%22">Chaudhary, Vaibhav</searchLink><br /><searchLink fieldCode="AR" term="%22Sharma%2C+Bhavya%22">Sharma, Bhavya</searchLink><br /><searchLink fieldCode="AR" term="%22Kumari%2C+Sweta%22">Kumari, Sweta</searchLink><br /><searchLink fieldCode="AR" term="%22Murti%2C+Krishna%22">Murti, Krishna</searchLink><br /><searchLink fieldCode="AR" term="%22Meenakshi%2C+Sarasa%22">Meenakshi, Sarasa</searchLink><br /><searchLink fieldCode="AR" term="%22Pal%2C+Biplab%22">Pal, Biplab</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+HIV%2FAIDS+%26+Social+Services%22">Journal of HIV/AIDS & Social Services</searchLink>. 2025, Vol. 23 Issue 3, p218-238. 21p.
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  Data: <searchLink fieldCode="DE" term="%22HIV+infection+risk+factors%22">HIV infection risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+infection+epidemiology%22">HIV infection epidemiology</searchLink><br /><searchLink fieldCode="DE" term="%22Indian+women+%28Asians%29%22">Indian women (Asians)</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+work%22">Sex work</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+information+storage+%26+retrieval+systems%22">Medical information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Meta-analysis%22">Meta-analysis</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Online+information+services%22">Online information services</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22India%22">India</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: India faces a significant HIV burden, with female sex workers (FSWs) being highly vulnerable. This study estimated the prevalence of HIV among FSWs in India and identified risk factors. PubMed, Scopus, and Embase were searched for relevant studies published up to December 2023. Data analysis was performed using R software. Nineteen studies from different regions of India were included. The pooled HIV prevalence among FSWs was 12.6% (95% CI: 8.7; 18.1), with significant regional variations: West region reported the highest prevalence at 27.2%, followed by South (17.2%), Northeast (9.6%), and East (7.5%). Major determinants of HIV prevalence included older age, early initiation into sex work, sole dependence on sex work for income, unmarried status, inconsistent condom use, and injecting drug use. These findings show the need for region-specific interventions, including regular HIV testing, condom promotion, harm reduction for drug use, sexual health education, and integrated healthcare for HIV and sexually transmitted infections to improve health outcomes among FSWs. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of HIV/AIDS & Social Services is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/15381501.2025.2450350
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 21
        StartPage: 218
    Subjects:
      – SubjectFull: HIV infection risk factors
        Type: general
      – SubjectFull: HIV infection epidemiology
        Type: general
      – SubjectFull: Indian women (Asians)
        Type: general
      – SubjectFull: Sex work
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Medical information storage & retrieval systems
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Meta-analysis
        Type: general
      – SubjectFull: MEDLINE
        Type: general
      – SubjectFull: Online information services
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: India
        Type: general
    Titles:
      – TitleFull: Epidemiology and determinants of HIV among female sex workers in India: a systematic review and meta-analysis.
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            NameFull: Chaudhary, Vaibhav
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            NameFull: Sharma, Bhavya
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            NameFull: Kumari, Sweta
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            NameFull: Murti, Krishna
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            NameFull: Meenakshi, Sarasa
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            NameFull: Pal, Biplab
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            – D: 01
              M: 07
              Text: 2025
              Type: published
              Y: 2025
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